糖尿病合并急性阑尾炎患者临床治疗方法及其治疗效果.docVIP

糖尿病合并急性阑尾炎患者临床治疗方法及其治疗效果 　　[摘要] 目的 分析糖尿病合并急性阑尾炎患者的临床治疗方法及其治疗效果。方法 2010年1月―2017年2月，于该院收治的糖尿病合并急性阑尾炎患者中选取90例，随机将其分为两组，传统开腹阑尾切除术为对照组手术方式，腹腔镜阑尾切除术为观察组手术方式，对比两组患者手术时间、术后随机血糖值、胃肠功能恢复时间、住院时间、排气时间以及并发症发生情况。结果 相对于对照组，观察组手术时间、胃肠功能恢复时间、住院时间以及排气时间更短，术后随机血糖值更低（P0.05）；观察组术后并发症发生率为2.22%，相较于对照组的20.00%更低。结论 相对于传统开腹阑尾切除术，采用腹腔镜阑尾切除术治疗糖尿病合并急性阑尾炎的效果显著，具有较高的手术安全性，且术后并发症发生率低，可推广。 　　[关键词] 糖尿病；急性阑尾炎；临床治疗方法；治疗效果 　　[中图分类号] R656.8 [文献标识码] A [文章编号] 1672-4062（2017）10（b）-0033-02 　　[Abstract] Objective To analyze the clinical treatment method and treatment effect of patients with diabetes and acute appendicitis. Methods 90 cases of patients with diabetes and acute appendicitis diagnosed in our hospital from January 2010 to February 2017 were selected and randomly divided into two groups， the control group used the traditional open appendectomy， while the observation group used the laparoscopic appendectomy， and the operation time， random blood glucose value after surgery， gastrointestinal function recovery time， length of stay and exhaust time and occurrence of complications were compared between the two groups. Results The operation time， gastrointestinal function recovery time， length of stay and exhaust time were shorter in the observation group， and the random blood glucose value after surgery was lower than that in the control group（P0.05）， and the incidence rate of postoperative complications in the observation group was lower than that in the control group（2.22% vs 20.00%）. Conclusion The effect of laparoscopic appendectomy is more obvious than that of the traditional open appendectomy is more obvious with higher operation safety and low incidence rate of complications after surgery， which can be promoted. 　　[Key words] Diabetes； Acute appendicitis； Clinical treatment method； Treatment effect 　　糖尿病是?R床上一种发病率较高的疾病，属于共同卫生问题的一种，急性阑尾炎属于一种常见的普外科疾病，糖尿病患者具有较高的频率合并急性阑尾炎出现[1-2]。以往临床上通常会选择传统开腹阑尾切除术对患者进行治疗，但是这种手术方式具有创伤大、术后并发症发生率高等诸多缺点，所以在临床应用过程中受到了较大限制。随着微创技术水平的不断提高，腹腔镜阑尾切除术被广泛应用于临床，该手术方式具有微创、手