中国当代医药2024,Vol.31Issue(13) :135-138.

小儿阑尾炎围手术期快速康复外科护理的应用效果

Application effect of rapid rehabilitation surgical nursing in the perioper-ative period of pediatric appendicitis

陈佩 程雯 吴苹苹 陈慧 唐乐
中国当代医药2024,Vol.31Issue(13) :135-138.

小儿阑尾炎围手术期快速康复外科护理的应用效果

Application effect of rapid rehabilitation surgical nursing in the perioper-ative period of pediatric appendicitis

陈佩 1程雯 1吴苹苹 1陈慧 1唐乐1
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作者信息

  • 1. 江西省九江市妇幼保健院儿外科,江西九江 332000
  • 折叠

摘要

目的 研究围手术期快速康复外科护理在小儿阑尾炎临床治疗中的应用效果.方法 选取2021年8月至2022年9月九江市妇幼保健院收治的76例阑尾炎患儿作为研究对象,按随机数字表法分为对照组(38例)与观察组(38例),对照组采用常规围手术期护理,观察组采用围手术期快速康复外科护理.比较两组的康复指标、并发症总发生率、应激指标水平.结果 观察组患儿的肠鸣音恢复时间、肛门排气时间、首次排便时间、首次下床活动时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组患儿术后C-反应蛋白(CRP)、白细胞介素-6(IL-6)、皮质醇、去甲肾上腺素均低于对照组,差异有统计学意义(P<0.05).结论 围手术期快速康复外科护理应用于小儿阑尾炎患儿中所获效果理想,其可有效降低相关并发症发生风险,对患儿机体康复有积极作用.

Abstract

Objective To study the application effect of perioperative rapid rehabilitation surgical nursing in the clinical treatment of pediatric appendicitis.Methods A total of 76 children with appendicitis admitted to Jiujiang Maternal and Child Health Hospital from August 2021 to September 2022 were selected as the research objects.They were divided into a control group(38 cases)and an observation group(38 cases)according to the random number table method.The control group received routine perioperative care,while the observation group received rapid recovery surgical care during the peri-operative period.The rehabilitation indicators,total incidence of complications,and level of stress indicators between the two groups were compared.Results The recovery time of bowel sounds,anal exhaust time,first defecation time,and first bedtime activity time in the observation group were shorter than those in the control group,and the differences were statistically sig-nificant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The postoperative C-reactive protein(CRP),interleukin-6(IL-6),cortisol,and norepinephrine levels in the observation group were lower than those in the control group,with statistically sig-nificant differences(P<0.05).Conclusion The application of perioperative rapid rehabilitation surgical nursing in children with appendicitis has achieved ideal results,which can effectively reduce the risk of related complications and have a posi-tive effect on the physical recovery of children.

关键词

围手术期快速康复外科护理/小儿阑尾炎/应激反应/并发症

Key words

Perioperative rapid rehabilitation surgical nursing/Pediatric appendicitis/Stress response/Complications

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基金项目

江西省卫生健康委科技项目(SKJP202218201)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量16
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