CAJ | 학술논문

目的：分析老年急腹症患者的手术治疗效果。方法选择2011年1月~2012年12月在揭阳市揭东区人民医院治疗的老年急腹症患者180例作为研究对象，按随机和自愿原则分为两组，其中实验组90例患者采取外科手术治疗，对照组90例患者单纯进行保守治疗，整个疗程观察期为3个月。观察并比较两组患者临床症状改善情况、不良反应发生频率和严重程度，分析评价两种手段对于老年急腹症的临床疗效。结果实验组治愈率(87.5%)明显高于对照组(70.7%)，差异有统计学意义(P<0.05)。实验组总有效率(96.7%)明显高于对照组(87.8%)，差异有统计学意义(P<0.05)。两组不良反应发生情况差异无统计学意义(P>0.05)。结论外科手术是治疗老年急腹症的有效途径，但因老年急腹症患病类型多因此要对其加倍重视，建议按需给予及时、准确、有效的手术治疗。
목적：분석노년급복증환자적수술치료효과。방법선택2011년1월~2012년12월재게양시게동구인민의원치료적노년급복증환자180례작위연구대상，안수궤화자원원칙분위량조，기중실험조90례환자채취외과수술치료，대조조90례환자단순진행보수치료，정개료정관찰기위3개월。관찰병비교량조환자림상증상개선정황、불량반응발생빈솔화엄중정도，분석평개량충수단대우노년급복증적림상료효。결과실험조치유솔(87.5%)명현고우대조조(70.7%)，차이유통계학의의(P<0.05)。실험조총유효솔(96.7%)명현고우대조조(87.8%)，차이유통계학의의(P<0.05)。량조불량반응발생정황차이무통계학의의(P>0.05)。결론외과수술시치료노년급복증적유효도경，단인노년급복증환병류형다인차요대기가배중시，건의안수급여급시、준학、유효적수술치료。
Objective To analyze the operation treatment effect of elderly patients with acute abdomen. Methods 180 cases of elderly patients from January 2011 to December 2012 in the People's Hospital in Jiedong District of Jieyang City with acute abdomen were selected as the research object and randomly divided into two groups, 90 patients in ex-periment group were treated with surgical operation, 90 patients in control group were treated with conservative treat-ment, the observation period were 3 months. The clinical symptoms improvement, frequency and severity of adverse re-action in the two groups were observed and compared. The operation treatment effect of elderly patients with acute ab-domen was analyzed. Results The cure rate in experiment group (87.5%) was higher than that in control group (70.7%), the difference was statistically significant (P< 0.05). The total effective rate in experiment group (96.7%) was higher than that in control group (87.8%), the difference was statistically significant (P< 0.05). The difference of adverse re-actions between the two groups was not statistically significant (P>0.05). Conclusion Surgical operation is an effective way to treat the elderly acute abdomen, it is right to pay attention to the different disease types of elderly acute ab-domen, and give timely, accurate, effective operation treatment according to requirement.