CAJ | 학술논문

目的：探讨腹腔镜腹股沟疝修补术后应用弹力裤预防术后并发症的效果。方法回顾性分析2012年10月至2013年12月，山东省聊城市人民医院收治的腹股沟疝患者50例，均采用腹腔镜腹股沟疝修补术。术后将患者随机分为实验组和对照组，每组各25例。实验组在常规护理基础上应用弹力裤1周。对照组术后应用阴囊托抬高阴囊，沙袋压迫患侧腹股沟区。观察二组患者术后切口疼痛程度、阴囊肿胀情况等。结果实验组腹股沟疝患者在手术后12、24、48 h的疼痛程评分与对照组比较差异均有统计学意义（t＝5．102、8．294、7．745，P＝0．026、0．017、0．019）。二组患者术后12、24、48 h阴囊肿胀发生率比较差异有统计学意义（χ2＝27．29、30．13、25．65，P＝0．030、0．021、0．034）。结论腹腔镜腹股沟疝修补术后应用弹力裤可预防或减少术后并发症的发生。
목적：탐토복강경복고구산수보술후응용탄력고예방술후병발증적효과。방법회고성분석2012년10월지2013년12월，산동성료성시인민의원수치적복고구산환자50례，균채용복강경복고구산수보술。술후장환자수궤분위실험조화대조조，매조각25례。실험조재상규호리기출상응용탄력고1주。대조조술후응용음낭탁태고음낭，사대압박환측복고구구。관찰이조환자술후절구동통정도、음낭종창정황등。결과실험조복고구산환자재수술후12、24、48 h적동통정평분여대조조비교차이균유통계학의의（t＝5．102、8．294、7．745，P＝0．026、0．017、0．019）。이조환자술후12、24、48 h음낭종창발생솔비교차이유통계학의의（χ2＝27．29、30．13、25．65，P＝0．030、0．021、0．034）。결론복강경복고구산수보술후응용탄력고가예방혹감소술후병발증적발생。
Objective To evaluate the efficacy of stretch pants in prevention of complications after laparoscopic inguinal hernia repair.Methods A retrospective study was conducted 50 patients who underwent laparoscopic inguinal hernia repair were randomly divided into experimental and control groups (25 cases for each group ).Routine nursing care was taken in the control group and stretch pants were additionally applied to the patients for 1 week in the experimental group based upon routine nursing care. Elevating scrotum and pressing inguinal region with sandbags,were applied in the control group.The observations were made on degree of wound pain,scrotal swelling.Results The statistically significant differences were found in the comparison of degree of wound pain,scrotal swelling between the two groups at 1 2,24,48 hours after operation,respectively.Conclusion Application of stretch pants after laparoscopic inguinal hernia repair can prevent or reduce the incidence of postoperative complications.