首页|粘连缓解汤在腹腔镜阑尾炎患者术后干预治疗的效果研究

粘连缓解汤在腹腔镜阑尾炎患者术后干预治疗的效果研究

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目的:探究粘连缓解汤应用于阑尾炎术后的临床效果.方法:选取2021年3月—2022年3月信阳市中医院行腹腔镜阑尾切除术的130例急性阑尾炎患者作为研究对象,通过随机数表法分为对照组和观察组,每组各65例.术后予以对照组常规治疗和康复指导,观察组在上述基础上予以口服粘连缓解汤.比较两组患者术后各时段疼痛程度、炎症指标水平、相关临床指标、并发症情况并评价两组临床疗效.结果:术后2h、术后6h、术后24 h,观察组的VAS评分均低于对照组,差异有统计学意义(t=4.938、11.814、23.952,P<0.05);术后3d,观察组的白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)水平均低于对照组,差异有统计学意义(t=10.803、9.436,P<0.05);观察组下床活动时间、肠鸣音恢复时间、肛门排气时间相比对照组均明显更短,差异有统计学意义(t=7.888、4.794、6.086,P<0.05).观察组并发症总发生率相比对照组显著更低,差异有统计学意义(χ2=5.082,P<0.05).在临床总有效率方面,观察组相比对照组显著更高,差异有统计学意义(χ2=7.871,P<0.05).结论:阑尾炎术后行粘连缓解汤干预,有助于加快胃肠功能恢复,减轻术后疼痛和应激反应,减少并发症发生,进一步提升疗效.
Study on the Effect of Adhesion Relief Soup in the Postoperative Intervention Treatment of Patients with Laparoscopic Appendicitis
Objective:To investigate the clinical effect of adhesion relief soup applied to postoperative appendicitis.Methods:130 cases of acute appendicitis patients who underwent laparoscopic appendectomy in the hospital from March 2021 to March 2022 were selected as the study subjects,and were divided into the control group and the observation group by the method of randomized number table,with 65 cases in each group.After the operation,the control group was given routine treatment and rehabilitation guidance,and on the basis of the above,the observation group was given oral adhesion relief soup.The pain level,inflammation index level,related clinical indexes and complications were compared between the two groups,and the clinical efficacy of the two groups was evaluated.Results:The VAS scores of the observation group were lower than those of the control group at 2 h postoperatively,6 h postoperatively,and 24 h postoperatively,and the differences were statistically significant(t= 4.938,11.814,23.952,P<0.05).At 3 d postoperatively,the IL-1β and IL-6 levels in the observation group were lower than those in the control group,and the difference was statistically significant(t=10.803,9.436,P<0.05).The to get out of bed,time to recover from bowel sounds,and time to anal exhaustion of the observation group were significantly shorter compared with the control group,and the differences were statistically significant(t=7.888,4.794,6.086,P<0.05).The total complication rate was significantly lower in the observation group compared to the control group,and the difference was statistically significant(χ2=5.082,P<0.05).The total clinical effectiveness rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(χ2=7.871,P<0.05).Conclusion:Adhesion-relieving soup intervention after appendicitis surgery helps to accelerate the recovery of gastrointestinal function,reduce postoperative pain and stress,decrease complications,and further enhance the efficacy of treatment.

Adhesion relief soupLaparoscopyAppendectomy for appendicitisInterventionOutcome

李方喜

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信阳市中医院外科,河南 信阳 464000

粘连缓解汤 腹腔镜 阑尾炎切除术 干预 效果

河南省医学科技攻关计划

2019003761

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(2)
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