急性胆囊炎老年患者实施手术治疗的效果分析

目的研究和探讨急性胆囊炎老年患者实施药物治疗和开腹手术治疗的临床治疗效果,为日后临床诊断和治疗提供参考价值。方法选择老年急性胆囊炎患者160例,选择药物治疗的A组患者80例,选择开腹手术治疗的B组患者80例,观察和分析2组患者治疗的效果。结果 A组患者抗生素服用时间(74.0±5.6)h,住院时间(15.2±2.3)d;B组患者抗生素服用时间(48.0±4.6)h,住院时间(6.7±1.7)d。A组患者治疗有效29例,一般38例,无效13例,临床治疗有效率为83.75%;B组患者手术治疗有效35例,一般39例,无效6例,临床治疗有效率为92.50%,且差异均有统计学意义(P<0.05)。结论使用开腹手术治疗老年急性胆囊炎的临床治疗有效率明显高于药物治疗,操作简单且风险较低,具有临床推广价值。

Objective To provide reference value for clinical diagnosis and therapy in the future by researching and discussing the clinical treatment effects of drug therapy and laparotomy for old patients with acute cholecystitis.Methods The operative treatment effects of 160 cases from August 2008 to August 2014 of old patients with acute cholecystitis in Anhui Taihe County Lixing Central Health-center were observed and analysed. The cases were divided into two groups： Gruop A with 80 cases of drug therapy and Group B with 80 cases of laparotomy.Results In Group A, patients take antibiotic for （74.0＋5.6）h and the length of stay is （15.2±2.3）d; in Group B, patients take antibiotic for （48.0±4.6）h and the length of stay is （6.7±1.7）d. In Group A, 29 cases are effective, 38 cases are common, 13 cases are ineffective and the effective rate of clinical treatment is 83.75%. In Group B, 35 cases are effective, 39 cases are common, 6 cases are ineffective and the effective rate of clinical treatment is 92.50%. Both groups have statistical significance（P〈0.05）.eonclusion The effective rate of laparotomy is obviously higher than that of drug therapy. Besides, laparotomy is simple and at low risk. So it has clinical promotional value.