根部穿孔性阑尾炎腹腔镜术后预防性应用生长抑素联合心理干预的价值

Value of prophylactic application of somatostatin combined with psychological intervention in laparoscopic surgery for root perforative appendicitis

目的探讨根部穿孔性阑尾炎腹腔镜术后预防性应用生长抑素联合心理干预的临床效果。方法随机选取2015年3月～2016年12月温州医科大学附属第一医院收治的根部穿孔性阑尾炎患者98例，分成实验组和对照组，每组49例。实验组术后给予心理护理，并使用生长抑素进行预防性应用，对照组术后给予常规护理，未使用生长抑素。对2组患者术后腹腔脓肿、肠功能恢复时间、术后住院时间、肠梗阻发生率以及阑尾残端瘘发生情况进行对比和分析。结果实验组患者术后胃肠功能恢复时间明显短于对照组（P＜0.05）；实验组术后腹腔脓肿、肠梗阻发生率明显低于对照组（P＜0.05）；实验组患者的住院时间低于对照组（P＜0.05）。结论根部穿孔性阑尾炎腹腔镜术后预防性应用生长抑素并给予心理护理，能够有效降低术后并发症发生率及患者的焦虑和抑郁情绪，提高手术效果，促进术后恢复，但是对阑尾残端瘘无明显预防性作用。

Objective To discuss the clinical effect of prophylactic application of somatostatin combined with psychological intervention in laparoscopic surgery for root perforative appendicitis.Methods98cases of patients with root perforated appendicitis were randomly selected from March2015to December2016in our hospital and were divided into experimental group and control group,with49cases in each group.The experimental group received psychological nursing after operation,and the somatostatin was used for preventive use,the control group received routine nursing care after operation,and no somatostatin was used.The abdominal abscess,intestinal function recovery time,postoperative hospitalization time,intestinal obstruction and the incidence of appendiceal stump fistula were compared and analyzed between the two groups.Results The postoperative gastrointestinal function recovery time in the experimental group was significantly shorter than that in the control group(P<0.05);the incidence of postoperative abdominal abscess and intestinal obstruction in the experimental group was significantly lower than that in the control group(P<0.05);the hospitalization time of the experimental group were lower than those of the control group(P<0.05).Conclusion Laparoscopic surgery for appendicitis perforation after root usesomatostatin and psychological nursing,can effectively reduce the rate of anxiety and depression of patients and postoperative complications,improve surgical effect,promote postoperative recovery,but no significant preventive effect on appendiceal stump fistula.