多元化护理方案对急性阑尾炎合并高血压患者术后血压及康复效果的影响  

The Impact of Diversified Nursing Plans on Postoperative Blood Pressure and Rehabilitation Outcomes in Patients with Acute Appendicitis Complicated with Hypertension

作　　者：林丹 LIN Dan(Operating Room,Fuzhou First General Hospital,Fuzhou 350009,China)

机构地区：[1]福州市第一总医院手术室,福建福州350009

出　　处：《中国医学创新》2024年第10期66-69,共4页Medical Innovation of China

摘　　要：目的:探讨多元化护理方案对急性阑尾炎合并高血压患者术后血压及康复效果的影响。方法:选取福州市第一总医院2022年3月—2023年3月接收的88例急性阑尾炎合并高血压手术患者,随机分为对照组(44例给予常规围手术期护理)与观察组(44例给予多元化护理),比较两组的血压、D-乳酸、二胺氧化酶、各指标康复时间。结果:术后2 d,观察组的收缩压为(120.41±3.25)mmHg,舒张压为(79.60±2.44)mmHg,均低于对照组的(132.57±4.06)、(86.57±2.97)mmHg,差异均有统计学意义(P<0.05);观察组的D-乳酸为(1.06±0.50)mmol/L,低于对照组的(1.98±0.52)mmol/L,二胺氧化酶值为(11.24±1.65)U/L,低于对照组的(14.56±1.50)U/L,差异均有统计学意义(P<0.05);观察组的首次排气时间为(8.98±0.89)h,下床时间为(6.64±0.48)h,住院时间为(2.16±0.37)d,均早或短于对照组的(9.91±1.16)h、(7.02±0.58)h、(2.82±0.39)d,差异均有统计学意义(P<0.05)。结论:多元化护理方案能够降低急性阑尾炎合并高血压患者术后血压水平,减轻其术后肠道屏障功能损伤,缩短其术后康复时间。Objective:To explore the impact of diversified nursing plans on postoperative blood pressure and rehabilitation outcomes in patients with acute appendicitis complicated with hypertension.Method:A total of 88 patients with acute appendicitis complicated with hypertension who underwent surgery at Fuzhou First General Hospital from March 2022 to March 2023 were selected,were randomly divided into a control group(44 cases receiving routine perioperative nursing)and an observation group(44 cases receiving diversified nursing).Blood pressure,D-lactate,diamine oxidase,and recovery time of various indicators between two groups were compared.Result:Postoperative 2 days,the systolic blood pressure and diastolic blood pressure of the observation group were(120.41±3.25)and(79.60±2.44)mmHg,respectively,which were lower than(132.57±4.06)and(86.57±2.97)mmHg of the control group,the differences were statistically significant(P<0.05);the D-lactate value of the observation group was(1.06±0.50)mmol/L,which was lower than(1.98±0.52)mmol/L in the control group,and the diamine oxidase value was(11.24±1.65)U/L,which was lower than(14.56±1.50)U/L in the control group,the differences were statistically significant(P<0.05);the first exhaust time of the observation group was(8.98±0.89)hours,the time to get out of bed was(6.64±0.48)hours,and the hospital stay was(2.16±0.37)days,all of which were earlier or lower than(9.91±1.16)hours,(7.02±0.58)hours,and(2.82±0.39)days in the control group,the differences were statistically significant(P<0.05).Conclusion:Diversified nursing plans can reduce blood pressure levels in hypertensive patients after laparoscopic appendectomy,alleviate intestinal barrier function damage,and shorten postoperative recovery time.

关 键 词：急性阑尾炎 高血压 多元化护理 血压水平 康复 

分 类 号：R473.6[医药卫生—护理学]