胃肠道急腹症患者腹腔镜手术治疗对并发症发生的影响

Influence of Laparoscopic Surgery on the Occurrence of Complications in Patients with Gastrointestinal Acute Abdomen

目的探讨胃肠道急腹症患者腹医腔镜手术治疗对并发症发生的影响。方法方便选取2017年4月—2019年6月以来福建医科大学附属福州市第一院收治的胃肠道急腹症患者96例,随机分为研究组和对照组各48例,对照组给予传统开腹治疗,研究组给予腹腔镜手术治疗。分析观察两组患者手术时间、术中出血量、住院时间以及切口长度等指标,并发症发生率和患者VAS评分情况。结果研究组手术时间为(41.2±9.7)min、术中出血量(30.8±13.5)mL、住院时间(4.6±1.5)d以及切口长度(6.3±1.5)cm短于对照组(64.4±15.3)min、(71.6±23.1)mL、(9.3±2.7)d、(17.5±2.6)cm,差异有统计学意义(t=8.873、10.565、10.543、25.851,P<0.05);研究组并发症发生率4.2%低于对照组18.8%,差异有统计学意义(χ^(2)=5.031,P<0.05);研究组术后4 h VAS评分(2.1±1.1)分以及术后24 h(4.2±3.2)分均低于对照组(7.3±4.5)分、(7.8±6.1)分,差异有统计学意义(t=7.777、3.621,P<0.05)。结论应用腹腔镜手术治疗胃肠道急腹症效果理想,可有效促进患者症状改善,减少术后失血量,极大地降低了术后并发症发生的可能性,有利于患者恢复。

Objective To investigate the influence of laparoscopic surgery on the occurrence of complications in patients with gastrointestinal acute abdomen.Methods From April 2017 to June 2019,96 patients with gastrointestinal acute abdomen admitted to the Fuzhou First Hospital Affiliated to Fujian Medical University were conveniently selected and randomly divided into a study group and a control group with 48 cases each.The control group was given traditional open abdominal treatment,the research group was given laparoscopic surgery.Analysis and observation of the two groups of patients'operation time,intraoperative blood loss,hospital stay,incision length and other indicators,the rate of complications and the patient's VAS score.Results The operation time of the study group was(41.2±9.7)min,intraoperative blood loss(30.8±13.5)mL,hospitalization time(4.6±1.5)d and incision length(6.3±1.5)cm were shorter than those of the control group(64.4±15.3)min,(71.6±23.1)mL,(9.3±2.7)d,(17.5±2.6)cm,the difference was statistically significant(t=8.873,10.565,10.543,25.851,P<0.05);the complication rate of the study group was 4.2%lower than that of the control group 18.8%,the difference was statistically significant(χ^(2)=5.031,P<0.05);the VAS scores of the study group at 4 h(2.1±1.1)points and 24 h(4.2±3.2)points after surgery were lower than those of the control group(7.3±4.5)points,(7.8±6.1)points,the difference was statistically significant(t=7.777,3.621,P<0.05).Conclusion The application of laparoscopic surgery in the treatment of acute gastrointestinal abdomen has an ideal effect.It can effectively improve the symptoms of patients,reduce postoperative blood loss,greatly reduce the possibility of postoperative complications,and is beneficial to the recovery of patients.