CAJ | 학술논문

目的：老年胆囊炎胆结石是高发类疾病的一种，目前临床上并未研制出可靠的治疗方法，因而应加强对老年胆囊炎胆结石病症的分析与探讨力度，为后续医学领域的发展提供充足的理论依据。方法：选取2009年12月-2012年12月笔者所在医院收治的68例老年胆囊炎胆结石患者作为研究对象，随机将其分为手术治疗组和保守治疗组，每组34例。保守治疗组利用抗生素抗感染以及药物镇痛来帮助患者缓解痛苦，手术治疗组在保守治疗组基础上，采用手术。观察比较两组临床治疗效果、并发症发生情况以及病死情况。结果：手术治疗组患者的临床治疗总有效率显著高于保守治疗组，差异有统计学意义(字2=17.6471，P=0.0000)；手术治疗组患者的并发症发生率显著低于保守治疗组，差异有统计学意义(字2=4.2207，P=0.0399)。结论：相比传统的保守治疗方法，在治疗老年胆囊炎胆结石这类疾病上，手术治疗法的临床效果更为明显，患者的病死率和并发症率均能得到有效控制，在提高患者生活质量的同时，还保证了其生理和心理健康，是临床针对老年胆囊炎胆结石患者实施治疗的理想可靠选择。
목적：노년담낭염담결석시고발류질병적일충，목전림상상병미연제출가고적치료방법，인이응가강대노년담낭염담결석병증적분석여탐토력도，위후속의학영역적발전제공충족적이론의거。방법：선취2009년12월-2012년12월필자소재의원수치적68례노년담낭염담결석환자작위연구대상，수궤장기분위수술치료조화보수치료조，매조34례。보수치료조이용항생소항감염이급약물진통래방조환자완해통고，수술치료조재보수치료조기출상，채용수술。관찰비교량조림상치료효과、병발증발생정황이급병사정황。결과：수술치료조환자적림상치료총유효솔현저고우보수치료조，차이유통계학의의(자2=17.6471，P=0.0000)；수술치료조환자적병발증발생솔현저저우보수치료조，차이유통계학의의(자2=4.2207，P=0.0399)。결론：상비전통적보수치료방법，재치료노년담낭염담결석저류질병상，수술치요법적림상효과경위명현，환자적병사솔화병발증솔균능득도유효공제，재제고환자생활질량적동시，환보증료기생리화심리건강，시림상침대노년담낭염담결석환자실시치료적이상가고선택。
Objective:Senile cholecystitis calculi belong to one of the high incidence of diseases,at present has not developed the reliable clinical treatment.To further investigate and explore the reliable method of clinical effective treatment of elderly patients with cholecystitis and gallstones, so as to provide the related scientific basis for clinical practice and theoretical research.Method:68 patients with cholecystitis and gallstones in our hospital from December 2009 to December 2012 were selected as the research objects ,theye were randomly divided into the surgical treatment group and the conservative treatment group ,34 cases in each group.The conservative treatment group used antibiotic resistance to infection and drug analgesia to help patients relieve the pain,the surgical treatment group based on the conservative treatment group,by operation. Clinical curative effect, complications occurred and die situation of two groups were oberved and compared.Result:The total effective rate of the surgical treatment group was higher than that the conservative treatment group,the difference was statistically significant(χ2=17.6471,P=0.0000).The complication incidence rate of the surgical treatment group was lower than that the conservative treatment group,the difference was statistically significant(χ2=4.2207,P=0.0399). Conclusion:In clinical practice for elderly patients with cholecystitis and gallstones in the implementation of treatment, compared with the traditional conservative clinical treatment, the clinical effect of surgical treatment is significant, and the mortality and complication rates of patients can be effectively controlled.At the same time improve the life quality of patients, and ensure the physical and mental health.It is the ideal and reliable choice of treatment for clinical implementation for elderly patients with cholecystitis and cholelithiasis.