腹腔镜技术在急腹症患者中的手术效果及安全性分析

Effect and Safety Analysis of Laparoscopy in Patients with Acute Abdomen

探讨腹腔镜技术在急腹症患者中的手术效果和安全性,为改善围手术期患者的生活质量提供理论依据。选取60例普外科手术治疗的急腹症患者为研究对象,根据手术方式将其分为观察组与对照组,对比两组患者的围术期指标、手术前后炎症因子水平、应激指标和生活质量以及并发症发生率。结果显示,观察组患者的手术时间、切口长度、下床活动时间、胃肠功能恢复时间、首次进食时间和住院时间显著短于对照组(P<0.05),术中出血量显著少于对照组(P<0.05);两组患者的术前炎症因子水平、应激指标和生活质量无统计学差异(P>0.05),观察组患者术后C反应蛋白、白细胞介素-6、肿瘤坏死因子-α、皮质醇、肾上腺素、去甲肾上腺素水平显著低于对照组(P<0.05),生活质量各维度和总评分显著高于对照组(P<0.05);观察组患者的并发症发生率显著低于对照组(P<0.05)。腹腔镜技术可改善急腹症患者的围术期指标,缓解患者炎症状态,减少应激反应,可减少并发症的发生率,提高其生活质量。

The study explores the surgical effect and safety of laparoscopy in patients with acute abdomen,so as to provide theoretical basis for improving the quality of life of perioperative patients.The study selects 60 patients with acute abdomen treated by general surgery as the study objects;divides them into observation group and control group according to operation methods;and compares perioperative indexes,levels of inflammatory factors before and after surgery,stress indexes,quality of life and complication rate of the two groups.The results show that the operation time,incision length,getting out of bed activity time,gastrointestinal function recovery time,first feeding time and hospital stay in the observation group are significantly shorter than those in the control group(P<0.05),and amount of blood loss during operation is significantly less than that in control group(P<0.05).There is no significant difference in preoperative inflammatory factors,stress indexes and quality of life between the two groups(P>0.05).The levels of C-reactive protein,interleukin-6,tumor necrosis factor-α,cortisol,epinephrine and norepinephrine in observation group are significantly lower than those in control group(P<0.05).All dimensions and total scores of quality of life are significantly higher than those of control group(P<0.05).Complication rate of the observation group is significantly lower than that of the control group(P<0.05).We can improve the perioperative indexes of patients with acute abdomen,relieve the inflammatory state of patients,reduce the stress response,reduce the incidence of complications,and improve their quality of life with laparoscopy.