Objective To analyze the relevant influencing factors of hospitalization time after laparoscopic appendectomy and explore intervention strategies.Methods 100 patients who underwent laparoscopic appendectomy were selected and divided into≤5 d group(64 cases)and>5 d group(36 cases)according to their postoperative hospital stay.The clinical data[gender,age,educational level,body mass index(BMI),course of disease,type of appendicitis,stump treatment,white blood cell count,neutrophils,C-reactive protein,intraoperative adherent effusion,past medical history,specimen bag perforation technique,complications,operation time,and intraoperative blood loss]of the two groups was compared.The factors influencing hospitalization time after laparoscopic appendectomy and the intervention strategies were analyzed.Results Age,educational level,BMI,course of disease,type of appendicitis,white blood cell count,neutrophils,C-reactive protein,intraoperative adherent effusion,specimen bag perforation technique,complications and history of chronic appendicitis,hypertension and diabetes in≤5 d group were significantly different from those in>5 d group(x2=8.344,10.807,10.672,11.064,7.601,5.123,4.634,5.403,4.690,8.333,8.074,4.881,11.067,5.740;P<0.05).There were no differences in gender,stump treatment,operation time and intraoperative blood loss between the two groups(P>0.05).Logistic multivariate analysis showed that age,BMI,course of disease,type of appendicitis,C-reactive protein,intraoperative adhesion effusion,history of chronic appendicitis,specimen bag puncture technique,and complications were the influencing factors of hospitalization time after laparoscopic appendectomy(P<0.05).Conclusion When laparoscopic appendicitis surgery is performed,factors such as patient age,BMI,course of disease,type of appendicitis,C-reactive protein,intraoperative adherent effusion,history of chronic appendicitis,specimen bag perforation technique,complications can have a significant impact on hospitalization time.Perioperative intervention should be strengthened to minimize hospitalization time.
NETL
NSTL
维普
万方数据
