基于人工智能肠鸣音监测系统评价假饲对腹腔镜阑尾切除术后胃肠功能恢复的影响  

Evaluation of the effect of sham feeding on the recovery of gastrointestinal function after laparoscopic appendectomy based on an artificially intelligent bowel sound monitoring system

作　　者：张金 刘思达[1] 薛飞 马文星 赵丹 段降龙[1,4] Zhang Jin;Liu Sida;Xue Fei;Ma Wenxing;Zhao Dan;Duan Xianglong(Second Department of General Surgery,Shaanxi Provincial People′s Hospital,Xi′an 710068,China;Medicine College of Yan'an University,Yan′an,716000,China;Computer Science School of Universiti Sains Malaysia,Penang 11800,Malaysia;Institute of Medical Research,Northwestern Polytechnical University,Xi′an 710068,China)

机构地区：[1]陕西省人民医院普外二科,西安710068 [2]延安大学医学院研究生院,延安716000 [3]马来西亚理科大学计算机学院,马来西亚槟城11800 [4]西北工业大学医学研究院,西安710068

出　　处：《国际外科学杂志》2023年第5期329-333,F0003,共6页International Journal of Surgery

基　　金：延安大学研究生教育创新计划项目(YCX2021098);陕西省重点研发计划(2020GXLH-Y-019,2022KXJ-141);陕西省创新能力支撑计划(2019GHJD-14,2021TD-40);陕西省人民医院科技人才支持计划(2021LJ-05)。

摘　　要：目的利用新型设备人工智能肠鸣音监测系统探索和分析假饲对促进腹腔镜阑尾切除术(LA)术后胃肠功能恢复的可靠性和安全性。方法选取陕西省人民医院2020年12月—2022年9月收治的100例行LA的急性阑尾炎患者。本研究为前瞻性研究,采用随机数字表法将参与者分为对照组和实验组,每组各50例,对照组行LA术后常规护理,实验组行LA术后常规护理及假饲状态护理。采取双盲研究方法,对两组患者年龄、性别、术后肠鸣音恢复时间、术后首次肛门排气时间、术后恶心呕吐、腹胀、口干口臭及术后腹痛等并发症进行记录与收集。运用GraphPad Prism 9.0及SPSS 22.0软件进行数据整理和分析。结果两组患者在性别、年龄、手术时间、腹痛等症状方面差异均无统计学意义(P>0.05)。实验组术后肠鸣音恢复时间为(8.92±0.56)h,对照组术后肠鸣音恢复时间为(10.55±0.88)h,两组对比差异有统计学意义(t=10.99,P<0.001);实验组术后首次排气时间为(20.10±0.50)h,对照组术后肠鸣音恢复时间为(20.96±0.59)h,两组对比差异有统计学意义(t=7.84,P<0.0001);术后发生恶心呕吐不适感,实验组(22%)及对照组(42%)之间差异有统计学意义(χ^(2)=4.60,P=0.032);术后发生腹胀不适感,实验组(16%)及对照组(52%)之间差异有统计学意义(χ^(2)=14.44,P<0.001);术后患者口干口臭不适感,实验组(40%)及对照组(68%)之间差异有统计学意义(χ^(2)=7.89,P=0.005);对照组患者住院天数为(11.40±2.47)d,实验组患者住院天数为(9.30±2.01)d,两组对比差异具有统计学意义(t=4.65,P<0.0001);对照组患者住院费用为(27270.11±2645.30)元,实验组患者住院费用为(23669.68±2841.28)元,两组差异具有统计学意义(t=6.56,P<0.0001)。结论假饲在一定程度上可加快腹腔镜阑尾切除术后患者胃肠功能的恢复,减少患者术后常见不适感,减少住院时间和住院费用。Objective To explore and analyze the reliability and safety of sham feeding in facilitating the recovery of gastrointestinal function after laparoscopic appendectomy(LA),by using a new device,the Artificial Intelligence Bowel Tone Monitoring System.Methods The data of 100 cases in Shaanxi Provincial People′s Hospital from Dec.2020 to Sep.2022 with acute appendicitis operated by LA who met the inclusion criteria.In this prospective study,participants were divided by random number table into a control group and an experimental group,with 50 cases in each group.The control group performed routine postoperative LA care,and the experimental group performed routine postoperative LA care and sham-feeding state care.The age,gender,recovery time of postoperative bowel sounds,time of first postoperative anal discharge,postoperative nausea and vomiting,abdominal distention,dry mouth and halitosis,and postoperative abdominal pain and other complications were recorded.GraphPad Prism 9.0 and SPSS 22.0 software were adopted to conduct data organization and analysis.Results There were 100 valid cases in this trial.There were no statistical differences between the two groups in terms of gender,age,duration of surgery,abdominal pain and other symptoms(P>0.05).The recovery time of bowel sounds after surgery was(8.92±0.56)h in the experimental group and(10.55±0.88)h in the control group,which was statistically significant(t=10.99,P<0.0001);the recovery time of bowel sounds after surgery was(20.10±0.50)h in the experimental group and(20.96±0.59)h in the control group.There was a statistically significant difference between the two groups(t=7.84,P<0.0001);there was a statistically significant difference between the experimental group(22%)and the control group(42%)for postoperative nausea and vomiting(χ^(2)=4.60,P=0.032);there was a statistically significant difference between the experimental group(16%)and the control group(52%)for postoperative abdominal distension χ^(2)=There was a statistical difference between the experime

关 键 词：阑尾炎 腹腔镜 阑尾切除术 假饲 肠鸣音 胃肠功能 

分 类 号：R473.6[医药卫生—护理学]