穿孔性阑尾炎切除术中腹腔冲洗方法的应用

The effects of the different methods of peritoneal lavage in the surgical treatment of acute perforative appendicitis

目的:探讨不同腹腔冲洗方法在急性穿孔性阑尾炎切除术中的应用效果。方法:将某院收治的82例择期行急性穿孔性阑尾炎切除术患者随机分为两组,两组分别采用手动常温和自动加温腹腔冲洗,观察两组术中生命体征变化、术后康复及患者舒适情况。结果:观察组冲洗后心率显著低于对照组,而体温则高于对照组,两组差异有统计学意义(P<0.05)。观察组冲洗时间和冲洗液量、下床活动时间、肛门排气时间、VAS评分、麻醉完全清醒时间及住院时间显著优于对照组(P<0.01)。观察组术后切口感染率显著低于对照组(P<0.05)。结论:腹部手术采用自动加温腹腔冲洗能促进患者术后康复,降低并发症发生率,在急性阑尾炎切除中具有重要的应用价值。

Objective： To explore the effects of the different methods of peritoneal lavage in the surgical treatment of acute perforative appendicitis. Methods： According to a stratified randomization method, 82 cases of acute perforative appendicitis were divided into the observation group and the control group in our hospital, the control group was given the conventional peritoneal lavage, the observation group was given the automatic heating peritoneal lavage, two groups of HR, body temperature, blood pressure, postoperative rehabilitation and the patient＇s comfort were observed. Results： After washing the observation group was significantly lower than the control group heart rate, and body temperature is higher, the difference was statistically significant （P〈0.05）.The observation group was significantly better than the control group in the time of peritoneal lavage, the fluid volume of peritoneal lavage, the time of ambulation, flatus time, postoperative VAS score, anesthesia awake time and the hospitalization time（P〈0.01）. The observation group was significantly lower than the control group in the incidence of wound infection, there was significant difference between two groups （P〈0.05）. Conclusion： Automatic heating rehabilitation of patients and reduce the incidence of complications, it has appendectomy surgery. peritoneal lavage can promote the important clinical value in the