快速康复外科护理对急性阑尾炎患者术后炎性因子水平、并发症及白细胞恢复时间的影响

The Effect of Rapid Rehabilitation Surgical Nursing on Postoperative Inflammatory Cytokine Levels,Complications,and White Blood Cell Recovery Time in Patients with Acute Appendicitis

目的研究快速康复外科护理对急性阑尾炎患者术后炎性因子水平、并发症及白细胞恢复时间的影响。方法选取本院于2021年1月至2023年12月收治的急性阑尾炎患者90例,按照随机抽签法分为对照组(45例)和观察组(45例)。对照组急性阑尾炎患者采用围手术期护理,观察组急性阑尾炎患者采用快速康复外科护理。对比两组急性阑尾炎患者的临床恢复指标、护理满意度、炎性因子水平、术后疼痛评分、生活质量评分、并发症情况。结果观察组患者胃肠道功能恢复时间、白细胞恢复时间、住院时间分别为(1.73±0.35)d、(3.18±1.17)d、(5.46±1.28)d,低于对照组,对比结果为P<0.05。观察组患者总满意度为95.56%,高于对照组,对比结果为P<0.05。护理后,观察组患者白细胞计数、C反应蛋白、白细胞介素-6分别为(7.25±1.30)×10^(9)/L、(6.14±0.85)mg/L、(5.32±1.14)pg/ml,低于对照组,对比结果为P<0.05。观察组患者术后6 h、12 h、24 h、48 hVAS评分分别为(3.25±0.34)分、(2.20±0.38)分、(1.64±0.31)分、(1.23±0.15)分,低于对照组,对比结果为P<0.05。护理后,观察组患者WHOQOL-BREF生活质量量表评分为(91.27±2.13)分,高于对照组,对比结果为P<0.05。观察组患者感染、肠梗阻、腹痛总发生率为4.44%,低于对照组,对比结果为P<0.05。结论快速康复外科护理对急性阑尾炎患者术后炎性因子水平、并发症及白细胞恢复时间具有积极影响。

Objective To investigate the effects of rapid rehabilitation surgical nursing on postoperative inflammatory cytokine levels,complications,and white blood cell recovery time in patients with acute appendicitis.Methods Ninety patients with acute appendicitis admitted to our hospital from January 2021 to December 2023 were selected and randomly divided into a control group(45 cases)and an observation group(45 cases).The control group of acute appendicitis patients received perioperative care,while the observation group of acute appendicitis patients received rapid recovery surgical care.Compare the clinical recovery indicators,nursing satisfaction,inflammatory factor levels,postoperative pain scores,quality of life scores,and complications between two groups of patients with acute appendicitis.Results The recovery time of gastrointestinal function,white blood cell recovery time,and hospital stay in the observation group were(1.73±0.35)d,(3.18±1.17)d,and(5.46±1.28)d,respectively,which were lower than those in the control group,and the difference in comparison results was significant(P<0.05).The total satisfaction rate of the observation group patients was 95.56%,which was higher than that of the control group,and the difference in comparison results was significant(P<0.05).After nursing,the white blood cell count,C-reactive protein,and interleukin-6 in the observation group were(7.25±1.30)×10^(9)/L,(6.14±0.85)mg/L,and(5.32±1.14)pg/ml,respectively,lower than those in the control group,with significant differences in comparison results(P<0.05).The VAS scores of the observation group patients at 6 h,12 h,24 h,and 48 h after surgery were(3.25±0.34)points,(2.20±0.38)points,(1.64±0.31)points,and(1.23±0.15)points,respectively,lower than those of the control group,and the difference in comparison results was significant(P<0.05).After nursing,the WHOQOL-BREF quality of life scale score of the observation group patients was(91.27±2.13)points,which was higher than that of the control group,and the difference in comparison results was significant(P<0.05).The total incidence of infection,intestinal obstruction,and abdominal pain in the observation group was 4.44%,which was lower than that in the control group,and the difference in comparison results was significant(P<0.05).Conclusions Rapid recovery surgical nursing has a positive impact on postoperative inflammatory cytokine levels,complications,and white blood cell recovery time in patients with acute appendicitis.