摘要
目的探讨采用腹腔镜手术治疗急性阑尾炎患者的临床效果。方法回顾性选择2020年1月至2022年1月来贵航贵阳医院治疗的80例急性阑尾炎患者,分为观察组与对照组,观察组采用腹腔镜手术治疗,对照组采用开腹手术治疗组,每组各40例。比较两组患者恢复情况、术后疼痛程度、炎症因子水平、术后并发症。结果观察组患者手术时长、排气时间、住院时长均比对照组短(P<0.001)。观察组患者术后24h、48h、72h疼痛程度评分均比对照组低(P<0.001)。两组患者术前的血清C反应蛋白(CRP)、白细胞介素-6(IL-6)、降钙素原(PCT)水平没有显著差异(P值均>0.05);两组患者手术后,CRP、IL-6、PCT水平均显著降低(P<0.05);且观察组患者术后的CRP、IL-6、PCT水平显著低于对照组(P值均<0.05)。观察组患者术后并发症发生率也显著低于对照组(P<0.05)。结论对于急性阑尾炎患者,腹腔镜手术有利于患者术后恢复,降低患者术后疼痛程度、减少炎症因子释放和术后并发症的发生。
Objective This study aimed to evaluate the clinical outcomes of laparoscopic surgery in patients with acute appendicitis.Methods A retrospective study was conducted on 80 patients,who was divided into the laparoscopic surgery group(observation group,n=40)and the open surgery group(control group,n=40).The study compared recovery status,postoperative pain levels,inflammatory factor levels,and the incidence of postoperative complications between the two groups.Results The findings revealed that the observation group had significantly shorter operation duration,faster time to first flatus,and shorter hospital stay compared to the control group(P<0.001).The pain scores recorded at 24,48,and 72 hours postoperatively were significantly lower in the observation group compared to the control group(P<0.001).There were no significant differences in CRP,IL-6,and PCT levels between the two groups before treatment(P>0.05).After treatment,both groups showed a significant increase in CRP,IL-6,and PCT levels(P<0.05);however,post-treatment levels of these markers were significantly lower in the observation group compared to the control group(P<0.05).The observation group experienced a significantly lower incidence of postoperative complications compared to the control group(P<0.05).Conclusion For patients with acute appendicitis,laparoscopic surgery is beneficial for postoperative recovery,reducing postoperative pain levels,decreasing the release of inflammatory factors,and lowering the incidence of postoperative complications.
作者
麻蛟蛟
MA Jiaojiao(Guihang Guiyang Hospital,Guiyang 550006,China)
出处
《中华灾害救援医学》
2024年第7期839-841,共3页
Chinese Journal of Disaster Medicine
关键词
阑尾炎
腹腔镜
止血
手术
疼痛
手术后
手术后并发症
appendicitis
laparoscopes
hemostasis,surgical
pain,postoperative
postoperative complications
