中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
26期
62-65
,共4页
腹腔镜手术%老年急腹症%早期治疗
腹腔鏡手術%老年急腹癥%早期治療
복강경수술%노년급복증%조기치료
Laparoscopic operation%Elderly acute abdomen%Early treatment
目的：评价腹腔镜手术在老年急腹症患者早期治疗中的应用效果。方法：选取本院2013年5月-2014年3月收治的120例急腹症患者作为研究对象，按照随机数字表法将其分为对照组和观察组，每组60例。两组患者均给予基础药物治疗，对照组在此基础上采用传统手术方法治疗，观察组在此基础上实施腹腔镜手术治疗，观察比较两组患者的手术治疗效果。结果：经治疗后，观察组患者的治疗总有效率96.7%明显高于对照组的80.0%，体温恢复、腹痛消失、肛门排便、腹胀消失时间、手术时间及住院时间均明显短于对照组，术中出血量明显少于对照组，护理满意率88.3%明显高于对照组的71.7%，并发症发生率5.0%明显低于对照组的30.0%，比较差异均有统计学意义（P<0.05）。结论：腹腔镜手术用于治疗老年急腹症患者，微创且安全，确诊率高，治疗效果显著，值得临床推广。
目的：評價腹腔鏡手術在老年急腹癥患者早期治療中的應用效果。方法：選取本院2013年5月-2014年3月收治的120例急腹癥患者作為研究對象，按照隨機數字錶法將其分為對照組和觀察組，每組60例。兩組患者均給予基礎藥物治療，對照組在此基礎上採用傳統手術方法治療，觀察組在此基礎上實施腹腔鏡手術治療，觀察比較兩組患者的手術治療效果。結果：經治療後，觀察組患者的治療總有效率96.7%明顯高于對照組的80.0%，體溫恢複、腹痛消失、肛門排便、腹脹消失時間、手術時間及住院時間均明顯短于對照組，術中齣血量明顯少于對照組，護理滿意率88.3%明顯高于對照組的71.7%，併髮癥髮生率5.0%明顯低于對照組的30.0%，比較差異均有統計學意義（P<0.05）。結論：腹腔鏡手術用于治療老年急腹癥患者，微創且安全，確診率高，治療效果顯著，值得臨床推廣。
목적：평개복강경수술재노년급복증환자조기치료중적응용효과。방법：선취본원2013년5월-2014년3월수치적120례급복증환자작위연구대상，안조수궤수자표법장기분위대조조화관찰조，매조60례。량조환자균급여기출약물치료，대조조재차기출상채용전통수술방법치료，관찰조재차기출상실시복강경수술치료，관찰비교량조환자적수술치료효과。결과：경치료후，관찰조환자적치료총유효솔96.7%명현고우대조조적80.0%，체온회복、복통소실、항문배편、복창소실시간、수술시간급주원시간균명현단우대조조，술중출혈량명현소우대조조，호리만의솔88.3%명현고우대조조적71.7%，병발증발생솔5.0%명현저우대조조적30.0%，비교차이균유통계학의의（P<0.05）。결론：복강경수술용우치료노년급복증환자，미창차안전，학진솔고，치료효과현저，치득림상추엄。
Objective:To evaluate the application effect of laparoscopic operation in the early treatment of elderly patients with acute abdomen.Method:120 patients with acute abdomen admitted to our hospital from May 2013 to March 2014 were selected as research objects,they were divided into the control group and the observation group according to the random number table method,60 cases in each group.The two groups were given basis drug treatment,the control group was given traditional operation method for treatment on the basis of basis drug treatment,the observation group was given laparoscopic operation for treatment on the basis of basis drug treatment.The surgical treatment effect between the two groups were observed and compared.Result:After treatment,the total effective rate of the observation group was 96.7%, which was significantly higher than 80.0% of the control group,the times of body temperature recovery,abdominal pain,defecation,abdominal distension disappeared,operation time and hospitalization time in the observation group were significantly shorter than those in the control group,the intraoperative blood loss was significantly less than the control group,the nursing satisfaction rate of the observation group(88.3%) was significantly higher than 71.7% of the control group,the complication rate of the observation group (5.0%) was significantly lower than 30.0% of the control group, the differences were statistically significant(P<0.05).Conclusion:Laparoscopic operation for the treatment of elderly patients with acute abdomen is minimally invasive and safety,with high diagnosis rate,the treatment effect is significant, is worthy of clinical promotion.
