手术治疗急性复杂性阑尾炎的临床价值

Clinical Value of Surgical Treatment of Acute Complicated Appendicitis

目的分析在临床中应用手术治疗急性复杂性阑尾炎并评价其临床价值。方法选择2018年9月至2020年12月我院接收的急性复杂性阑尾炎患者共100例,按照随机数字表法进行分组,分为实验组和参照组,每组50例,参照组患者采取开腹手术进行治疗,实验组患者采取经腹腔镜阑尾切除术进行治疗,对比两组患者的各项临床指标,分析两组患者的不良反应发生率,统计两组患者的临床治疗效果,并且分析两组患者的术后康复状况,最后分析两组患者的术后引流情况。结果实验组患者的各项临床状况明显优于参照组,组间数据差异较大,存在统计学意义(P<0.05);实验组患者的不良反应发生率为22.00%,明显低于参照组患者的36.00%,组间数据差异较大,存在统计学意义(P<0.05);实验组患者的治疗有效率为96.00%,高于参照组患者76.00%,组间数据差异较大,存在统计学意义(P<0.05);实验组患者的下床活动时间、胃肠功能恢复时间以及抗生素使用时间平均低于参照组,组间数据差异较大,存在统计学意义(P<0.05);实验组患者的术后引流率为4.00%,参照组患者的术后引流率为22.00%,组间数据差异较大,存在统计学意义(P<0.05)。结论手术治疗急性复杂性阑尾炎的临床应用中,通过经腹腔镜阑尾切除术能够有效提升患者的临床指标,同时还能较少不良反应的发生,达到理想的临床治疗效果,促进患者早日康复,值得临床推广。

Objective To analyze the clinical application of surgery in the treatment of acute complex appendicitis and evaluate its clinical value.Methods In September 2018 to December 2020,the hospital received a total of 100 cases of patients with acute appendicitis complexity,grouped according to random number table method,divided into the experimental group and control group,50 cases in each group,control group patients to adopt open operation for treatment,the experimental group patients treated by laparoscopic appendectomy,compared two groups of patients with the clinical indicators,analysis of two groups of patients the incidence of adverse reactions,statistics clinical therapeutic effects of two groups of patients,and analysis of two groups of patients with postoperative rehabilitation condition,in the final analysis of two groups of patients with postoperative drainage situation.Results The clinical status of the experimental group was significantly better than that of the reference group,and there was a significant difference between groups (P<0.05).The incidence of ADR in the experimental group was 22.00%,which was significantly lower than 36.00% in the reference group,and there was a significant difference between groups (P<0.05).The effective rate of the experimental group was 96.00%,which was 76.00% higher than that of the reference group,and there was a significant difference between groups (P<0.05).The average time of getting out of bed,recovery time of gastrointestinal function and antibiotic use in the experimental group were lower than those in the reference group,and there were significant differences between groups (P<0.05).The postoperative drainage rate of the experimental group was 4.00%,and that of the reference group was 22.00%,showing a significant difference between the groups (P<0.05).Conclusion In the clinical application of surgical treatment of acute complex appendicitis,laparoscopic appendectomy can effectively improve the clinical indicators of patients,but also can reduce the occurrence of adverse reactions,achieve the ideal clinical treatment effect,promote the early recovery of patients,worthy of clinical promotion.