Abstract:

Objective To investigate the effect of laparoscopic appendectomy combined with simo decoction on postoperative diet and defecation of patients with acute appendicitis. Method 62 patients with acute appendicitis in Lianyungang Hospital of traditional Chinese medicine from January 2022 to January 2025 were selected as the research objects. According to the principle of random number table, they were divided into observation group (32 cases) and control group (30 cases). Both groups were treated with laparoscopic appendectomy, the control group was treated with conventional intervention, and the observation group was treated with simo decoction 12 hours after operation on the basis of the control group. The postoperative rehabilitation of the two groups, the changes of blood indexes in the two groups before and 3 days after operation, and the incidence of perioperative complications in each group were compared. Result Before operation, there was no significant difference in white blood cell count and neutrophil lymphocyte ratio between the two groups(P ＞ 0.05); Three days after operation, the white blood cell count and neutrophil lymphocyte ratio of the two groups were lower than those before operation, and the observation group was lower than that of the control group, the differences were significant(P ＜ 0.05). The postoperative exhaust time, postoperative eating time, defecation time and hospitalization time of the observation group were shorter than those of the control group, and the differences were significant(P ＜ 0.001). There was no significant difference in the total incidence of postoperative complications between the two groups(P ＞ 0.05). Conclusion For patients with appendicitis, laparoscopic appendectomy combined with simo decoction treatment can shorten the postoperative eating time, accelerate the recovery of defecation function, improve the blood indicators of patients.

Key words: Appendicitis, Laparoscopic appendectomy, Simo decoction, Postoperative rehabilitation