摘要
目的探讨腹腔镜治疗急性阑尾炎术后肠梗阻对创伤程度以及住院时间的影响。方法回顾性分析80例急性阑尾炎术后并发肠梗阻者的临床资料,按手术方式分成腹腔镜组(n=40)、开腹组(n=40)。对比两组患者手术前后的创伤应激指标[皮质醇(Cor)、去甲肾上腺素(NE)、肾上腺素(E)]、围术期指标及术后并发症。结果腹腔镜组术后1d与术后3d的血清Cor、NE、E指标水平均低于对照组(P<0.05);腹腔镜组患者各围术期指标优于开腹组(P<0.05);腹腔镜组术后并发症总发生率低于对照组(P<0.05)。结论急性阑尾炎术后伴发肠梗阻患者,应用腹腔镜手术的治疗方式,可以减轻患者机体创伤程度,缩短患者住院时间,降低术后并发症发生率。
Objective To explore the effect of laparoscopic treatment on trauma degree and length of stay of acute appendicitis patients with postoperative intestinal obstruction.Methods The paper reviewed and analyzed clinical data of 80 acute appendicitis patients with postoperative intestinal obstruction,and divided them into the laparoscopic group(n=40)and the laparotomy group(n=40)according to surgical methods.Trauma stress indicators[cortisol(Cor),norepinephrine(NE),adrenaline(E)],perioperative indicators,and postoperative complications were compared between two groups before and after surgery.Results The serum Cor,NE,and E levels in the laparoscopic group were lower than the laparotomy group on day 1 and 3 after surgery,(P<0.05).Perioperative indicators of the laparoscopic group were better than the laparotomy group(P<0.05).Overall incidence of postoperative complications in the laparoscopic group was lower than the laparotomy group(P<0.05).Conclusion Laparoscopic surgery can reduce physical trauma degree,shorten lenth of stay,and lower incidence of postoperative complications of acute appendicitis patients with postoperative intestinal obstruction.
作者
舒苗江
钟振威
邱培才
利民
SHU Miaojiang;ZHONG Zhenwei;QIU Peicai;LI Min(Dongguan City Songshan Lake Central Hospital,Dongguan,Guangdong 523000)
出处
《智慧健康》
2024年第29期105-107,111,共4页
Smart Healthcare
关键词
急性阑尾炎
手术治疗
肠梗阻
腹腔镜
创伤应激
住院时间
Acute appendicitis
Surgical treatment
Intestinal obstruction
Laparoscope
Traumatic stress
Length of stay
