腹腔穿刺术在腹部外伤临床治疗中的应用效果

Application Effect of Peritoneal Puncture in Clinical Treatment of Abdominal Trauma

目的 探讨腹腔镜穿刺术用于腹部外伤的价值。方法 选取2006年1月至2016年12月本院接诊的腹部外伤病患50例,随机均分为两组。研究组采取腹腔穿刺术治疗,对照组行传统开腹手术治疗。统计两组并发症发生例数,评估疗效、疼痛程度与生活质量,记录手术时间与住院时间,调查满意度。结果 研究组手术时间、住院时间分别为(90.24±19.36)min、(17.62±2.57)d,对照组分别为(110.58±21.64)min、(25.34±3.01)d,P <0.05。研究组治疗前VAS评分为(8.25±1.36)分,和对照组的(8.39±1.45)分比较,差异无统计学意义,P> 0.05;研究组治疗后VAS评分为(2.41±0.53)分,比对照组的(3.68±0.74)分低,P <0.05。研究组总有效率为96.00%,比对照组的76.00%高,P <0.05。研究组并发症发生率为4.0%,比对照组的32.0%低,P <0.05。研究组病死率为0,比对照组的8.00%低,P <0.05。研究组入院时SF-36评分为(52.36±4.28)分,和对照组的(51.97±4.63)分比较,差异无统计学意义,P> 0.05;研究组出院时的SF-36评分为(87.24±3.15)分,比对照组的(80.55±4.29)分高,P <0.05。研究组满意度为100.00%,比对照组的80.00%高,P <0.05。结论 于腹部外伤中应用腹腔穿刺术,利于缩短住院时间,提升疗效,预防并发症,降低病死率,改善生活质量,减轻疼痛感,提升满意度。

Objective To study the value of laparoscopic puncture for abdominal trauma. Methods From January 2006 to December 2016,50 patients with abdominal trauma in our hospital were randomly divided into 2 groups. The study group was treated with peritoneal puncture, while the control group was treated with traditional laparotomy. The cases of complications were counted, efficacy, pain degree and quality of life were evaluated, operation time and hospital stay were recorded, and satisfaction was investigated. Results In terms of operation time, the study group(90.24±19.36) min and the control group(110.58±21.64) min in terms of hospital stay, the study group(17.62±2.57) d was shorter than the control group(25.34±3.01) d, P<0.05. The VAS score in the study group(8.25±1.36) was not significantly different from that in the control group(8.39±1.45) before treatment, P>0.05;the experimental group(2.41±0.53) was lower than the control group(3.68±0.74), P<0.05. The total effective rate in the study group was 96.00%, higher than 76.00% in the control group(P<0.05). The complication rate in the study group was 4.00%,lower than 32.00% in the control group(P<0.05). The fatality rate in the study group was 0, which was lower than that in the control group(8.00%),P<0.05. In terms of SF-36 score, there was no significant difference between study group(52.36±4.28) and control group(51.97±4.63) at admission, P>0.05. The study group(87.24±3.15) was higher than the control group(80.55±4.29), P<0.05. For satisfaction, the study group was 100.00% higher than the control group 80.00%(P<0.05). Conclusion Peritoneal puncture for abdominal trauma is beneficial to shorten the length of hospital stay, improve the efficacy, prevent complications, reduce mortality, improve quality of life, relieve pain, and improve the satisfaction.