老年患者急性阑尾切除术围手术期观察及疗效

Peri-operafion features and efficacy of elderly patients with acute appendicitis

目的观察老年患者急性阑尾切除术围手术期特点与手术疗效。方法选取我院2007年5月至2012年7月收治的年龄大于60岁的急性阑尾炎患者60例，同时随机抽取同期年龄小于60岁的患者。所有患者均进行阑尾切除术与围手术期的积极护理干预，对患者进行围手术期观察，并记录两组患者治疗痊愈率和死亡率以对患者疗效进行判定。结果两组患者在临床表现、体征、血常规检查、合并症、确诊时间和病理类型等方面差异均有显著性（P〈0．05）。老年组死亡率为83％，对照组为0％，差异有显著性（P〈0．05）。结论老年急性阑尾切除术患者的围手术期特点主要是症状体征和白细胞计数变化不明显，合并疾病多，确诊时间晚，病理类型较严重和死亡率较高。一旦确诊应该马上进行手术治疗，以保障老年急性阑尾炎切除术患者的康复。

Objective To explore the peri-operation features and the efficacy of elderly patients with a- cute appendicitis. Methods 120 cases of elderly patients admitted into our hospital from May 2007 to July 2012 were selected as objects and they were divided into two groups by age, patients older than 60 were in the experi- mental group and patients younger than 60 were in the control group. Both of them were given appendicitis and the positive intervention nursing of peri-operation. Referring to Wu Hongwei＇ standard, the peri-operation fea- tures were observed. Referring to Cen Bin＇ standard, their cure rate and death rate were recorded. Reauhs The clinical manifestation, sign, routine blood test, complication, diagnosis duration and the pathological type of them were different. The difference was statistically significant （P 〈 0.05）. The death rate of experiment group was 8.3% and the control group was 0%, the difference was statistically significant （P 〈 0.05）. Conclusions The peri-operation features of elderly patients with acute appendicitis included no obvious changes of symptoms and sign, no obvious changes of the white blood cell （WBC） count, multiple complications, long diagnosis duration, serious pathological type and high death rate. Once diagnosed, we should take operation immediately to ensure the recovery of acute appendicitis patients.