Objective:To investigate the factors influencing and care of adhesive bowel obstruction after laparoscopic resection of acute appendicitis in children.Methods:The medical records of 82 children with laparoscopic acute appendicitis admitted to the hospital from December 2019 to December 2021,all of whom underwent laparoscopic resection of acute appendicitis,were se-lected for retrospective analysis.According to the postoperative condition of the children,they were divided into the group of post-operative adhesive intestinal obstruction and the group without postoperative adhesive intestinal obstruction.And logistic multifacto-rial regression was used to analyze the influencing factors of postoperative adhesive intestinal obstruction after laparoscopic acute appendicitis resection in children,and postoperative nursing countermeasures were proposed.Results:No postoperative adhesive bowel obstruction was observed in 67 cases,accounting for 81.71%.Postoperative adhesive bowel obstruction occurred in 15 cases,accounting for 18.29%.The postoperative adhesive intestinal obstruction group had a higher disease duration of 25～72 h and a higher percentage of surgical trauma than the postoperative non-adhesive intestinal obstruction group,and the difference was statis-tically significant(x2=11.338,12.954;P＜0.05).Conclusion:Disease duration of 25～72 h and surgical trauma are both factors in-fluencing adhesive bowel obstruction after laparoscopic resection of acute appendicitis in children,and postoperative care is en-hanced to minimize the impact of surgical trauma.
关键词
腹腔镜急性阑尾炎/手术创伤/儿童腹腔镜急性阑尾炎切除术/粘连性肠梗阻/影响因素
Key words
Laparoscopic acute appendicitis/Surgical trauma/Laparoscopic appendectomy for acute appendicitis in children/Adhesive bowel obstruction/Influencing factors
维普
万方数据