不同手术方法对急性阑尾炎穿孔患者术后的康复效果观察与比较

Observation and Comparison of Postoperative Rehabilitation Effects of Different Surgical Methods on Patients with Acute Appendicitis Perforation

目的探讨不同手术方法对急性阑尾炎穿孔患者术后的康复效果.方法选择2021年4月—2022年3月我院收治的82例急性阑尾炎穿孔患者为对象,以患者入院编号为分组标准,单号患者纳入对照组,双号患者纳入观察组,各41例.对照组采取开腹手术治疗,观察组采取腹腔镜手术治疗.比较两组患者疼痛视觉模拟评分(VAS)、下床活动时间、住院时间及不良反应发生率.结果观察组术后24、48 h VAS评分分别为(3.08±0.88)分和(1.46±0.43)分,均低于对照组的(3.53±0.76)分和(2.03±0.53)分,组间差异有统计学意义(P<0.05).观察组下床活动时间和住院时间分别为(24.30±3.94)h和(5.09±0.89)d,均短于对照组,组间差异有统计学意义(P<0.05).观察组不良反应发生率为4.76%,低于对照组的19.05%,差异有统计学意义(P<0.05).结论腹腔镜手术可有效提高急性阑尾炎穿孔患者术后康复效果.但腹腔镜手术对医师的技术和操作水平要求较高,建议开展针对性技能培训后再于临床实践.

Objective To investigate the postoperative rehabilitation effect of different surgical methods on patients with acute appendicitis perforation.Methods A total of 82 patients with acute appendicitis perforation who were admitted to our hospital from April 2021 to March 2022 were selected as the subjects,and the admission number of the patients was used as the grouping standard.The odd-numbered patients were included in the control group,and the double-numbered patients were included in the observation group,with 41 cases in each group.The control group was treated with laparotomy,and the observation group was treated with laparoscopic surgery.The pain visual analog scale(VAS),time to get out of bed,hospital stay and incidence of adverse reactions were compared between the two groups.Results The VAS scores of the observation group at 24 and 48 h after operation were(3.08±0.88)points and(1.46±0.43)points,respectively,which were lower than those of the control group(3.53±0.76)points and(2.03±0.53)points,and the differences between the groups were statistically significant(P<0.05).The time of getting out of bed and hospital stay in the observation group were(24.30±3.94)h and(5.09±0.89)d,respectively,which were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 4.76%,which was lower than 19.05%in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery can effectively improve the postoperative rehabilitation effect of patients with acute appendicitis perforation.However,laparoscopic surgery requires high technical and operational level of physicians,and it is recommended to carry out targeted skills training before clinical practice.