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腹腔镜阑尾切除术治疗急性阑尾炎的临床效果分析

Analysis on Clinical Effect of Laparoscopic Appendectomy in Treatment of Acute Appendicitis
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摘要 目的:分析急性阑尾炎应用腹腔镜阑尾切除术(LA)治疗的临床效果。方法:选取2021年1月-2022年2月六盘水市水城区第二人民医院收治的急性阑尾炎患者88例为观察对象,采用随机数字表法分为对照组与观察组,各44例。对照组给予保守治疗,观察组给予LA治疗。比较两组患者临床指标、胃肠功能恢复情况、并发症发生率、满意度。结果:观察组肛门排气时间、住院时间短于对照组,差异有统计学意义(P<0.001);治疗后,两组患者胃动素、胃泌素水平均升高,五羟色胺水平均降低,观察组胃动素、胃泌素水平高于对照组,五羟色胺水平低于对照组,差异有统计学意义(P<0.001);观察组患者并发症发生率低于对照组,差异有统计学意义(P=0.044);观察组患者总满意率高于对照组,差异有统计学意义(P=0.026)。结论:LA术治疗对急性阑尾炎的效果明显优于保守治疗,可缩短住院时间、肛门排气时间,改善患者胃肠功能,安全性与患者满意度较高。 Objective:To analyze the clinical effect of laparoscopic appendectomy(LA)in the treatment of acute appendicitis.Methods:A total of 88 patients with acute appendicitis admitted to the Second People's Hospital of Shuicheng District of Liupanshui City from January 2021 to February 2022 were selected as the observation subjects.Using the random number table method,the patients were divided into control group and observation group,with 44 cases in each group.The control group was given conservative treatment and the observation group was given LA treatment.The clinical indexes,gastrointestinal function recovery,complication incidence and satisfaction in the two groups were compared.Results:The anal exhaust time and hospital stay in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.001).After treatment,the levels of motilin and gastrin in two groups were increased,and the levels of serotonin were reduced,and the levels of motilin and gastrin in the observation group were higher than those in the control group,and the levels of serotonin in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.001).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.044).The total satisfaction rate of patients in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.026).Conclusion:The effect of LA treatment on acute appendicitis is significantly better than that of conservative treatment,which can shorten the hospital stay and anal exhaust time,improve the gastrointestinal function of patients,and have higher safety and patient satisfaction.
作者 蔡斌 Cai Bin(The Second People's Hospital of Shuicheng District of Liupanshui City,Liupanshui 553017,Guizhou Province,China)
出处 《中外医药研究》 2022年第17期28-30,共3页 JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词 腹腔镜阑尾切除术 急性阑尾炎 胃肠功能 Laparoscopic appendectomy Acute appendicitis Gastrointestinal function
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