急性复杂性阑尾炎发病高危因素  

Risk factors of acute complicated appendicitis

作　　者：成良栋 李春桥[1] 李世宽[1] CHENG Liang-dong;LI Chun-qiao;LI Shi-kuan(Qingdao University, Qingdao 266003, China)

机构地区：[1]青岛大学,山东青岛266003

出　　处：《临床医学研究与实践》2018年第6期106-107,共2页Clinical Research and Practice

摘　　要：目的通过对312例急性发作、已经病理确诊分型的阑尾炎患者的术前临床表现、术前化验进行回顾性分析,识别复杂性阑尾炎发病高危因素,及时鉴别单纯性或复杂性阑尾炎,正确选择合理的治疗方式。方法选取2011年5月至2016年8月在我院住院并行阑尾切除手术患者312例,根据术后病理,分为急性单纯性阑尾炎组和急性复杂性阑尾炎组,比较两组患者年龄、BMI、术前发病时间、术前呕吐、术前体温≥38℃的发热、术前应用抗生素发生率、白蛋白、白细胞(WBC)、中性粒细胞百分比、C-反应蛋白(CRP)等指标。结果两组患者的BMI、术前抗生素使用率比较,无显著差异(P>0.05);两组患者的性别分布、发病至入院时间、体温、WBC、中性粒细胞百分比、CRP、白蛋白、术前呕吐发生率、术前体温≥38℃的发生率比较,差异显著(P<0.05)。结论根据术前相关化验指标及呕吐、发热等症状,识别急性复杂性阑尾炎发病高危因素,及时鉴别阑尾炎类型,选取正确、合理的治疗方式。Objective To identify the high risk factors of complicated appendicitis,distinguish simple or complex appendicitis in time and select the proper treatment by retrospectively analyzing the preoperative clinical manifestations,preoperative tests of312cases of appendicitis patients.Methods From May2011to August2016,312patients hospitalized treatment for acute appendicitis with appendectomy in our department were enrolled.And they were divided into acute simple appendicitis group and acute complex appendicitis group according to the postoperative pathology.The age,BMI,preoperative onset time,preoperative vomiting,preoperative fever≥38℃,preoperative application of antibiotics,albumin,white blood cell(WBC),neutrophil percentage,C-reaction protein(CRP)were compared in the two groups.Results There were no significant differences in the BMI and preoperative application of antibiotics between the two groups(P>0.05);there were significant differences between the two groups in the sex distribution,preoperative onset time,body temperature,WBC,neutrophil percentage,CRP,albumin,the incidence of preoperative vomiting and preoperative body temperature≥38℃(P<0.05).Conclusion Identifying the risk factors of appendicitis according to preoperative laboratory tests and vomiting,fever and other symptoms,to select the correct and reasonable treatments.

关 键 词：复杂性阑尾炎 单纯性阑尾炎 发病高危因素 

分 类 号：R656.8[医药卫生—外科学]