目的探讨系统性护理干预在腹腔镜下小儿美克尔憩室切除术中的应用及效果。方法选择2012年3月-2014年4月收治的60例美克尔憩室患儿,依照入院时间先后顺序分组,两组患儿均采取腹腔镜下美克尔憩室切除手术,并采用相同的常规检查、输液、抗生素消炎和止血止痛治疗,护理组采取系统性护理干预,建立医护患一体化协作机制,在术前、术后均对患儿进行有针对性的护理;对照组采用常规护理手段。观察比较两组患儿术后7 d的大便潜血情况及30 d后的治疗效果。结果两组患儿在术后7 d进行的大便常规检查结果差异有统计学意义(P<0.05);30 d后的总疗效评定,护理组均明显优于对照组,差异有统计学意义(P<0.05)。结论对行腹腔镜的美克尔憩室切除术患儿进行系统性护理干预,采取针对性的护理,有助于提高患儿痊愈率和总疗效率,值得借鉴和推广。 Objective To investigate the effect of systematic nursing intervention in laparoscopic resection of meerkel diverticulum in children. Methods Sixty children with Meckel’s diverticulum who were admitted to our hospital from March 2012 to April 2014 were selected according to the order of their admission time. All patients underwent laparoscopic resection of meridian diverticulum and the same routine Check, infusion, anti-inflammatory antibiotics and analgesic hemostasis, the nursing team to take systematic nursing interventions, the establishment of integrated mechanisms of health care and patient cooperation, both preoperative and postoperative children were targeted care; control group using conventional care . The fecal occult blood was observed on the 7th day and the therapeutic effect after 30 days in both groups. Results There was significant difference in routine stool examination between the two groups (P <0.05) at 7 days after operation. The total curative effect after 30 days was significantly better in the nursing group than in the control group (P <0.05) P <0.05). Conclusions Systematic nursing intervention in children undergoing laparoscopic meclidectomy may be helpful to improve the cure rate and total curative rate of children, and it is worth to refer to and promote.