两种治疗方法对妇产科急腹症的临床治疗效果

Effect of two treatment methods on acute abdomen in obstetrics and gynecology department

目的分析保守疗法和手术疗法对妇产科急腹症患者的临床治疗效果。方法将我院2014年2月至2016年2月收治的90例妇产科急腹症患者根据治疗方法分为观察组(70例)与对照组(20例)。观察组接受手术治疗,对照组接受保守治疗。比较两组患者的临床治疗效果及治疗前、后的生活质量。结果共有70例患者接受手术治疗,占患者总数的77.8%,观察组患者的平均手术时间为(60.9±3.1)min,平均出血量为(36.2±2.4)mL;共有20例患者接受保守治疗,占患者总数的22.2%。两组患者的治疗总有效率比较,差异无统计学意义(P>0.05)。治疗前、后,两组患者的生活质量评分组间比较,差异均不显著(P>0.05);治疗后,两组患者的生活质量评分均显著提升(P<0.05)。结论在对妇产科急腹症患者进行临床治疗时,根据患者的不同病情选择合适的治疗方式才能取得良好的临床治疗效果。

Objective To analyze the effecl of conservalive therapy and surgical Irealmenl in patients with acute abdomen in deparlmenl of obslelrics and gynecology. Methods Ninly cases of palienls wilh acule abdomen of obslelrics and gynecology treated in our hospital from February 2014 lo February 2016 were divided into observation group （70 cases） and control group （20 cases） according lo different treatment methods. The observation group received surgical treatment, while lhe control group received conservalive treatment. The clinical effects and lhe quality of life before and after treatment were compared in lhe lwo groups. Results There were 70 palienls underwent surgery （77.8%）, and 20 palienls received conservalivelrealmenl（22.2%）.Theoperalionlimewas（60.9±3.1）minandlheaverageamounlofbleedingwas（36.2±2.4）mL in lhe observation group. There was no significant difference in lhe lolal effective rale of treatment between lhe lwo groups （ P 〉0.05）. Before and after treatment, lhe differences in lhe scores of life quality between lhe lwo groups were nol significant （ P 〉0.05）; and after treatment, lhe scores of life quality of both groups significantly improved （ P 〈0.05）. Conclusion In lhe treatment of palienls wilh acule abdomen of obslelrics and gynecology, choosing lhe appropriate treatment according lo lhe different conditions of palienls can achieve a good clinical effecl.