手术时机对开放式阑尾术患者康复效果的影响(1)
摘要：目的 探讨手术时机对开放式阑尾术患者康复效果的影响。方法 回顾性分析我院收治的186例开放式阑尾术患者临床资料，按照不同发病时间(3 d、3～5 d、6～9 d)分别设为A组、B组、C组各45例、89例、52例。比较三组患者并发症发生率的差异，并比较三组患者术后并发症发生率、手术出血量、术后排气用时、住院用时及总花费。结果 A组患者阑尾术后并发症发生率为8.90%，显著高于B组(19.10%)、C组(30.80%)，比较具有统计学差异(P<0.05)；A组患者手术出血量、肠道排气时间、住院时间及住院费用均显著低于B组、C组，比较具有统计学差异(P<0.05)。结论 阑尾术应早期进行手术治疗，以3 d内手术最佳，越早阑尾手术，并发症也越少，进而提高患者生活质量及身心健康，值得临床选择。
关键词：手术时机；开放式阑尾术；康复效果
中图分类号：R656.8 文献标识码：A 文章编号：1006-1959(2017)17-0081-02
, http://www.100md.com
The Effect of Operation Time on Rehabilitation Effect of Open Appendectomy
LI Dai-bin1，XUE Shi-zhen2
(1.Department of General Surgery，Yanqiao Hospital，Hubei Medical University，Shiyan 442000，Hubei，China；
2.Department of Nursing，People's Hospital，Hubei Medical University，Shiyan 442000，Hubei，China)
Abstract：Objective To investigate the effect of surgical timing on the rehabilitation of patients with open appendectomy.Methods The clinical data of 186 cases of open appendectomy in our hospital were retrospectively analyzed.The patients were divided into group A，group B，group C，45 cases，89 cases，52 cases according to different time of onset，3 d，3～5 d and 6～9 d respectively.The incidence of complications was compared between the three groups，and the postoperative complications，the amount of bleeding，the postoperative exhaust time，the hospitalization time and the total cost were compared between the three groups；Results The incidence of postoperative complications of appendectomy in group A was 8.90%，significantly higher than that in group B 19.10%，C group 30.80%，compared with statistical difference(P<0.05)；The volume of bleeding，the time of intestinal exhaust，the time of hospitalization and the cost of hospitalization in group A were significantly lower than those in group B and group C，with statistical difference (P<0.05)；Conclusion Appendectomy should be operated at an early stage，with the best operation within 3 d，the earlier appendectomy，the less complications，and thus improve the quality of life and physical and mental health of patients，it is worthy of clinical selection.
, 百拇医药
Key words：The timing of surgery；Open appendectomy；Rehabilitation effect
阑尾炎是因感染、饮食等因素作用下引起的急性炎症反应疾病，作为常见急腹症之一，起病急骤、进展快，对患者生命安全威胁较大，阑尾炎可划分为急性与慢性，入院后需早期提供手术切除治疗，保证患者生命安全[1-2]。本研究选择我院于2014年1月～2016年12月我院收治的186例开放式阑尾术患者，入院后均行常规开腹手术治疗，开腹手术作为创伤性治疗方法，对机体造成一定损伤，导致患者术后并发症可能性较高，而并发症的发生与手术時机密切相关，因此本次研究探讨不同手术时机对患者康复效果的影响，现将研究结果报道如下。
1 资料与方法
1.1 一般资料
将2014年1月～2016年12月我院收治的186例开放式阑尾术患者临床资料，按照不同发病时间3 d内、3～5 d、6～9 d分别设为A组、B组、C组各45例、89例、52例。A组45例，男性18例，女性27例，平均年龄(41.3±6.2)岁，平均体重(51.5±4.7)kg，学历：小学20例、初中15例、高中10例；B组89例，男性45例，女性44例，平均年龄(41.4±6.4)岁，学历：小学47例、初中20例、高中22例，平均体重(51.6±4.6)kg；C组52例，男性22例，女性30例，平均年龄(41.7±6.3)岁；平均体重(51.4±4.5)kg，学历：小学21例、初中18例、高中13例。, 百拇医药(李代彬 薛仕珍)
关键词：手术时机；开放式阑尾术；康复效果
中图分类号：R656.8 文献标识码：A 文章编号：1006-1959(2017)17-0081-02
, http://www.100md.com
The Effect of Operation Time on Rehabilitation Effect of Open Appendectomy
LI Dai-bin1，XUE Shi-zhen2
(1.Department of General Surgery，Yanqiao Hospital，Hubei Medical University，Shiyan 442000，Hubei，China；
2.Department of Nursing，People's Hospital，Hubei Medical University，Shiyan 442000，Hubei，China)
Abstract：Objective To investigate the effect of surgical timing on the rehabilitation of patients with open appendectomy.Methods The clinical data of 186 cases of open appendectomy in our hospital were retrospectively analyzed.The patients were divided into group A，group B，group C，45 cases，89 cases，52 cases according to different time of onset，3 d，3～5 d and 6～9 d respectively.The incidence of complications was compared between the three groups，and the postoperative complications，the amount of bleeding，the postoperative exhaust time，the hospitalization time and the total cost were compared between the three groups；Results The incidence of postoperative complications of appendectomy in group A was 8.90%，significantly higher than that in group B 19.10%，C group 30.80%，compared with statistical difference(P<0.05)；The volume of bleeding，the time of intestinal exhaust，the time of hospitalization and the cost of hospitalization in group A were significantly lower than those in group B and group C，with statistical difference (P<0.05)；Conclusion Appendectomy should be operated at an early stage，with the best operation within 3 d，the earlier appendectomy，the less complications，and thus improve the quality of life and physical and mental health of patients，it is worthy of clinical selection.
, 百拇医药
Key words：The timing of surgery；Open appendectomy；Rehabilitation effect
阑尾炎是因感染、饮食等因素作用下引起的急性炎症反应疾病，作为常见急腹症之一，起病急骤、进展快，对患者生命安全威胁较大，阑尾炎可划分为急性与慢性，入院后需早期提供手术切除治疗，保证患者生命安全[1-2]。本研究选择我院于2014年1月～2016年12月我院收治的186例开放式阑尾术患者，入院后均行常规开腹手术治疗，开腹手术作为创伤性治疗方法，对机体造成一定损伤，导致患者术后并发症可能性较高，而并发症的发生与手术時机密切相关，因此本次研究探讨不同手术时机对患者康复效果的影响，现将研究结果报道如下。
1 资料与方法
1.1 一般资料
将2014年1月～2016年12月我院收治的186例开放式阑尾术患者临床资料，按照不同发病时间3 d内、3～5 d、6～9 d分别设为A组、B组、C组各45例、89例、52例。A组45例，男性18例，女性27例，平均年龄(41.3±6.2)岁，平均体重(51.5±4.7)kg，学历：小学20例、初中15例、高中10例；B组89例，男性45例，女性44例，平均年龄(41.4±6.4)岁，学历：小学47例、初中20例、高中22例，平均体重(51.6±4.6)kg；C组52例，男性22例，女性30例，平均年龄(41.7±6.3)岁；平均体重(51.4±4.5)kg，学历：小学21例、初中18例、高中13例。, 百拇医药(李代彬 薛仕珍)
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