红外线理疗配合手术室护理对急性阑尾炎腹腔镜手术患者术后恢复情况、胃肠功能的影响  

The effect of infrared therapy combined with operating room nursing on postoperative recovery and gastrointestinal function in patients with acute appendicitis undergoing laparoscopic surgery

作　　者：曾雅萍 苏华圣 ZENG Yaping;SU Hua-sheng(Operating Room,Dehua County Hospital,Quanzhou 362500,China)

机构地区：[1]德化县医院手术室,362500 [2]德化县医院外二科,362500

出　　处：《中国现代药物应用》2024年第9期170-173,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探究红外线理疗配合手术室护理对急性阑尾炎腹腔镜手术患者术后恢复情况、胃肠功能的影响。方法选择急性阑尾炎患者250例,按照随机数字表法分为对照组和观察组,各125例。对照组予以手术室护理干预,观察组在对照组基础上予以红外线理疗干预。比较两组术后恢复情况、胃肠功能、应激反应、炎症反应、并发症发生情况。结果观察组术后排便恢复时间(29.15±4.04)h、术后肛门排气恢复时间(15.29±2.14)h、创口愈合时间(5.44±1.02)d、术后肠鸣音恢复时间(13.85±2.22)h均优于对照组的(38.94±5.25)h、(18.06±2.41)h、(7.32±1.28)d、(18.75±1.85)h,有统计学差异(P<0.05)。干预后,观察组胃动素(MTL)(228.39±11.12)pg/ml、胃泌素(GAS)(153.31±10.46)pg/ml高于对照组的(196.83±12.08)、(136.52±9.34)pg/ml,有统计学差异(P<0.05)。干预后,两组心率(HR)、促肾上腺皮质激素(ACTH)、平均动脉压(MAP)均较干预前升高,但观察组较对照组低,有统计学差异(P<0.05)。干预后,观察组C反应蛋白(CRP)(7.68±1.26)mg/L、肿瘤坏死因子-α(TNF-α)(39.42±6.85)pg/ml、白细胞介素-6(IL-6)(30.84±5.17)pg/ml均低于对照组的(12.36±2.08)mg/L、(55.62±7.63)pg/ml、(39.85±5.82)pg/ml,有统计学差异(P<0.05)。观察组并发症发生率(1.60%)低于对照组(8.00%),有统计学差异(P<0.05)。结论红外线理疗配合手术室护理能够更好的促进急性阑尾炎腹腔镜手术患者术后恢复,改善胃肠功能,减轻炎症,减少并发症。Objective To explore the effect of infrared therapy combined with operating room nursing on postoperative recovery and gastrointestinal function in patients with acute appendicitis undergoing laparoscopic surgery.Methods 250 patients with acute appendicitis were selected.They were divided into a control group and an observation group according to the random number table method,each with 125 cases.The control group was intervened with operating room nursing,while the observation group was intervened with infrared therapy on the basis of the control group.The postoperative recovery,gastrointestinal function,stress response,inflammatory response,and complications were compared between the two groups.Results In the observation group,the recovery time of postoperative defecation was(29.15±4.04)h,the recovery time of postoperative anal exhaust was(15.29±2.14)h,the wound healing time was(5.44±1.02)d,and the recovery time of postoperative bowel sound was(13.85±2.22)h,which were better than(38.94±5.25)h,(18.06±2.41)h,(7.32±1.28)d,and(18.75±1.85)h in the control group,with statistical difference(P<0.05).After the intervention,the observation group had motilin(MTL)of(228.39±11.12)pg/ml and gastrin(GAS)of(153.31±10.46)pg/ml,which were higher than(196.83±12.08)and(136.52±9.34)pg/ml in the control group,with statistical difference(P<0.05).After intervention,the heart rate(HR),adrenocorticotropic hormone(ACTH)and mean arterial pressure(MAP)in both groups were higher than those before intervention,but the observation group was lower than the control group,with statistical difference(P<0.05).After the intervention,the observation group had CRP of(7.68±1.26)mg/L,TNF-α of(39.42±6.85)pg/ml,interleukin-6 of(30.84±5.17)pg/ml,TNF-α of(39.42±6.85)pg/ml,and interleukin-6 of(30.84±5.17)pg/ml,which were lower than(12.36±2.08)mg/L,(55.62±7.63)pg/ml,and(39.85±5.82)pg/ml in the control group,with statistical difference(P<0.05).The incidence of complications in the the observation group(1.60%)was lower than that in the co

关 键 词：急性阑尾炎 腹腔镜手术 红外线理疗 手术室护理 胃肠功能 炎症反应 并发症 

分 类 号：R473.6[医药卫生—护理学]