临床医学工程
臨床醫學工程
림상의학공정
Clinical Medical & Engineering
2015年
11期
1422-1423
,共2页
临床观察%胃肠动力%胃穿孔%开腹修补术%腹腔镜修补术
臨床觀察%胃腸動力%胃穿孔%開腹脩補術%腹腔鏡脩補術
림상관찰%위장동력%위천공%개복수보술%복강경수보술
Clinical observation%Gastrointestinal motility%Gastric perforation%Open repair operation%Laparoscopic repair operation
目的 比较胃穿孔病人进行腹腔镜修补术和开腹修补术后胃肠动力的恢复情况. 方法 纳入我院2014年6月至2015年5月收治的胃穿孔病人80例, 根据随机数字表法分为研究组、 对照组, 每组40例, 研究组进行腹腔镜修补术, 对照组进行开腹修补术, 比较两组的手术时间、 住院时间、 肛门排气时间、 恢复肠鸣音时间等指标; 比较两组术后1 h、 术后24 h、 术后48 h、术后72 h的血清促胃液素水平. 结果 研究组的手术时间、 住院时间、 肛门排气时间、 恢复肠鸣音时间等指标显著优于对照组,差异有统计学意义 (P<0.05); 研究组术后1 h、 术后24 h、 术后48 h、 术后72 h的血清促胃液素水平显著高于对照组, 差异有统计学意义 (P<0.05). 结论 胃穿孔病人进行腹腔镜修补术, 术后胃肠动力恢复迅速, 临床效果确切, 值得临床推广.
目的 比較胃穿孔病人進行腹腔鏡脩補術和開腹脩補術後胃腸動力的恢複情況. 方法 納入我院2014年6月至2015年5月收治的胃穿孔病人80例, 根據隨機數字錶法分為研究組、 對照組, 每組40例, 研究組進行腹腔鏡脩補術, 對照組進行開腹脩補術, 比較兩組的手術時間、 住院時間、 肛門排氣時間、 恢複腸鳴音時間等指標; 比較兩組術後1 h、 術後24 h、 術後48 h、術後72 h的血清促胃液素水平. 結果 研究組的手術時間、 住院時間、 肛門排氣時間、 恢複腸鳴音時間等指標顯著優于對照組,差異有統計學意義 (P<0.05); 研究組術後1 h、 術後24 h、 術後48 h、 術後72 h的血清促胃液素水平顯著高于對照組, 差異有統計學意義 (P<0.05). 結論 胃穿孔病人進行腹腔鏡脩補術, 術後胃腸動力恢複迅速, 臨床效果確切, 值得臨床推廣.
목적 비교위천공병인진행복강경수보술화개복수보술후위장동력적회복정황. 방법 납입아원2014년6월지2015년5월수치적위천공병인80례, 근거수궤수자표법분위연구조、 대조조, 매조40례, 연구조진행복강경수보술, 대조조진행개복수보술, 비교량조적수술시간、 주원시간、 항문배기시간、 회복장명음시간등지표; 비교량조술후1 h、 술후24 h、 술후48 h、술후72 h적혈청촉위액소수평. 결과 연구조적수술시간、 주원시간、 항문배기시간、 회복장명음시간등지표현저우우대조조,차이유통계학의의 (P<0.05); 연구조술후1 h、 술후24 h、 술후48 h、 술후72 h적혈청촉위액소수평현저고우대조조, 차이유통계학의의 (P<0.05). 결론 위천공병인진행복강경수보술, 술후위장동력회복신속, 림상효과학절, 치득림상추엄.
Objective To compare the recovery of gastrointestinal motility after laparoscopic repair and open operation for patients with gastric perforation. Methods 80 patients with gastric perforation treated in our hospital from June 2014 to May 2015 were selected and randomly divided into study group and control group, with 40 cases in each group. The study group adopted laparoscopic repair, while the control group adopted open operation. The operation time, hospitalization time, anus exhaust time, time of recovering bowel sound of two groups were compared; the levels of serum gastrin 1 h, 24 h, 48 h and 72 h after treatment of two groups were compared. Results The clinical indicators including operation time, hospitalization time, anus exhaust time, time of recovering bowel sound of the study group were significantly better than those of the control group (P<0.05). The levels of serum gastrin of the study group 1 h, 24 h , 48 h and 72 h after treatment were significantly higher than those of the control group (P<0.05). Conclusions For patients with gastric perforation, laparoscopic repair has an obvious effect in fast recovery of gastrointestinal motility, which is worthy of clinical promotion.
