快速康复外科护理对腹腔镜急性阑尾炎手术患儿术后恢复及并发症的影响

Effects of rapid rehabilitation surgical nursing on postoperative recoveryand complications in children undergoing laparoscopic acuteappendicitis surgery

目的探讨快速康复外科护理对腹腔镜急性阑尾炎手术患儿术后恢复及并发症的影响。方法选取2019年8月—2022年11月行腹腔镜手术治疗的急性阑尾炎患儿360例,按随机数字表法将所有患儿分为对照组和观察组,每组各180例。对照组进行常规护理,观察组进行快速康复外科护理,两组均护理至术后5 d。比较两组术后恢复指标、炎症反应、术后并发症和护理满意度。结果观察组术后首次排气时间、排便时间、下床活动时间早于对照组,住院时间少于对照组,观察组术后白细胞计数、C反应蛋白和降钙素原低于对照组,术后并发症发生率低于对照组,护理总满意度高于对照组,差异均有统计学意义(P<0.05)。结论快速康复外科护理可减少腹腔镜急性阑尾炎手术患儿术后恢复所用时间,显著降低患儿炎症反应与并发症发生率,提高护理满意度。

Objective To explore the impacts of rapid rehabilitation surgical nursing on postoperative recovery and complications in children undergoing laparoscopic acute appendicitis surgery.Methods A total of 360 children with acute appendicitis who underwent laparoscopic surgery from August 2019 to November 2022 were selected and divided into two groups by random number table method,with 180 cases in each group.The control group received routine nursing,while the observation group received rapid rehabilitation surgical nursing.Both groups received nursing until 5 d after surgery.Postoperative recovery indicators,inflammatory reactions,postoperative complications,and nursing satisfaction were compared between the two groups.Results The observation group had earlier postoperative first exhaust time,defecation time,and time of out-of-bed activity than the control group,as well as shorter hospitalization time(P<0.05).The observation group had lower postoperative white blood cell count,C-reactive protein,and procalcitonin,lower postoperative complication rate,and higher overall nursing satisfaction than the control group(P<0.05).Conclusion Rapid rehabilitation surgical nursing can reduce the postoperative recovery time for children undergoing laparoscopic acute appendicitis surgery,significantly reduce inflammatory reaction and complication rates,and improve nursing satisfaction.