摘要
目的探讨应用腹腔镜肠粘连松解术治疗粘连性肠梗阻的效果及对应激反应的影响。方法选取2021年2月—2023年2月莱西市第三人民医院收治的50例粘连性肠梗阻患者为研究对象,按照随机数表法分为两组,每组25例。对照组采用开腹肠粘连松解术治疗,观察组采用腹腔镜肠粘连松解术治疗。比较两组手术指标、术后康复指标、应激反应指标、术后并发症发生率。结果较之对照组,观察组术中出血量更少,手术时间、术后住院及肠功能恢复时间更短,术后疼痛评分更低,差异有统计学意义(P均<0.05);观察组的术后血清白细胞计数、C反应蛋白、白细胞介素-6水平均低于对照组,差异有统计学意义(P均<0.05);观察组并发症发生率为0,低于对照组的16.00%,差异有统计学意义(χ^(2)=4.348,P=0.037)。结论粘连性肠梗阻患者予以腹腔镜肠粘连松解术治疗,有助于降低手术创伤,避免术后并发症,减轻术后疼痛,抑制术后应激反应,缩短恢复时间。
Objective To explore the effectiveness of laparoscopic intestinal adhesiolysis in the treatment of adhesive intestinal obstruction and its impact on stress response.Methods A total of 50 patients with adhe⁃sive intestinal obstruction admitted to the Third People's Hospital of Laixi from February 2021 to February 2023 were selected as the research objects and divided into two groups according to the random table method,with 25 cases in each group.The control group was treated with open intestinal adhesion lysis,and the observa⁃tion group was treated with laparoscopic intestinal adhesion lysis.The surgical indexes,postoperative rehabilita⁃tion indexes,stress response indexes and incidence of postoperative complications were compared between the two groups.Results Compared with the control group,the observation group had less intraoperative blood loss,shorter operation time,postoperative hospital stay and intestinal function recovery time,and lower postoperative pain score,the differences were statistically significant(all P<0.05).The postoperative serum white blood cell count,C-reactive protein and interleukin-6 levels in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The incidence of complications in the ob⁃servation group was 0,which was lower than 16.00%in the control group,and the the differences were statisti⁃cally significant(χ^(2)=4.348,P=0.037).Conclusion Laparoscopic intestinal adhesiolysis for patients with adhe⁃sive intestinal obstruction can help reduce surgical trauma,lower the incidence of postoperative complications, alleviate postoperative pain, suppress postoperative stress reactions, and shorten recovery time.
作者
张友志
ZHANG Youzhi(Department of Surgery,Laixi Third People's Hospital,Qingdao,Shandong Province,266606 China)
出处
《世界复合医学》
2024年第1期152-155,共4页
World Journal of Complex Medicine
关键词
粘连性肠梗阻
腹腔镜
肠粘连松解术
应激反应
Adhesive intestinal obstruction
Laparoscopy
Intestinal adhesiolysis surgery
Stress response
