急诊腹腔镜阑尾切除术对急性化脓性阑尾炎合并2型糖尿病患者胰腺内分泌功能及预后的影响

Effect of Emergency Laparoscopic Appendectomy on Pancreatic Endocrine Function and Prognosis in Patients with Acute Suppurative Appendicitis Complicated with Type 2 Diabetes

目的探究急诊腹腔镜阑尾切除术对急性化脓性阑尾炎合并2型糖尿病患者胰腺内分泌功能及预后的影响。方法将2017年5月—2019年10月期间该院接收的82例急性化脓性阑尾炎合并2型糖尿病患者作为研究对象,利用抛硬币法将其分成两组(参照组和研究组),参照组利用开腹阑尾炎切除术对患者进行治疗,研究组应用腹腔镜阑尾阑尾切除术方式对患者进行治疗,比较两组患者临床指标、胰腺内分泌功能的情况。结果研究组患者肛门排气时间、住院时间、胰岛素以及血糖水平分别为(1.15±0.33)d、(5.23±1.01)d、(14.72±0.92)Mu/L以及(7.78±0.64)mmol/L,各项数据明显优于参照组,差异有统计学意义(t=7.802,P=0.000;t=7.918,P=0.000;t=14.293,P=0.000;t=2.270,P=0.025)。结论急性化脓性阑尾炎合并2型糖尿病患者应用急诊腹腔镜阑尾切除术进行治疗,能够改善患者临床指标,降低手术对胰腺内分泌功能的影响,有利于患者预后。

Objective To explore the effect of emergency laparoscopic appendectomy on pancreatic endocrine function and prognosis in patients with acute suppurative appendicitis complicated with type 2 diabetes.Methods Eighty-two patients with acute suppurative appendicitis and type 2 diabetes received by the hospital from May 2017 to October 2019 were taken as the research objects,and they were divided into two groups by the coin toss method(reference group and study group).The reference group treated patients with open appendicectomy.The study group treated patients with laparoscopic appendectomy and compared the clinical indicators and pancreatic endocrine function of the two groups.Results Patients in the study group had anal exhaust time,length of hospital stay,insulin and blood glucose levels of(1.15±0.33)d,(5.23±1.01)d,(14.72±0.92)Mu/L,and(7.78±0.64)mmol/L.The data are significantly better than the reference group,with significant differences and statistical significance(t=7.803,P=0.000;t=7.918,P=0.000;t=14.293,P=0.000;t=2.270,P=0.026).Conclusion The treatment of patients with acute suppurative appendicitis and type 2 diabetes by emergency laparoscopic appendectomy can improve the clinical indicators of patients and reduce the effect of surgery on endocrine function of the pancreas.It is beneficial to the prognosis of patients.