硫酸镁湿敷对腹股沟斜疝术后小儿阴囊血肿预后的影响

摘要

目的：探讨硫酸镁湿敷对小儿腹股沟斜疝术后阴囊血肿预后的影响。方法采用便利抽样法选取行腹股沟斜疝手术且术后合并阴囊血肿的患儿54例,按照随机数字表法分为两组,对照组(27例)给予常规护理,观察组(27例)在常规护理的基础上给予硫酸镁局部湿敷护理。比较两组患儿阴囊血肿消退时间及并发症发生情况。结果观察组患儿血肿消退时间为4~10 d,平均(5.8±1.45)d,对照组患儿血肿消退时间为6~14 d,平均(7.8±2.11)d,两组患儿血肿消退时间比较,差异有统计学意义(P<0.05)。观察组患儿未出现溃疡、局部感染等并发症,对照组患儿出现溃疡3例,局部感染1例,两组并发症发生率比较差异有统计学意义(P<0.05)。结论硫酸镁湿敷护理可以缩短腹股沟斜疝术后小儿阴囊血肿的血肿消退时间,并且可以降低并发症的发生率。%Objective To investigate effects of magnesium sulfate wet compress nursing on prognosis of child′s scrotum hematoma after indirect inguinal hernia. Methods A total of 54 pediatric children were collected for inguinal hernia operation by convenient sampling method, and random number table method were used to averagely divide patients into control group ( received routine nursing ) and observation group ( given conventional care and magnesium sulfate local wet dressing care) . The child′s length of hematoma vanishing and incidence of complications were compared between two groups. Results In the observation group, the length of hematoma vanishing was 4-10 d, the average time (5. 8 ± 1. 45)d, while the length of hematoma vanishing was 6-14 d, the average (7. 8 ± 2. 11)d in the control group (P<0. 05). There was no incidence of ulcer, local infection and other complications in the observation group whereas 3 cases of ulcer and 1 cases of local infection in the control group (P<0. 05). Conclusions Magnesium sulfate wet compress nursing can shorten the length of child′s scrotum hematoma vanishing after indirect inguinal hernia surgery and reduce the incidence of complications.