早期康复管理对腹腔镜阑尾切除术切口感染及患者免疫功能的影响

Influence of early rehabilitation management on incision infection and immune function of patients undergoing laparoscopic appendectomy

    摘要
  • 摘要: 目的 研究分析早期康复管理在腹腔镜阑尾切除术中应用效果,为提高该类患者术后康复效果、减少切口感染提供循证依据及实践指导。方法 将2014年1月-2017年5月期间在本院行腹腔镜阑尾切除术的520例患者纳入研究,将其按照随机数表法分为对照组(n=260)、观察组(n=260)。对照组实施常规护理管理,观察组在此基础上展开早期康复管理。比较两组术后恢复指标、围手术期并发症,并观察干预前后患者免疫功能、疼痛及日常生活活动能力的变化。结果 与对照组的排便、肛门排气、卧床、恢复肠鸣音时间及住院时间相比,观察组均较短,差异有统计学意义(P＜0.05);观察组围手术期切口感染、切口出血发生率(1.92%、3.08%)较对照组低,差异有统计学意义(P＜0.05);观察组干预后CD3+、CD4+/CD8+较对照组高,CD8+较对照组低,差异有统计学意义(P＜0.05);干预后观察组视觉模拟评分量表(VAS)评分较对照组低,日常生活活动能力量表(ADL)评分较对照组高,差异有统计学意义(P＜0.05)。结论 早期康复管理可有效预防腹腔镜阑尾切除围手术期切口感染发生,缩短康复时间,改善机体免疫功能,减轻疼痛,提高日常生活活动能力。

     

    Abstract: OBJECTIVE To explore the effect of early rehabilitation management on the patients undergoing laparoscopic appendectomy so as to provide evidence-based guidance for improvement of effect of postoperative rehabilitation. METHODS A total of 520 patients who received the laparoscopic appendectomy in the hospital from Jan 2014 to May 2017 were enrolled in the study and randomly divided into the control group with 260 cases and the observation group with 260 cases. The control group was treated with conventional nursing, while the observation group was given additional early rehabilitation management on basis of the conventional nursing. The postoperative rehabilitation indexes and perioperative complications were compared between the two groups of patients; the immune function, pain and activities of daily living were observed before and after the intervention. RESULTS The defecation time, anal exhaust time, bedridden time, time of recovery of bowel sound and length of hospital stay were significantly shorter in the observation group than in the control group(P＜0.05). The incidence rates of perioperative incision infection and incision hemorrhage of the observation group were respectively 1.92% and 3.08%, significantly lower than 10.38% and 12.31% of the control group (P＜0.05). The levels of CD3+ and CD4+/CD8+ of the observation group were significantly higher than those of the control group after the intervention, while the CD8+ level of the observation group was significantly lower than that of the control group (P＜0.05). The score of visual analogue scale (VAS) of the observation group was significantly lower than that of the control group after the intervention, the score of activities of daily living scale (ADLS) of the observation group was significantly higher than that of the control group (P＜0.05). CONCLUSIONS The early rehabilitation management can effectively prevent perioperative incision infection in the patients undergoing laparoscopic appendectomy, shorten the rehabilitation time, boost the immune function of the patients, alleviate the pain and improve the ability of daily living activities.

     

    • HTML全文
    • 参考文献(0)
    • 相关文章
    • 施引文献
  • 资源附件(0)

/

返回文章
返回
下载中心