探讨急性胆囊炎合并糖尿病患者应用急诊手术治疗临床效果.docVIP

探讨急性胆囊炎合并糖尿病患者应用急诊手术治疗临床效果 　　[摘要] 目的 探讨分析急性胆囊炎合并糖尿病患者临床中接受急诊手术治疗的临床效果。 方法 对2012年8月―2015年12月该院的46例急性胆囊炎合并糖尿病患者进行了研究分析，将患者分组为实验组和对照组，两组都有23例患者，对照组采取了常规治疗措施，实验组采取了急诊手术治疗，比较两组的治疗效果、生活质量、并发症发生率等进行对比分析。 结果 对照组患者的临床治疗有效率是65.22%，实验组的治疗有效率是91.30%，实验组患者的生活质量评分和并发症几率和对照组差异有统计学意义（P0.05）。 结论 急性胆囊炎合并糖尿病患者临床中接受急诊手术治疗的效果比较突出，可以进行推广使用。 　　[关键词] 急性胆囊炎；糖尿病；急诊手术；治疗 　　[中图分类号] R657.4 [文献标识码] A [文章编号] 1672-4062（2017）05（a）-0026-02 　　Analysis of Clinical Effect of Emergency Treatment for Patients with Acute Cholecystitis Combined with Diabetes Mellitus 　　QIU Hai-tao 　　Surgical Department， Mudanjiang City Hospital of TCM， Mudanjiang， Heilongjiang Province， 157000 China 　　[Abstract] Objective This paper tries to investigate the clinical efficacy of emergency surgery for patients with acute cholecystitis combined with diabetes mellitus. Methods 46 cases of patients with acute cholecystitis combined with diabetes from August 2012 to December 2015 in this hospital were analyzed. The patients were divided into the control group and the experimental group， with 23 cases in each group. The control group received routine treatment， and the experimental group received emergency surgical treatment. The clinical therapeutic effects， life quality， incidence of complications of both groups were compared. Results The effective rate of the control group was 65.22% and that of the experimental group was 91.30%. There were statistically significant differences in the life quality and incidence of complications of patients between the experimental group and the control group （P0.05）. Conclusion Emergency treatment is effective in patients with acute cholecystitis combined with diabetes mellitus and it is worth popularization and application. 　　[Key words] Acute cholecystitis； Diabetes mellitus； Emergency operation； Treatment 　　现代人的生活水平有了很大的提升，饮食习惯发生了改变，急性胆囊炎合并糖尿病的临床发病率在增长，临床中对于该疾病的治疗有保守和手术两类[1]。急性胆囊炎视胆管堵塞，胆汁淤积，导致的细菌感染时间，该疾病患者临床中会出现高热、恶心、呕吐等症状[3]。如果不及时的提供治疗措施，患者可能会有其他的并发症，常见的有胆瘘、黄疸、胆囊穿孔等。此次该院就急性胆囊炎合并糖