术前运动训练结合术后早期运动指导对阑尾炎患者术后胃肠功能恢复的意义分析

Analysis of the significance of preoperative exercise training combined with early postoperative exercise guidance on gastrointestinal function recovery of patients with appendicitis

目的 分析术前运动训练结合术后早期运动指导对阑尾炎患者术后胃肠功能恢复的临床意义。方法 60例阑尾炎患者,随机分为对照组和试验组,每组30例。对照组患者采用临床常规康复方法指导,试验组患者采用术前运动训练结合术后早期运动指导。比较两组患者胃肠功能恢复时间、焦虑自评量表评分、抑郁自评量表评分、术后疼痛评分。结果 试验组患者排便时间(43.02±0.55)h、排气时间(16.50±0.22)h、肠鸣音恢复时间(12.32±0.17)h均短于对照组的(52.86±0.53)、(23.45±0.21)、(17.58±0.19)h,差异有统计学意义(P<0.05)。试验组患者焦虑自评量表评分(30.66±1.36)分、抑郁自评量表评分(36.33±0.36)分、术后疼痛评分(4.14±0.13)分均低于对照组的(36.51±1.31)、(42.27±0.31)、(7.59±0.12)分,差异均具有统计学意义(P<0.05)。结论 采取术前运动训练结合术后早期运动指导对阑尾炎患者术后胃肠功能康复效果显著,值得推广。

Objective To analyze the clinical significance of preoperative exercise training combined with early postoperative exercise guidance on gastrointestinal function recovery of patients with appendicitis.Methods A total of 60 patients with appendicitis were randomly divided into control group and experimental group,with 30 cases in each group.The control group was guided by clinical routine rehabilitation methods,and the experimental group was guided by preoperative exercise training combined with early postoperative exercise guidance.The recovery time of gastrointestinal function,self-rating anxiety scale score,self-rating depression scale score,and postoperative pain score were compared between the two groups.Results The experimental group had defecation time of(43.02±0.55)h,exhaust time of(16.50±0.22)h and bowel sound recovery time of(12.32±0.17)h,which were shorter than those of(52.86±0.53),(23.45±0.21)and(17.58±0.19)h in the control group,and the differences were statistically significant(P<0.05).The experimental group had self-rating anxiety scale score of(30.66±1.36)points,self-rating depression scale score of(36.33±0.36)points and postoperative pain score of(4.14±0.13)points,which were lower than those of(36.51±1.31),(42.27±0.31)and(7.59±0.12)points in the control group,and the differences were statistically significant(P<0.05).Conclusion Preoperative exercise training combined with early postoperative exercise guidance has significant effect on recovery of postoperative gastrointestinal function in patients with appendicitis,and is worthy of promotion.