摘要
目的:探讨无痛结肠镜下治疗急性阑尾炎的疗效及安全性。方法:将入选的44例急性阑尾炎患者按照治疗方法不同分组,其中22例给予无痛结肠镜下观察治疗,22例行外科传统手术治疗对照,对比观察两组治疗效果;观察组进一步记录并分析麻醉术中生命体征变化评估麻醉效果和安全性。结果:观察组住院费用明显少于对照组,住院时间、腹痛缓解时间和术后肛门排气时间均低于对照组,差异有统计学意义(P<0.05)。观察组麻醉后各项生命体征数值对比基础值均有下降,差异有统计学意义(P<0.05),术中明显低于术前(P<0.05),但术后即可恢复至术前水平(P>0.05)。结论:无痛结肠镜治疗急性单纯性阑尾炎安全可靠,较传统手术有一定优势。
Objective： To investigate the efficacy and safety of painless colonoscopy in the treatment of acute appendicitis. Method： 44 cases of acute simple appendicitis were randomized into two groups, 22 cases were given painless colonoscopy, 22 cases were underwent surgical treatment.To compare the therapeutic effects in the two groups. Results：The hospitalization expenses of the observation group were significantly less than those in the control group, the time of hospitalization, abdominal pain relief and postoperative anal exhaust was lower than the that of the control group, and the difference was statistically significant （ P 〈0.05）.The vital signs after anesthesia based numerical values decreased in the observation group, there was significant difference （ P 〈0.05）. Intraoperative vital signs were significantly lower than preoperative （ P 〈0.05）, but recovered to preoperative levels （ P 〉0.05）.Conclusion：Painless endoscopic treatment for acute appendicitis is safe and reliable. It has advantages over traditional surgery.
作者
王丽梅
吴颖
梁聪
白俊芳
Wang Limei;Wu Ying;Liang Cong(Department of Digestive System,Second Provincial People＇s Hospital of Shaanxi Province（Xi＇an 710005)
出处
《陕西医学杂志》
CAS
2018年第12期1602-1605,共4页
Shaanxi Medical Journal
基金
陕西省卫生和计划生育委员会科研项目(2016D085)
