摘要
目的分析腹腔镜阑尾切除术后住院时间的相关影响因素,并探讨干预策略。方法选择100例行腹腔镜阑尾切除术的患者,按照术后住院时间分为≤5 d组(64例)及>5 d组(36例)。对比两组患者的临床资料[性别、年龄、文化程度、体质量指数(BMI)、病程、阑尾炎类型、残端处理方式、白细胞计数、中性粒细胞、C反应蛋白、术中粘连积液、既往病史、标本袋穿孔技术、并发症、手术时间及术中出血量],分析腹腔镜阑尾切除术后住院时间的影响因素及干预策略。结果≤5 d组年龄、文化程度、BMI、病程、阑尾炎类型、白细胞计数、中性粒细胞、C反应蛋白、术中粘连积液、标本袋穿孔技术、并发症及慢性阑尾炎、高血压、糖尿病病史与>5 d组对比有差异(χ^(2)=8.344、10.807、10.672、11.064、7.601、5.123、4.634、5.403、4.690、8.333、8.074、4.881、11.067、5.740,P<0.05);两组性别、残端处理方式、手术时间及术中出血量比较无差异(P>0.05)。Logistic多因素分析显示,年龄、BMI、病程、阑尾炎类型、C反应蛋白、术中粘连积液、慢性阑尾炎病史、标本袋穿刺技术、并发症是腹腔镜阑尾切除术后住院时间的影响因素(P<0.05)。结论腹腔镜阑尾炎切除术后患者年龄、BMI、病程、阑尾炎类型、C反应蛋白、术中粘连积液、慢性阑尾炎病史、标本袋穿刺技术、并发症均会对住院时间产生明显影响,应在围术期加强干预,尽可能使住院时间缩短。
Objective To analyze the relevant influencing factors of hospitalization time after laparoscopic appendectomy and explore intervention strategies.Methods 100 patients who underwent laparoscopic appendectomy were selected and divided into≤5 d group(64 cases)and>5 d group(36 cases)according to their postoperative hospital stay.The clinical data[gender,age,educational level,body mass index(BMI),course of disease,type of appendicitis,stump treatment,white blood cell count,neutrophils,C-reactive protein,intraoperative adherent effusion,past medical history,specimen bag perforation technique,complications,operation time,and intraoperative blood loss]of the two groups was compared.The factors influencing hospitalization time after laparoscopic appendectomy and the intervention strategies were analyzed.Results Age,educational level,BMI,course of disease,type of appendicitis,white blood cell count,neutrophils,C-reactive protein,intraoperative adherent effusion,specimen bag perforation technique,complications and history of chronic appendicitis,hypertension and diabetes in≤5 d group were significantly different from those in>5 d group(χ^(2)=8.344,10.807,10.672,11.064,7.601,5.123,4.634,5.403,4.690,8.333,8.074,4.881,11.067,5.740;P<0.05).There were no differences in gender,stump treatment,operation time and intraoperative blood loss between the two groups(P>0.05).Logistic multivariate analysis showed that age,BMI,course of disease,type of appendicitis,C-reactive protein,intraoperative adhesion effusion,history of chronic appendicitis,specimen bag puncture technique,and complications were the influencing factors of hospitalization time after laparoscopic appendectomy(P<0.05).Conclusion When laparoscopic appendicitis surgery is performed,factors such as patient age,BMI,course of disease,type of appendicitis,C-reactive protein,intraoperative adherent effusion,history of chronic appendicitis,specimen bag perforation technique,complications can have a significant impact on hospitalization time.Perioperative intervention shoul
作者
宋之光
SONG Zhi-guang(Dongying Second People's Hospital,Dongying 257335,China)
出处
《中国实用医药》
2024年第8期19-23,共5页
China Practical Medicine
关键词
腹腔镜阑尾切除术
住院时间
影响因素
干预策略
Laparoscopic appendectomy
Hospitalization time
Influencing factors
Intervention strategies
