The Factors for Defecation Change after Inguinal Hernia Mesh-repairs_West China Medical Journal

Authors：

LU Anqing ,  LI Ka , LI Keshu , LEI Wenzhang

Department of Gastrointestinal and Colorectal Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

LI Ka, Email: 172625076@qq.com

Keywords：

腹股沟斜疝; 无张力修补术; 排便

DOI：

CNKI: 51-1356/R.20120115.1552.024

Video：

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目的　了解局部麻醉下腹股沟疝无张力修补术后患者排便变化的相关影响因素。方法　采用自行设计的问卷调查表，对2010年5月－6月行无张力修补术的腹股沟疝患者术后排便情况及变化进行调查，并就相关影响因素采用logistic回归方法进行统计分析。结果　腹股沟疝无张力修补术后患者进食量减少、活动量减少、饮食成分变化、担心排便引起复发是术后排便变化的影响因素。结论　加强该病症术后健康宣传，指导患者正常进食、多活动，消除患者对腹股沟疝复发的焦虑，可促进其早期排便。
Objective　 To research on the risk factors for change of defecation after inguinal hernia mesh-repairs under local anesthesia. Methods　 Self-made questionnaires were used to investigate the defecation change among patients having undergone inguinal hernia mesh-repairs from May to June 2010, and the correlated factors for change of defecation were analyzed by logistic regression analysis. Results　 Reduction of activity and food, changes of food ingredients, and worries about recurrence were risk factors for change of defecation. Conclusion　 In order to facilitate the recovery of the patients, nurses should promote patients’ knowledge on the surgery, guide them to eat as usual and do more exercises, and eliminate their anxiety on recurrence of the disease.

Citation： LU Anqing,LI Ka,LI Keshu,LEI Wenzhang. The Factors for Defecation Change after Inguinal Hernia Mesh-repairs. West China Medical Journal, 2012, 27(1): 94-96. doi: CNKI: 51-1356/R.20120115.1552.024 Copy

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1. 　Rutkow IM, Robbins AW. Demographic, classificatory, and socioeconomic aspects of hernia repair in the United States[J]. Surg Clin North Am, 1993, 73(3): 413-426.
2. 　Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003[J]. Surg Clin North Am, 2003,83(5): 1045-1051.
3. 　Zhao G, Gao P, Ma B, et al. Open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials[J]. Ann Surg, 2009, 250(1): 35-42.
4. 　张雪芳, 徐桂华, 陈金珍, 等. 便秘的病因及治疗进展[J]. 中华全科医学, 2009, 7(11): 1229-1231.
5. 　王天嫱, 郭欣, 李卉, 等. 便秘的治疗与探讨[J]. 中国实用医药, 2011, 6 (7): 243.
6. 　梁堃. 老年便秘的研究进展[J]. 中国老年学杂志, 2006, 26(12): 1761-1763.
7. 　宁军然, 顾军明, 田占明, 等. 老年人便秘的病因分析及防治措施探讨[J].中华保健医学杂志, 2009, 11(1): 32.
8. 　范怡. 便秘的治疗与护理进展[J]. 护理研究, 2004, 18(7): 1148-1150.
9. 　张新平, 陈长香. 不同饮食习惯对老年人便秘的影响及干预[J]. 华北煤炭医学院学报, 2010, 12(4): 508-509.
10. 　丁晓平, 刘国庭. 老年慢性便秘的病因机制及治疗进展[J]. 解放军保健医学杂志, 2005, 7(1): 59-61.
11. 　王颢, 喻德洪, 沈一峰. 心理因素在便秘发病中作用的初步研究[J]. 第二军医大学学报, 1999, 20(11): 925-926.

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The Factors for Defecation Change after Inguinal Hernia Mesh-repairs

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