CAJ | 학술논문

目的：比较不同手术时间对老年急性胆囊炎患者治疗效果的影响，为临床提供借鉴资料。方法：回顾性分析我院2008年1月至2013年9月收治的79例老年急性胆囊炎患者的临床资料，按照不同手术时间分为两组，发病72 h内手术的42例作为早期手术组，发病72 h后手术的37例作为延期手术组，比较分析两组的治疗效果。结果：早期手术组的治疗成功率为97．6％，延期手术组为91．9％，组间差异无统计学意义（P＞0．05）；早期手术组的手术时间明显短于延期手术组、术中出血量明显少于延期手术组、住院时间明显短于延期手术组，组间差异有统计学意义（P＜0．05），而两组的术后排气时间差异无统计学意义（P＞0．05）；早期手术组的并发症发生率为2．4％，延期手术组为18．9％，组间差异有统计学意义（P＜0．05）；早期手术组的住院费用明显少于延期手术组（P＜0．05）。结论：老年急性胆囊炎早期手术治疗能够获得更佳治疗效果，有利于患者的及早康复，是经济、有效的手术治疗方案。
목적：비교불동수술시간대노년급성담낭염환자치료효과적영향，위림상제공차감자료。방법：회고성분석아원2008년1월지2013년9월수치적79례노년급성담낭염환자적림상자료，안조불동수술시간분위량조，발병72 h내수술적42례작위조기수술조，발병72 h후수술적37례작위연기수술조，비교분석량조적치료효과。결과：조기수술조적치료성공솔위97．6％，연기수술조위91．9％，조간차이무통계학의의（P＞0．05）；조기수술조적수술시간명현단우연기수술조、술중출혈량명현소우연기수술조、주원시간명현단우연기수술조，조간차이유통계학의의（P＜0．05），이량조적술후배기시간차이무통계학의의（P＞0．05）；조기수술조적병발증발생솔위2．4％，연기수술조위18．9％，조간차이유통계학의의（P＜0．05）；조기수술조적주원비용명현소우연기수술조（P＜0．05）。결론：노년급성담낭염조기수술치료능구획득경가치료효과，유리우환자적급조강복，시경제、유효적수술치료방안。
Objective To compare the effects of different surgical time for the recovery of elderly patients with acute cholecystitis and provide reference for its clinical treatment. Methods Clinic data of 79 elderly patients with acute cholecystitis from January 2008 to September 2013 were analyzed retrospectively. Patients were divided into two groups according to different surgical time, 42 cases having surgery within 72 h as early surgery group, and 37 cases having surgery later than 72h as delayed surgery group then the curative effects of two groups were compared and analyzed. Results The success rate of early surgery group reached 97.6%, and that of delayed surgery group 91.9%, which showed no statistically significant difference (P > 0.05); with shorter operative time, less blood loss, shorter length of hospital stay and less medical cost, patients recovered better in early surgery group than those in delayed surgery group and there were statistically significant differences between two groups (P<0.05), while the postoperative discharge time of two groups had no significant difference (P>0.05).The complication rate of early surgery group was 2.4%, and that of delayed surgery group 18.9%, which indicated statistically significant difference (P<0.05). Conclusions Early surgical treatment for elderly patients with acute cholecystitis has a good therapeutic effect and is beneficial to the early rehabilitation of patients.