摘要
目的探讨腹腔镜手术治疗小儿急性化脓性阑尾炎的临床效果。方法将168例急性化脓性阑尾炎患儿按照手术方式分为观察组(腹腔镜手术)和对照组(开腹手术),各84例。比较两组的治疗效果。结果观察组的手术时间、切口长度、胃肠功能恢复时间及住院时间均短于对照组,术中出血量少于对照组,住院费用高于对照组(P<0.05)。术后1 d,两组血清COR、MDA、SOD水平均改善,且观察组优于对照组(P<0.05)。术后3 d,两组CRP、IL-6、IL-8水平均下降,且观察组低于对照组(P<0.05)。观察组术后12、24、36 h的FLACC评分及并发症总发生率均低于对照组(P<0.05)。结论腹腔镜手术治疗小儿急性化脓性阑尾炎的临床效果显著,能有效降低患儿机体应激指标和炎性因子指标水平,缩短手术时间,加快术后恢复。
Objective To investigate the clinical effect of laparoscopic surgery in the treatment of children with acute suppurative appendicitis.Methods A total of 168 children with acute suppurative appendicitis were divided into observation group(laparoscopic surgery)and control group(laparotomy)by the surgical method,with 84 cases in each group.The therapeutic effect of the two groups was compared.Results The operation time,incision length,gastrointestinal function recovery time and hospital stay in the observation group were shorter than those in the control group,the amount of intraoperative blood loss was less than that in the control group,and the hospitalization cost was higher than that in the control group(P<0.05).On 1 d after operation,serum COR,MDA and SOD levels in both groups improved,and those in the observation group were better than the control group(P<0.05).On 3 d after operation,the levels of CRP,IL-6 and IL-8 in both groups decreased,and those in the observation group were lower than the control group(P<0.05).The FLACC scores at 12,24 and 36 h after operation and the total incidence of complications in the observation group were lower than those in the control group(P<0.05).Conclusion Laparoscopic operation in the treatment of children with acute suppurative appendicitis has a significant clinical effect,it can effectively reduce the levels of bodies'stress indexes and inflammatory factors indexes,shorten the operation time and accelerate postoperative recovery.
作者
李育龙
陈孝仙
王康
赵阿孟
王亮
LI Yulong;CHEN Xiaoxian;WANG Kang;ZHAO Ameng;WANG Liang(Xianyang Rainbow Hospital,Xianyang 712000;Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China)
出处
《临床医学研究与实践》
2021年第16期119-121,共3页
Clinical Research and Practice
关键词
腹腔镜手术
小儿急性化脓性阑尾炎
应激反应
laparoscopic surgery
acute suppurative appendicitis in children
stress response
