腹腔镜与开腹手术治疗粘连性肠梗阻的效果及对前白蛋白和降钙素原的影响

Comparative Study on the Effect of Adhesive Intestinal Obstruction Treated with Laparoscopic Surgery or Open One,as well as Their Influence on Patients’ Prealbumin and Procalcitonin

目的:探究腹腔镜与开腹手术治疗粘连性肠梗阻的效果及对前白蛋白与降钙素原的影响。方法:回顾性分析2018年9月至2019年8月本院收治的80例粘连性肠梗阻患者的临床资料,将其分为观察组44例和对照组36例。对照组患者采用开腹手术治疗,观察组患者采用腹腔镜手术治疗,观察2组患者的临床效果及治疗前后前白蛋白和降钙素原水平的变化。结果:观察组患者的切口长度、手术时间、胃肠功能恢复时间及住院时间均短于对照组(P <0.05),术中出血量少于对照组(P <0.05),疼痛评分低于对照组(P <0.05);术后1周,2组前白蛋白水平高于术前(P <0.05),但降钙素原水平均降低(P <0.05)。结论:腹腔镜手术治疗粘连性肠梗阻效果更显著,具有创伤小,手术时间短,术中出血量少等优点。

Objective To investigate the effect of adhesive intestinal obstruction(AIO)treated with laparoscopic surgery or open one,as well as their influence on patients’ prealbumin and procalcitonin. Methods Retrospectively reviewed the clinical data of 80 AIO patients treated in author’s hospital from 2018-09 to2019-08:divided them into observation group(44 cases,had received laparoscopic surgery)and control group(36 cases,open surgery),observed both groups’ clinical effect,patients’ prealbumin and procalcitonin levels’ change between before and after treatment. Results In patients’ incision length,operating time,time for gastrointestinal function recovered,and hospitalization time;in intraoperative bleeding volume;and in score ratings on pain,observation group was respectively shorter;less;and lower than control group(all,P <0.05);1 week after surgery both groups’ prealbumin levels were higher than before surgery(P <0.05),meanwhile procalcitomin level of both groups were all declinied(P <0.05). Conclusion In the treatment of AIO laparoscopic surgery has better effect,and with such merits as little trauma,short operating time,and less intraoperative bleeding volume,etc.