当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
13期
55-55,56
,共2页
急性胆囊炎%老年患者%手术治疗%效果分析
急性膽囊炎%老年患者%手術治療%效果分析
급성담낭염%노년환자%수술치료%효과분석
Acute cholecystitis%Old patients%Operative treatment%Effect analysis
目的 研究和探讨急性胆囊炎老年患者实施药物治疗和开腹手术治疗的临床治疗效果,为日后临床诊断和治疗提供参考价值.方法 选择老年急性胆囊炎患者160例,选择药物治疗的A组患者80例,选择开腹手术治疗的B组患者80例,观察和分析2组患者治疗的效果.结果 A组患者抗生素服用时间(74.0±5.6)h,住院时间(15.2±2.3)d;B组患者抗生素服用时间(48.0±4.6)h,住院时间(6.7±1.7)d.A组患者治疗有效29例,一般38例,无效13例,临床治疗有效率为83.75%;B组患者手术治疗有效35例,一般39例,无效6例,临床治疗有效率为92.50%,且差异均有统计学意义(P<0.05).结论 使用开腹手术治疗老年急性胆囊炎的临床治疗有效率明显高于药物治疗,操作简单且风险较低,具有临床推广价值.
目的 研究和探討急性膽囊炎老年患者實施藥物治療和開腹手術治療的臨床治療效果,為日後臨床診斷和治療提供參攷價值.方法 選擇老年急性膽囊炎患者160例,選擇藥物治療的A組患者80例,選擇開腹手術治療的B組患者80例,觀察和分析2組患者治療的效果.結果 A組患者抗生素服用時間(74.0±5.6)h,住院時間(15.2±2.3)d;B組患者抗生素服用時間(48.0±4.6)h,住院時間(6.7±1.7)d.A組患者治療有效29例,一般38例,無效13例,臨床治療有效率為83.75%;B組患者手術治療有效35例,一般39例,無效6例,臨床治療有效率為92.50%,且差異均有統計學意義(P<0.05).結論 使用開腹手術治療老年急性膽囊炎的臨床治療有效率明顯高于藥物治療,操作簡單且風險較低,具有臨床推廣價值.
목적 연구화탐토급성담낭염노년환자실시약물치료화개복수술치료적림상치료효과,위일후림상진단화치료제공삼고개치.방법 선택노년급성담낭염환자160례,선택약물치료적A조환자80례,선택개복수술치료적B조환자80례,관찰화분석2조환자치료적효과.결과 A조환자항생소복용시간(74.0±5.6)h,주원시간(15.2±2.3)d;B조환자항생소복용시간(48.0±4.6)h,주원시간(6.7±1.7)d.A조환자치료유효29례,일반38례,무효13례,림상치료유효솔위83.75%;B조환자수술치료유효35례,일반39례,무효6례,림상치료유효솔위92.50%,차차이균유통계학의의(P<0.05).결론 사용개복수술치료노년급성담낭염적림상치료유효솔명현고우약물치료,조작간단차풍험교저,구유림상추엄개치.
Objective To provide reference value for clinical diagnosis and therapy in the future by researching and discussing the clinical treatment effects of drug therapy and laparotomy for old patients with acute cholecystitis.Methods The operative treatment effects of 160 cases from August 2008 to August 2014 of old patients with acute cholecystitis in Anhui Taihe County Lixing Central Health-center were observed and analysed. The cases were divided into two groups: Gruop A with 80 cases of drug therapy and Group B with 80 cases of laparotomy.Results In Group A, patients take antibiotic for (74.0±5.6)h and the length of stay is (15.2±2.3)d; in Group B, patients take antibiotic for (48.0±4.6)h and the length of stay is (6.7±1.7)d. In Group A, 29 cases are effective, 38 cases are common, 13 cases are ineffective and the effective rate of clinical treatment is 83.75%. In Group B, 35 cases are effective, 39 cases are common, 6 cases are ineffective and the effective rate of clinical treatment is 92.50%. Both groups have statistical signiifcance(P<0.05).Conclusion The effective rate of laparotomy is obviously higher than that of drug therapy. Besides, laparotomy is simple and at low risk. So it has clinical promotional value.
