急诊手术治疗急性胆囊炎合并糖尿病患者的临床效果探讨

The Clinical Effect of Emergency Surgery on Patients with Acute Cholecystitis and Diabetes

目的以急性胆囊炎合并糖尿病患者为研究对象,分析患者应用急诊手术治疗的效果。方法将106例自2017年4月—2019年5月收治的急性胆囊炎合并糖尿病患者分成两组,研究组(n=53)患者采用急诊手术治疗,参考组(n=53)患者采用常规治疗。比较两组患者临床治疗效果、并发症情况、治疗前后血糖水平。结果研究组治疗总有效率达98.11%,参考组治疗总有效率达83.02%,研究组临床治疗效果更佳(P<0.05)。研究组切口感染等并发症等总发生率达7.55%,参考组达18.87%,研究组并发症发生率较参考组低(P<0.05)。治疗后研究组患者FPG及2 hPG水平均低于参考组(P<0.05)。结论急性胆囊炎合并糖尿病患者采用急诊手术治疗病情控制效果理想且能够有效抑制各类相关并发症,病情改善效果优于常规治疗。

Objective To take acute cholecystitis and diabetes patients as the research object and analyze the effect of emergency surgical treatment on patients.Methods 106 patients with acute cholecystitis and diabetes admitted from April 2017 to May 2019 were divided into 2 groups.Patients in the study group(n=53)were treated with emergency surgery,and patients in the reference group(n=53)used conventional treatment.The clinical treatment effects,complications and blood glucose levels before and after treatment were compared between the two groups.Results The total effective rate of treatment in the study group was 98.11%,and the total effective rate of treatment in the reference group was 83.02%.The clinical effect of the study group was better(P<0.05).The total incidence of complications such as incision infection in the study group reached 7.55%,and that in the reference group was 18.87%.The incidence of complications in the study group was lower than that in the reference group(P<0.05).After treatment,the FPG and 2 hPG levels in the study group were lower than those in the reference group(P<0.05).Conclusion Patients with acute cholecystitis and diabetes treated with emergency surgery are ideal for disease control and can effectively suppress various related complications.The improvement effect is better than conventional treatment.