中西医结合护理对急性阑尾炎手术患者炎症因子、胃肠功能和负性情绪的影响

Effect of Integrated Chinese and Western Medicine Nursing on Inflammatory Factors,Gastrointestinal Function and Negative Emotion in Patients Undergoing Surgery of Acute Appendicitis

目的:观察中西医结合护理对急性阑尾炎手术患者炎症因子、胃肠功能及负性情绪的影响。方法:选取行腹腔镜手术的110例急性阑尾炎患者,按随机数字表法分为对照组和观察组各55例。2组患者均行常规腹腔镜阑尾切除术,对照组给予常规优质护理,观察组给予中西医结合护理。比较2组的临床手术指标、负性情绪、炎症因子、胃肠功能、心理状态和术后并发症情况。结果:观察组手术时间、卧床时间、住院时间、住院费用均少于对照组,差异均有统计学意义(P<0.05)。护理后,2组焦虑自评量表和抑郁评分量表评分较治疗前降低,且观察组焦虑自评量表和抑郁评分量表评分均低于对照组,差异均有统计学意义(P<0.05)。护理后,2组白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)和C-反应蛋白(CRP)水平较治疗前降低,且观察组IL-6、TNF-α、CRP水平低于对照组,差异均有统计学意义(P<0.05)。观察组肠鸣音恢复时间、开始排气时间、首次排便时间均低于对照组,差异均有统计学意义(P<0.05)。护理后,2组感觉、情感、行为、日常生活习惯、饮食习惯、睡眠情况评分均低于护理前(P<0.05),且观察组感觉、情感、行为、日常生活习惯、饮食习惯、睡眠情况评分显著低于对照组(P<0.05)。观察组并发症发生率为9.09%,低于对照组23.64%,差异有统计学意义(P<0.05)。结论:中西医结合护理模式可改善急性阑尾炎手术患者临床手术指标、负性情绪和心理状态,减轻炎症反应,恢复胃肠功能,且可减少并发症。

Objective:To observe the effect of integrated Chinese and western medicine nursing on inflammatory factors,gastrointestinal function and negative emotion in patients undergoing surgery of acute appendicitis. Methods:A total of 110 cases of patients with acute appendicitis and undergoing laparoscopic surgery were divided into the control group and the observation group according to the random number table method,55 cases in each group. Both groups were conducted routine laparoscopic appendectomy;the control group was given routine high-quality nursing;the observation group was given integrated Chinese and western medicine nursing. The clinical operation indexes, negative emotion, inflammatory factors, gastrointestinal function, psychological state and postoperative complications were compared between the two groups. Results: The operation time, the bed rest time, the hospitalization time and hospitalization expenses in the observation group were less than those in the control group,differences being significant(P<0.05). After nursing,the scores of Self-rating Anxiety Scale and Depression Scale in the two groups were decreased when compared with those before treatment, and the two scores in the observation group were lower than those in the control group, differences being significant(P<0.05). After nursing,the levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α) and C-reactive protein(CRP) in the two groups were decreased when compared with those before treatment,and the three levels in the observation group were lower than those in the control group,differences being significant(P<0.05). The recovery time of bowel sound,the first exhaust time and the first defecation time in the observation group were lower than those in the control group,differences being significant(P<0.05). After nursing,the scores of sensation,emotion,behavior,daily living habits,diet habits and sleeping status in the two groups were lower than those before nursing(P<0.05), and the six scores in the observation group were significantly lower than those in the control group(P<0.05). The incidence of complications in the observation group was 9.09%,lower than that of 23.64% in the control group,the difference being significant(P<0.05).Conclusion: The model of integrated Chinese and western medicine nursing can improve the clinical operation indexes,negative emotion, and psychological state of patients undergoing surgery of acute appendicitis, alleviate inflammatory response,strengthen the recovery of gastrointestinal function,and reduce complications.