不同手术措施对急性阑尾炎患者预后影响分析.docVIP

不同手术措施对急性阑尾炎患者的预后影响分析 　　[摘要]目的 探讨不同手术措施对急性阑尾炎患者的预后影响。方法 回顾性分析我院2014年1月～2015年1月收治急性阑尾炎患者60例，根据患者手术方式不同分为术1组和术2组。术1组采取开腹手术措施；术2组采取腹腔镜手术措施。比较两组患者结束手术时间、平均失血量、术后恢复排气时间和进食时间、卧床时间、住院天数和镇痛药物使用率、不良症状发生率（统计腹腔脓肿、肠梗阻、切口感染等）。结果 术2组镇痛药物使用率、不良症状发生率低于术1组（P0.01）。术2组患者结束手术时间、平均失血量、术后恢复排气时间和进食时间、卧床时间、住院天数均少于术1组（P0.01）。结论 不同手术措施对急性阑尾炎患者的预后影响存在差异，其中，腹腔镜手术治疗效果优于开腹手术，体现在其微创性、操作简便性、低创伤性和术后快速康复特点，可有效减少并发症和镇痛药物的使用，值得推广。 　　[关键词]开腹手术；腹腔镜手术；急性阑尾炎患者；镇痛药物 　　[中图分类号] R656.1 [文献标识码] A [文章编号] 1674-4721（2016）09（b）-0022-03 　　[Abstract] Objective To explore the effect of different surgical methods on the prognosis of patients with acute appendicitis.Methods Retrospective analysis of 60 cases of acute appendicitis in our hospital from January 2014 to January 2015 were divided into two groups according to the operation method of the patients，1 group and 2 group.1 group was taken to open surgery measures；the 2 group was taken the measures of laparoscopic surgery.The operation time，average blood loss，postoperative recovery of exhaust and feeding time，bed time，length of stay，and analgesic use rate，and the incidence of adverse symptoms of the two groups were compared.Results The rate of use of analgesic drugs in 2 group，the incidence of adverse symptoms was lower than that of 1 group（P0.01）.Operation time，average blood loss，postoperative recovery of exhaust and feeding time，bed time and hospital stay in the 2 group were all less than that of 1 group（P0.01）.Conclusion There are differences in prognostic impact of different surgical methods for acute appendicitis patients.Among them，laparoscopic surgery is superior to laparotomy，reflecting in the minimally invasive，easy to operate，low trauma and postoperative rapid recovery characteristics，can effectively reduce the complications and analgesic drug use and is worthy to be popularized. 　　[Key words]Open surgery；Laparoscopic surgery；Acute appendicitis patients；Analgesic drugs 　　阑尾是结肠回盲部细长弯曲盲管，因阑尾管腔小，稍微出现堵塞、梗阻均可导致炎症反应，若就诊不及时，可从单纯性阑尾炎进一步发展为急性化脓性或坏疽性阑尾炎，可大大增