胃大部分切除术与单穿修补术在急性胃穿孔患者中的临床效果探究

Clinical Effect of Subtotal Gastric Resection and Single Perforation Repair in Patients with Acute Gastric Perforation

目的:探究胃大部分切除术与单穿修补术在急性胃穿孔治疗中的应用效果。方法:选取笔者所在医院2011年12月-2016年12月收治的120例急性胃穿孔患者,按照随机抽取双色球的方式,将患者均分为观察组和对照组。对照组采用胃大部分切除术治疗,观察组采用单穿修补术治疗,对比两组的治疗总有效率、临床相关指标和并发症发生率。结果:观察组治疗总有效率96.67%,高于对照组的76.67%,差异有统计学意义(X^2=10.384 6,P<0.05)。观察组手术时间、住院时间、胃肠功能恢复时间、下床活动时间优于对照组,差异均有统计学意义(t=19.915 8、9.720 7、13.459 5、10.001 4,P<0.05)。观察组并发症发生率3.33%,低于对照组的21.67%,差异有统计学意义(X^2=9.219 0,P<0.05)。结论:急性胃穿孔经单穿修补术治疗,临床效果确切,治疗安全、可靠,且可缩短患者的手术时间和住院时间,促使患者及早恢复胃肠功能、下床活动,值得在急性胃穿孔治疗中应用、推广。

Objective：To explore the effect of subtotal resection and single perforation repair in the treatment of acute gastric perforation.Method：A total of 120 patients with acute gastric perforation admitted in our hospital from December 2011 to December 2016 were selected and randomly divided into observation group and control group.The control group was treated with subtotal resection,and the observation group was treated with single puncture repair.The total effective rate,clinical related indexes and complication rate were compared between the two groups.Result：The total effective rate of the observation group was 96.67%,higher than 76.67% of the control group,the difference was statistically significant（ X-2=10.384 6,P〈0.05）.The operation time,length of stay,recovery time of gastrointestinal function and ambulation time of observation group were better than those of the control group,the differences were statistically significant（t=19.915 8,9.720 7,13.459 5,10.001 4,P〈0.05）.The incidence of complications in the observation group was 3.33%,lower than 21.67% in the control group,and the difference was statistically significant（ X-2=9.219 0,P〈0.05）.Conclusion：The clinical effect of acute gastric perforation with single perforation is accurate,the treatment is safe and reliable.The operation time and time of hospitalization can be shorten,and the patients can recover the gastrointestinal function and go out of bed early.It is worth applying and popularizing in the treatment of acute gastric perforation.