Nursing Observation of Acute Appendicitis in General Surgery Department
急性阑尾炎普外科护理观察

摘要

目的 评价急性阑尾炎普外科护理效果。方法 纳入 2014 年 6 月-2022 年 8 月我院 380 例急性阑尾炎 患者，数字随机法均分为观察组与对照组，对照组实施常规护理，观察组以常规护理为基础，严格按照普外科规 定对护理措施进行细化，比较组间围术期指标、疼痛程度、应激指标、并发症情况。结果 观察组患者的术中失 血量少于对照组，且术中用时、肛门排气时间、切口愈合时间、住院时间均短于对照组，差异有统计学价值（P ＜0.05）；观察组患者术后的 VAS 评分低于对照组，差异有统计学价值（P＜0.05）；各项应激指标分析，护理前 组间差异无统计学价值（P＞0.05），护理后，均有降低，且观察组均低于对照组，差异有统计学价值（P＜0.05）； 观察组患者的术后并发症发生率低于对照组，差异有统计学价值（P＜0.05）。结论 将普外科护理措施进行细化 后施于急性阑尾炎手术患者，可提升手术治疗的安全性与有效性，加快患者的康复速度，确保治疗效果，值得推 广。

Abstract

Objective To evaluate the effect of general surgical nursing for acute appendicitis.
Methods 380 patients with acute appendicitis in our hospital from June 2014 to August 2022 were enrolled. They were randomly divided into the observation group and the control group. The control group received routine care. The observation group, based on routine care, refined the nursing measures in strict accordance with general surgical regulations, and compared perioperative indicators, pain levels, stress indicators, and complications between the groups.
Results The intraoperative blood loss of the patients in the observation group was less than that in the control group, and the intraoperative time, anal exhaust time, incision healing time, and hospital stay were all shorter than those in the control group, with significant differences (P<0.05); The VAS score of patients in the observation group was lower than that in the control group (P; The analysis of stress indicators showed that there was no significant difference between the groups before nursing (P>0.05), but after nursing, there was a decrease, and the observation group was lower than the control group, the difference was statistically significant (P<0.05); The incidence of postoperative complications in the observation group was lower than that in the control group, with a statistically significant difference (P<0.05).
Conclusion   The application of general surgical nursing measures to patients with acute appendicitis after surgery can improve the safety and effectiveness of surgical treatment, speed up the rehabilitation of patients, and ensure the treatment effect, which is worth promoting.