腹腔镜胃肠穿孔修补术对患者胃肠动力恢复及胃肠激素的影响分析

Analysis of laparoscopic gastrointestinal perforation repair on gastrointestinal motility recovery and gastrointestinal hormones

目的研究胃肠穿孔患者实施腹腔镜胃肠穿孔修补术对胃肠动力恢复及胃肠激素的影响。方法选取2018年4月至2019年4月本院收治的胃肠穿孔患者72例为研究对象,采用随机数字表法分为实验组与参照组,各36例。参照组采用开腹胃十二指肠穿孔修补术治疗,实验组采用腹腔镜胃肠穿孔修补术治疗。对比两组患者胃肠动力恢复时长、手术指征、手术前后胃肠激素。结果实验组排气时长、肠鸣音复常时长、胃肠减压时长均短于参照组,差异具有统计学意义(P<0.05)。两组患者手术时长比较差异无统计学意义,与参照组比较,实验组出血量较少、住院时长较短,组间差异具有统计学意义(P<0.05)。手术前两组患者血浆胃动素、血管活性肠肽水平比较差异无统计学意义,实验组手术后血浆胃动素、血管活性肠肽水平明显高参照组,差异具有统计学意义(P<0.05)。结论胃肠穿孔患者应用腹腔镜胃肠穿孔修补术的损伤较低,能够促进患者胃肠功能恢复,显著改善胃肠激素水平。

Objective To study the effect of laparoscopic gastrointestinal perforation repair on gastrointestinal motility recovery and gastrointestinal hormones in patients with gastrointestinal perforation.Methods 72 patients with gastrointestinal perforation admitted to our hospital were selected from April 2018 to April 2019,they were divided into experimental group and reference group by random number table method,with 36 cases in each group.Reference group was treatmented with open abdominal and duodenal perforation repair,and the experimental group was treatmented with laparoscopic gastrointestinal perforation repair.The gastrointestinal motility recovery duration,surgical indications,and gastrointestinal hormones before and after surgery were compared between the two groups.Results The duration of venting,the length of bowel sounds and the length of gastrointestinal decompression in the experimental group were shorter than those in the reference group(P<0.05).There was no difference in the length of operation between patients with gastrointestinal perforation.Compared with the reference group,the experimental group had less bleeding,shorter hospitalization,and there was significant difference between the two groups(P<0.05).There was no significant difference in plasma motilin and vasoactive intestinal peptide between the experimental group and the reference group before operation.The values of plasma motilin and vasoactive intestinal peptide were significantly higher in the experimental group after surgery,and there was significant difference(P<0.05).Conclusion Laparoscopic gastrointestinal perforation repair in patients with gastrointestinal perforation has lower injury,can promote the recovery of gastrointestinal function,and its gastrointestinal hormone level can be significantly improved.