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1、围手术期论文护理干预论文:围手术期护理干预对阑尾炎手术患者的临床分析【摘要】目的探讨围手术期护理干预对阑尾炎手术患者的影响。方法选择70例阑尾炎患者,采用硬膜外麻醉行阑尾切除术,随机分为两组,护理干预组采用整体护理方法,对照组采用常规护理方法,比较两组患者手术后肛门恢复排气时间,术后并发症情况及护理满意度。结果护理干预组35例,肛门恢复排气时间为23.4±3.12,常规护理组35例,肛门恢复排气时间为43.1±4.02,两组间采用t检验,p<0.05,差异有统计学意义。护理干预组术后出现并发症2例(5.71%),常规护理组术后出现并发症8例(22.86%),两组间采用校正卡方检验,p
2、=0.0353<0.05,差异有统计学意义。护理干预组满意34例,出院满意度97.14%,对照组满意27例,占71.14%,两组间采用校正卡方检验,p=0.0127<0.05,差异有统计学意义。结论采用围手术期护理干预,能尽快恢复患者术后肛门恢复排气时间,能有效的预防和减少术后并发症的发生,提高护理质量。【关键词】围手术期;护理干预;阑尾炎perioperativenursinginterventionontheclinicalanalysisofpatientswithappendicitis【abstract】objectiveofinterventiononperioperat
3、ivenursingofpatientswithappendicitis.methods70casesofappendicitispatients,theuseofepiduralanesthesiaforappendectomy,wererandomlydividedintotwogroups,nursingholisticnursinginterventiongroupandcontrolgroupusingconventionalmethodsofcare,comparedtwogroupsofpatientsrecoveraftersurgeryanalexhausttime
4、,intraoperativeaftercomplicationsandnursingsatisfaction.resultnursinginterventiongroupof35patients,analexhausttimeofrecovery23.4±3.12,usualcaregroupof35patients,analexhausttimeofrecovery43.1±4.02,usingttestbetweenthetwogroups,p<0.05,thedifferencewasstatisticallysignificant.nursinginterventiongr
5、oup2casesofpostoperativecomplications(5.71%),usualcaregroupwerecomplicationsin8cases(22.86%)betweenthetwogroupsusingchi-squaretestcorrected,p=0.0353<0.05,significantdifference.satisfactionwithnursinginterventiongroup,34cases97.14%weredischargedsatisfaction,satisfactionwiththecontrolgroup,27case
6、saccountedfor71.14%betweenthetwogroupsusingchi-squaretestcorrected,p=0.0127<0.05,thedifferencewasstatisticallysignificant.conclusionuseofperioperativenursingintervention,patientscanresumeassoonaspossibleanalexhausttimerecovery,caneffectivelypreventandreducetheincidenceofpostoperativecomplicatio
7、nsandimprovequalityofcare.【keywords】perioperation;nursingintervention;appendicitissurgery急性阑尾炎是外科的常见病,在各种急腹症中位居于首位[1]。临床表现多始发于上腹部,数小时后转移到右下腹呈持续性或阵发性的腹痛,右下腹有固定的压痛点,早期可伴有恶心、呕吐、厌食等消化系统症状,目前临床上主要采取手术治疗为主[2]。由于急性阑尾炎的发病率较高,且症状和病理改变有时不一致