急性胃穿孔患者实施不同手术方法治疗的效果观察柏宋磊.docVIP

精品论文 参考文献 急性胃穿孔患者实施不同手术方法治疗的效果观察柏宋磊 湖南省岳阳市第一人民医院 414000 【摘 要】目的：探讨并观察急性胃穿孔患者实施不同手术方法治疗的效果。方法：回顾性分我院于2013年6月-2015年7月所收治的100例急性胃穿孔患者临床资料与治疗情况，基于手术方法的不同，将其划分为对照组和观察组，两组病例各是50例，其中对照组采取采取胃大部分切除术来予以治疗，观察组采取单纯修补术来予以治疗，对比观察两组患者术中与术后各参数指标以及治疗效果。结果：经治疗，观察组各参数指标明显要优于对照组，观察组治疗总有效率为94.0%，对照组治疗总有效率为78.0%，二者所存差异明显，具有统计学意义，即P＜0.05。结论：从本次研究所获结果来看，在急性胃穿孔临床治疗中借助于单纯修补术来予以治疗，不仅可加速患者的康复，获得良好治疗效果，同时还可缩短手术时间和住院时间，降低手术过程中出血量，在临床具有一定的推广价值以及应用价值。 【关键词】急性胃穿孔；治疗；胃大部分切除术；效果；单纯修补术 【 abstract 】 objective：to study and observe the implementation of different surgical treatment of patients with acute gastric perforation effect. Methods：a retrospective points in June 2013 - July，2015，100 cases of patients with acute gastric perforation treated by clinical data and treatment，according to the different surgical methods，can be divided into control group and observation group，two groups of cases is 50 cases each，including control group take takes most gastric resection to the treatment，the observation group take simple repairs to the treatment，observed two groups of patients with intraoperative and postoperative effect of various parameters and treatment. Results：after treatment，the parameter index of observation group was obviously better than control group and observation group treatment the total effective rate was 94.0%，control group total effective rate was 78.0%，the difference is obvious，statistically significant，P lt; 0.05. Conclusion：from the research results，in the clinical treatment of acute gastric perforation by simple repair to the treatment，not only can speed the recovery of the patients，good treatment effect，and can also shorten the operation time and hospital stay，reduce blood loss during operation，in has certain promotion value and clinical application value. 【 key words 】 acute gastric perforation；Treatment；Most of gastric resection；The effect；Simple repair 　随着人们生活水平的提高，在饮食结构上也发生了一定的改变，而这也造成一系列健康问题出现。在外科疾病中急性胃穿孔是一种比较常见疾病，一般可将其划分为溃疡穿孔、癌性穿孔以及外伤性穿孔这三种，若急性胃穿孔持续发展很容易造成出血、失血性休克或者弥漫性腹膜炎，威胁