急性单纯性阑尾炎经保守治疗和手术治疗效果分析.docVIP

急性单纯性阑尾炎经保守治疗和手术治疗效果分析 　　[摘要]目的 探讨急性单纯性阑尾炎经保守治疗和手术治疗的临床效果。方法 选取我院2015年1月～2016年12月收治的130例急性单纯性阑尾炎患者进行研究，按随机数字表法分为两组，分别实施保守治疗（对照组65例）与手术治疗（观察组65例），对比两组临床疗效、抗生素使用时间、下床活动时间、住院时间、不良反应与复发情况。结果 临床总有效率观察组优于对照组，差异有统计学意义（P0.05）；术后随访6个月，观察组患者的复发率与对照组比较差异有统计学意义（P0.05）。结论 对急性单纯性阑尾炎患者实施手术治疗效果显著，有利于减少抗生素使用时间，且可促进患者及早康复，临床价值显著，值得推广应用。 　　[关键词]急性单纯性阑尾炎；保守治疗；手术治疗 　　[中图分类号] R656.8 [文献标识码] A [文章编号] 1674-4721（2017）10（c）-0021-03 　　Analysis of the effect of conservative treatment and surgical treatment of acute simple appendicitis 　　LI Zhen-kui 　　Department of General Surgery，Wan′an County People′s Hospital，Jiangxi Province，Wan′an 343800，China 　　[Abstract]Objective To investigate the clinical effect of conservative treatment and surgical treatment of acute simple appendicitis.Methods 130 patients with acute simple appendicitis were enrolled in our hospital from January 2015 to December 2016.The patients were divided into two groups according to the random number table method.The patients were treated with conservative treatment（65 cases in the control group） and Surgical treatment（observation group of 65 cases），compared the two groups of clinical efficacy，antibiotic use time，get out of bed activity time，length of stay，adverse reactions and recurrence.Results There was significant difference between the two groups in the total effective rate （P0.05）. fter 6 months follow-up，the recurrence of the patients in the observation group was statistically significant （P0.05）.There was significant difference between the control group and the control group （P0.05）.Conclusion The effect of surgical treatment on patients with acute appendicitis is significant，which is helpful to reduce the antibiotic use time and promote the early rehabilitation of patients.The clinical value is remarkable and worthy of popularization and application. 　　[Key words]Acute simple appendicitis；Conservative treatment；Surgical treatment 　　急性?@尾炎为临床上发病率较高的一种急腹症，该病主要是因阑尾腔梗阻后并发感染所致[1]。对于坏疽性阑尾炎及急性化脓性阑尾炎临床多采用阑尾切除术治疗；但对于急