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中国当代医药  2024, Vol. 31 Issue (13): 135-138    
  护理研究 本期目录 | 过刊浏览 | 高级检索 |
小儿阑尾炎围手术期快速康复外科护理的应用效果
陈佩 程 雯 吴苹苹 陈 慧 唐乐
江西省九江市妇幼保健院儿外科,江西九江 332000
Application effect of rapid rehabilitation surgical nursing in the perioperative period of pediatric appendicitis
CHEN Pei CHENG Wen WU Pingping CHEN Hui TANG Le
Department of Pediatric Surgery,Jiujiang Maternal and Child Health Hospital,Jiangxi Province,Jiujiang 332000,China
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摘要 目的 研究围手术期快速康复外科护理在小儿阑尾炎临床治疗中的应用效果。方法 选取2021 年8 月至2022 年9 月九江市妇幼保健院收治的76例阑尾炎患儿作为研究对象,按随机数字表法分为对照组(38例)与观察组(38例),对照组采用常规围手术期护理,观察组采用围手术期快速康复外科护理。比较两组的康复指标、并发症总发生率、应激指标水平。结果 观察组患儿的肠鸣音恢复时间、肛门排气时间、首次排便时间、首次下床活动时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组患儿术后C-反应蛋白(CRP)、白细胞介素-6(IL-6)、皮质醇、去甲肾上腺素均低于对照组,差异有统计学意义(P<0.05)。结论 围手术期快速康复外科护理应用于小儿阑尾炎患儿中所获效果理想,其可有效降低相关并发症发生风险,对患儿机体康复有积极作用。
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关键词 围手术期快速康复外科护理小儿阑尾炎应激反应并发症    
Abstract:Objective To study the application effect of perioperative rapid rehabilitation surgical nursing in the clinical treatment of pediatric appendicitis.Methods A total of 76 children with appendicitis admitted to Jiujiang Maternal and Child Health Hospital from August 2021 to September 2022 were selected as the research objects.They were divided into a control group (38 cases) and an observation group (38 cases) according to the random number table method.The control group received routine perioperative care,while the observation group received rapid recovery surgical care during the perioperative period.The rehabilitation indicators,total incidence of complications,and level of stress indicators between the two groups were compared.Results The recovery time of bowel sounds,anal exhaust time,first defecation time,and first bedtime activity time in the observation group were shorter than those in the control group,and the differences were statistically significant (P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The postoperative C-reactive protein(CRP),interleukin-6(IL-6),cortisol,and norepinephrine levels in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion The application of perioperative rapid rehabilitation surgical nursing in children with appendicitis has achieved ideal results,which can effectively reduce the risk of related complications and have a positive effect on the physical recovery of children.
Key wordsPerioperative rapid rehabilitation surgical nursing    Pediatric appendicitis    Stress response    Complications
    
基金资助:江西省卫生健康委科技计划项目(SKJP202218201)。
引用本文:   
陈佩; 程 雯; 吴苹苹; 陈 慧; 唐乐. 小儿阑尾炎围手术期快速康复外科护理的应用效果[J]. 中国当代医药, 2024, 31(13): 135-138.
CHEN Pei CHENG Wen WU Pingping CHEN Hui TANG Le. Application effect of rapid rehabilitation surgical nursing in the perioperative period of pediatric appendicitis. 中国当代医药, 2024, 31(13): 135-138.
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