观察微创小切口急诊手术后快速康复理念对急性阑尾炎的治疗效果及对睡眠质量的影响

To Observe the Effect of Rapid Rehabilitation Concept on Acute Appendicitis and Sleep Quality after Minimally Invasive Small Incision Emergency Surgery

目的:观察微创小切口急诊手术后快速康复理念对急性阑尾炎的治疗效果及对睡眠质量的影响。方法:选取2018年1月至2021年12月福建省晋江市内坑镇卫生院收治的急性阑尾炎患者86例作为研究对象,按照随机数字表法分为观察组和对照组,每组43例。对照组给予常规护理干预,观察组在对照组基础上使用快速康复理念干预,对2组患者的术后下床时间、住院时间、术后排气时间、术后排便时间、术后炎症介质的变化进行比较,采用匹兹堡睡眠指数量表(PSQI)比较2组患者干预前后睡眠质量的变化,采用视觉模拟评分法(VAS)比较2组患者的疼痛感受。结果:干预后,观察组术后下床时间、住院时间、术后排气时间以及术后排便时间均显著短于对照组,观察组术后的IL-6、TNF-α以及CRP水平均显著低于对照组,观察组PSQI评分、VAS评分均显著低于对照组,2组比较差异均有统计学意义(P<0.05)。结论:微创小切口急诊手术后采用快速康复理念对于急性阑尾炎患者的疗效改善,以及对睡眠质量的影响具有积极作用,值得临床推广使用。

Objective:To observe the effect of rapid rehabilitation concept on acute appendicitis and sleep quality after minimally invasive small incision emergency surgery.Methods:A total of 86 patients with acute appendicitis admitted to Neiceng Town Health Center in Jinjiang,Fujian Province from January 2018 to December 2021 were selected as research objects,and divided into observation group and control group according to the random number table method,with 43 cases in each group.The control group was given routine nursing intervention,the observation group on the basis of the control group using the concept of rapid rehabilitation intervention,the two groups of patients after the postoperative time to get out of bed,hospital time,postoperative exhaust time,postoperative bowel movement time,postoperative inflammatory factors were compared,Pittsburgh Sleep Quality Index Scale(PSQI)was used to compare the sleep quality of the 2 groups of patients before and after intervention.The Visual analogue scale(VAS)was used to compare the pain perception of 2 groups.Results:After intervention,the time of getting out of bed,the time of hospitalization,the time of postoperative exhaust and the time of postoperative defecation in the observation group were significantly shorter than the control group.The levels of IL-6,TNF-αand CRP in the observation group were significantly lower than the control group,and the PSQI score and VAS score in the observation group were significantly lower than the control group,the difference between the two groups was statistically significant(P s<0.05).Conclusion:Rapid rehabilitation after minimally invasive small incision emergency surgery has positive effects on the efficacy of patients with acute appendicitis and sleep quality,and is worthy of clinical promotion.