腹腔镜微创手术治疗对胃穿孔患者术后并发症、胃泌素及胃肠功能恢复的影响分析

Effect of laparoscopic minimally invasive surgery on postoperative complications,gastrin and gastrointestinal function recovery of patients with gastric perforation

目的观察腹腔镜微创手术治疗对胃穿孔患者术后并发症、胃泌素及胃肠功能恢复的影响。方法66例胃穿孔患者,根据随机数字表法分为对照组及试验组,每组33例。对照组实施常规手术治疗,试验组实施腹腔镜微创手术治疗。比较两组患者的胃肠功能恢复指标,术前、术后3 d的胃泌素水平与视觉模拟评分法(VAS)评分,术后并发症发生率。结果试验组患者的腹痛腹胀消失、肠鸣音恢复、首次排气、首次排便、首次进食时间分别为(41.38±10.61)、(14.52±2.92)、(26.51±4.96)、(42.82±5.77)、(38.15±8.62)h,短于对照组的(52.67±12.97)、(19.93±4.67)、(32.75±6.72)、(53.63±6.81)、(45.87±10.83)h,差异具有统计学意义(P<0.05)。术后3 d,两组患者的胃泌素水平高于本组术前,VAS评分低于本组术前,且试验组患者的胃泌素水平高于对照组,VAS评分低于对照组,差异具有统计学意义(P<0.05)。试验组患者的术后并发症发生率3.03%低于对照组的21.21%,差异具有统计学意义(P<0.05)。结论胃穿孔患者实施腹腔镜微创手术治疗,可明显加速患者胃肠功能指标的恢复时间,提升机体内胃泌素水平,减轻术后疼痛,减少术后并发症的发生,效果理想。

Objective To observe the effect of laparoscopic minimally invasive surgery on postoperative complications,gastrin and gastrointestinal function recovery of patients with gastric perforation.Methods A total of 66 patients with gastric perforation were divided into control group and experimental group according to random numerical table,with 33 cases in each group.The control group received conventional surgery,and the experimental group received laparoscopic minimally invasive surgery.The gastrointestinal function recovery indexes,gastrin level before surgery and 3 d after surgery,visual analogue scale(VAS)score and incidence of postoperative complications were compared between the two groups.Results The abdominal pain and distension disappeared time,bowel sounds recovery time,first exhaust time,first defecation time and first feeding time of the experimental group were(41.38±10.61),(14.52±2.92),(26.51±4.96),(42.82±5.77)and(38.15±8.62)h,which were obviously shorter than(52.67±12.97),(19.93±4.67),(32.75±6.72),(53.63±6.81)and(45.87±10.83)h of the control group,and the difference was statistically significant(P<0.05).3 d after surgery,the gastrin levels of the two groups were higher than those before surgery,and the VAS score was lower than that before surgery;the gastrin levels of the experimental group was higher than that of the control group,and the VAS score was lower than that of the control group.All the difference was statistically significant(P<0.05).The incidence of postoperative complications 3.03%of the experimental group was lower than 21.21%of the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic minimally invasive surgery shows ideal effect on patients with gastric perforation,which can significantly accelerate the recovery time of gastrointestinal function indicators,improve gastrin level,reduce postoperative pain,and reduce the occurrence of postoperative complications.