普外科腹腔镜治疗急腹症的临床疗效分析

Analysis of Clinical Efficacy of General Surgery Laparoscopy in the Treatment of Acute Abdomen

目的急腹症患者通过普外科腹腔镜手术进行治疗,观察患者的临床治疗效果。方法该院在2018年1月-2020年1月期间,一共收治了90例急腹症患者,将其作为该次研究的研究目标,以随机数表法作为分组原则,分成45例观察组和45例对照组,对照组患者通过普通手术方法进行治疗,观察组患者通过普外科腹腔镜手术进行治疗,比较两组患者的手术指标(手术时间、术中出血量、住院时间、排气时间),比较两组患者的术后需要镇痛概率以及并发症的发生概率。结果观察组患者的手术时间、排气时间以及住院时间短于对照组患者,术中出血量少于对照组患者,差异有统计学意义(t=43.947、12.080、9.423、14.743,P<0.05);观察组患者的术后需要镇痛概率为2.2%(1/45),并发症的发生概率为2.2%(1/45),对照组患者的术后需要镇痛概率为17.8%(8/45),并发症的发生概率为17.8%(8/45),差异有统计学意义(χ^(2)=4.444、4.444,P<0.05)。结论急腹症患者通过普外科腹腔镜手术方法进行治疗,可以降低并发症概率、缓解疼痛、改善手术指标,值得推广。

Objective Patients with acute abdomen are treated by general surgery laparoscopic surgery to observe the clinical treatment effect of the patients.Methods From January 2018 to January 2020,a total of 90 patients with acute abdomen were admitted to the hospital.They were taken as the research target of this study,and the random number table method was used as the grouping principle,and they were divided into 45 observation group and 45 cases of control group,the control group was treated by ordinary surgery,the observation group was treated by general surgery laparoscopic surgery,and the surgical indicators(operating time,intraoperative blood loss,hospitalization time,exhaust time)were compared between the two groups,to compare the probability of postoperative analgesia and the probability of complications between the two groups.Results The operation time,exhaust time and hospitalization time of the observation group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the difference was significant and statistically significan(t=43.947,12.080,9.423,14.743,P<0.05);the probability of postoperative analgesia in the observation group was 2.2%(1/45),the probability of complications was 2.2%(1/45),and the probability of postoperative analgesia in the control group was 17.8%(8/45),the probability of complications was 17.8%(8/45),the difference was significant and statistically significant(χ^(2)=4.444,4.444,P<0.05).Conclusion Patients with acute abdomen can be treated by general surgery laparoscopic surgery,which can reduce the probability of complications,relieve pain,and improve surgical indicators.It is worthy of promotion.