快速康复外科护理在小儿急性阑尾炎中的应用与研究

钟红葵 徐婉妃 钟洪才 张志华

摘要：目的：探讨快速康复外科护理对行腹腔镜下阑尾切除术的急性阑尾炎患儿预后的影响研究。方法：选取2019年01月至2019年11月我院小儿外科收治的接受腹腔镜下阑尾切除术的急性阑尾炎患儿80例，随机分配其中的 40作为FTS组， 给予快速康复外科护理模式护理;另40例小儿急性阑尾炎患儿作为对照组，给予常规护理模式护理。对比两组患儿肛门首次排气时间、手术并发症、炎症指标恢复正常时间及住院时间情况。结果：FTS组患者的肛门首次排气时间明显早于对照组，FTS组患者术后并发症发生率明显低于对照组，FTS组患者术后炎症指标恢复正常时间明显早于对照组，且住院时间明显缩短，且差异具有统计学意义（P<0.05）。结论：快速康复外科护理通过一系列护理优化措施，减少或降低手术患儿的生理及心理创伤应激 ，降低于手术并发症，缩短住院时间，降低住院费用，达到患儿快速康复的目的，值得在临床广泛推广。

关键词：小儿阑尾炎;腹腔镜;快速康复外科护理;住院时间;术后并发症

Application and research of rapid rehabilitation surgical nursing in children with acute appendicitis

Department of Pediatric Surgery， Central People's Hospital of Huizhou

Hongkui Zhong， Wanfei Xu， Hongcai Zhong， Cong Wu  516000

【Abstract】Objective： To investigate the effect of rapid rehabilitation surgical nursing on the prognosis of children with acute appendicitis undergoing laparoscopic appendectomy. Methods： 80 children with acute appendicitis who underwent laparoscopic appendectomy in our hospital's pediatric surgery from January 2019 to November 2019 were randomly selected， and 40 of them were randomly assigned as the FTS group， and were given the nursing care of rapid rehabilitation surgical mode; Another 40 children with pediatric acute appendicitis were used as the control group and given routine nursing care. The time of first anal exhaust， surgical complications， time to return to normal inflammation， and length of hospital stay were compared between the two groups of children. Results： The first time of anal venting was significantly earlier in the FTS group than in the control group. The incidence of postoperative complications was significantly lower in the FTS group than in the control group. The postoperative inflammation index of the FTS group was significantly earlier than the control group and was hospitalized. The time was significantly shortened， and the difference was statistically significant （P <0.05）. Conclusion： Through a series of nursing optimization measures， rapid rehabilitation surgical nursing can reduce or reduce the physical and psychological trauma stress of surgical children， reduce surgical complications， shorten the length of hospitalization， reduce hospitalization costs， and achieve the goal of rapid rehabilitation of children. It is worthwhile Widely promoted in clinical.

【Keywords】 pediatric appendicitis; laparoscopy; rapid rehabilitation surgical nursing; hospital stay; postoperative complications

【中圖分类号】R473  【文献标识码】A  【文章编号】1673-9026（2021）14--02

小儿急性阑尾炎是小儿外科最常见的急腹症之一，占小儿急腹症的25%左右，一旦确诊需要立即手术[1-2]。目前小儿手术急性阑尾炎的治疗普遍存在患儿心理创伤大、并发症多、住院时间长及住院费用贵等特点。由于手术前后缺乏对患儿的特殊护理，使患儿的护理内容不完整，导致手术后可能出现多种并发症，影响患儿的康复效果[3-4]。……