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目的分析老年人急性阑尾炎伴穿孔的原因,并采取积极有效的护理措施。方法将2014年1月~2015年1月我院收入的急性阑尾炎伴穿孔老年患者54例作为对照组,将2015年2月至2016年2月我院收治的急性阑尾炎伴穿孔老年患者57例作为实验组,实验组在对照组总结老年人急性阑尾炎伴穿孔原因的基础上采取更加具有针对性、预防性的护理措施,对比两组护理效果。结果对照组治愈48例(88.89%),死亡6例(11.11%),切口感染9例(16.67%),住院时间(10.21±4.39)d与实验组治愈55例(98.21%),死亡1例(1.79%),切口感染2例(3.57%),住院时间(16.61±3.44)d差异显著,具有统计学意义(P<0.05)。结论临床中老年人急性阑尾炎伴穿孔主要原因是机体退化、未及时就诊、诊断延误三个方面,针对老年人急性阑尾炎伴穿孔患者需要采取针对性护理措施。
Objective To analyze the causes of acute appendicitis with perforation in the elderly and take active and effective nursing measures. Methods From January 2014 to January 2015, 54 patients with acute appendicitis and perforation in our hospital were enrolled as the control group. From February 2015 to February 2016, 57 patients with acute appendicitis and perforation in our hospital The experimental group and the experimental group took more targeted and preventive nursing measures on the basis of summing up the causes of acute appendicitis and perforation in the elderly in the control group and compared the nursing effects of the two groups. Results In the control group, 48 cases (88.89%) were cured, 6 cases died (11.11%), 9 cases (16.67%) were incisional wound infection, the hospitalization time was 10.21 ± 4.39 days, 55 cases (98.21%) were cured and 1 case died (1.79%), incision infection in 2 cases (3.57%), hospitalization time (16.61 ± 3.44) d, the difference was statistically significant (P <0.05). Conclusions The main causes of acute appendicitis with perforation in middle-aged and elderly patients are degenerative organ, delayed treatment and delayed diagnosis. Targeted nursing interventions are needed in patients with acute appendicitis and perforation in the elderly.