腹腔镜阑尾切除术治疗对患者术后肠道功能与切口感染的影响分析  

Analysis of the Effect of Laparoscopic Appendectomy on Intestinal Function and Incision Infection

作　　者：漆仲尧[1] 黄甲锋[1] 黄六一[1] 何静波 QI Zhong-yao;HUANG Jia-feng;HUANG Liu-yi;HE Jing-bo(General Surgery Department of Xinyi Railway Hospital,Xinyi City,Jiangsu Province,221400,China)

机构地区：[1]新沂市铁路医院普外科

出　　处：《世界复合医学》2019年第11期38-40,共3页World Journal of Complex Medicine

摘　　要：目的探讨腹腔镜阑尾切除术治疗对患者术后肠道功能恢复与切口感染的影响。方法抽取该院2017年2月-2019年6月间收治的60例急性阑尾炎患者,根据随机数表法分为对照组和观察组。对照组30例采取常规开腹手术进行治疗,观察组30例应用腹腔镜阑尾切除术进行治疗,并开展综合性护理干预,比较两组患者术后肠道功能恢复与切口感染情况。结果观察组患者手术(53.16±4.16)min、术后肠道蠕动恢复时间(15.37±3.16)h,下床活动(20.82±4.61)以及住院观察时间(5.18±1.17)d均优于对照组(62.25±3.18)min、(37.17±4.13)h、(34.54±3.17)h、(8.94±1.49)d,差异有统计学意义(t=9.508、22.961、13.432、10.871,P=0.000、0.000、0.000、0.001),观察组患者(5.18±1.17)mg/L、DAO (3.21±0.66)U/L等指标优于对照组(8.94±1.49)mg/L、(4.87±0.53)U/L,差异有统计学意义(t=10.871、10.741,P=0.000、0.000),观察组患者切口感染发生率为3.33%远低于对照组的16.67%,差异有统计学意义(χ~2=7.603,P=0.001)。结论腹腔镜阑尾切除术治疗,可有效促进患者术后肠道功能的恢复,也能够降低切口感染的发生率,对于患者的预后有着积极的作用,值得推广。Objective To investigate the effect of laparoscopic appendectomy on postoperative intestinal function recovery and incision infection. Methods 60 patients with acute appendicitis admitted to the hospital from February 2017 to June 2019 were selected and di-vided into control group and observation group according to the random number table method. 30 cases in the control group were treated by conventional laparotomy, and 30 cases in the observation group were treated by laparoscopic appendectomy, and compre-hensive nursing intervention was conducted to compare the postoperative intestinal function recovery and incision infection in the two groups. Results In the observation group, the operation time(53.16 ±4.16) min, postoperative intestinal peristalsis recovery time(15.37±3.16)h, outpatient activity(20.82±4.61) and hospitalization observation time(5.18±1.17) d were better than the control group(62.25±3.18)min,(37.17±4.13)h,(34.54±3.17)h,(8.94±1.49)d,indicating that the difference has Statistically significant(t=9.508,22.961, 13.432, 10.871, P=0.000, 0.000, 0.000, 0.001), the observation group(5.18±1.17) mg/L, DAO(3.21±0.66) U/L and other indicators were better than the control group(8.94±1.49) mg/L,(4.87±0.53) U/L, showed that the difference was statistically significant(t=10.871, 10.741, P=0.000, 0.000). The incidence of incision infection in the observation group was 3.33%, which was much lower than 16.67% in the control group. Statistical significance(χ~2=7.603, P=0.001). Conclusion Laparoscopic appendectomy can effectively promote the recovery of intestinal function and reduce the incidence of incision infection. It has a positive effect on the prognosis of patients and is worth promoting.

关 键 词：腹腔镜阑尾切除术 术后肠道功能 切口感染 

分 类 号：R714[医药卫生—妇产科学]