摘要
目的探究基于奥马哈系统的预见性管理模式对尿道下裂Ⅰ期尿道成形术患儿的效果观察。方法选取2020-09-15-2021-12-15商丘市第一人民医院尿道下裂小儿Ⅰ期尿道成形术患儿102例作为研究对象。按照随机数字表法分组,对照组51例给予常规干预,观察组51例联合基于奥马哈系统的预见性管理模式,采用SPSS 23.0对数据进行统计学分析,计数资料以n(%)表示,χ^(2)检验;计量资料以x±s表示,t检验,2组术后视觉模拟评分法(VAS)评分比较采用重复测量F检验,对比2组患儿术后康复情况、术后疼痛程度、排尿功能,以及并发症发生情况。结果观察组患儿拔除导尿管时间为(8.23±2.22)d,低于对照组(10.76±2.42)d,差异有统计学意义,t=5.502,P<0.001;观察组首次排便时间为(30.31±9.23)h,低于对照组(43.23±11.54)h,差异有统计学意义,t=6.244,P<0.001;观察组术后1、3、6、12和24 h VAS评分均明显低于对照组,重复测量方差分析中,2组VAS评分的时点、组间、时点与组别的交互效应均差异有统计学意义,F=10.371,P<0.001;观察组自由尿流率为(8.37±1.27)mL/s,高于对照组的(6.28±1.13)mL/s,差异有统计学意义,t=8.780,P<0.001;观察组压力流率为(9.32±2.36)mL/s,低于对照组的(11.24±3.27)mL/s,差异有统计学意义,t=3.400,P=0.001;观察组并发症总发生率为7.84%(4/51),低于对照组的23.53%(12/51),差异有统计学意义,χ^(2)=4.744,P<0.05。结论基于奥马哈系统的预见性管理模式应用于尿道下裂Ⅰ期尿道成形术患儿术后康复中,可有效改善患儿术后恢复情况,减轻术后疼痛,提高排尿功能,减少术后并发症的发生。
Objective To explore the effect of predictive management model based on Omaha system on children with stageⅠhypospadias urethroplasty.Methods A total of 102 children with stageⅠurethroplasty for hypospadias admitted in Shangqiu First People’s Hospital from September 15,2020 to December 15,2021 were selected as the research objects.According to the random number table method,51 cases in the control group were given routine intervention,and 51 cases in the observation group were combined with the predictive management mode based on Omaha system.SPSS 23.0 was used to statistically analyze the data.The measurement data were expressed as x±s,t test,and the postoperative visual analogue scale(VAS)score was compared between the two groups by repeated measurement F test.The postoperative rehabilitation,postoperative pain,urination function,and complications were compared between the two groups.Results The time of catheter removal in the observation group was(8.23±2.22)d,which was shorter than that in the control group(10.76±2.42)d,t=5.502,P<0.001;The first defecation time was(30.31±9.23)h,which was significantly shorter than that of the control group(43.23±11.54)h,t=6.244,P<0.001;The VAS scores at 1-,3-,6-,12-and 24 h after operation in the observation group were significantly lower than those in the control group.In repeated measures ANOVA,there were statistically significant differences in VAS scores at time points,between groups,and interaction effects between time points and groups(F=10.371,P<0.001).The free urine flow rate of the observation group was(8.37±1.27)ml/s,which was higher than that of the control group(6.28±1.13)ml/s,t=8.780,P<0.001;The pressure flow rate was(9.32±2.36)ml/s,which was lower than(11.24±3.27)ml/s in the control group,and the difference was statistically significant,t=3.400,P=0.001;The total incidence of complications in the observation group was 7.84%(4/51),which was lower than 23.53%(12/51)in the control group,and the difference was statistically significant(χ^(2)=4.744,P<0.05).Conclusion The predictive management model based on the Omaha system is applied to the postoperative rehabilitation of children with hypospadiasⅠstage urethroplasty,which can effectively improve the postoperative recovery,reduce postoperative pain,improve urinary function,and reduce postoperative complications.
作者
刘秋影
杜明明
王威
赫志强
LIU Qiuying;DU Mingming;WANG Wei;HE Zhiqiang(The First People's Hospital of Shangqiu City,Shangqiu 476100,China)
出处
《社区医学杂志》
CAS
2023年第3期155-159,共5页
Journal Of Community Medicine
