小切口阑尾切除术对急性阑尾炎合并糖尿病患者的临床疗效分析  

Analysis of the Clinical Effect of Small Incision Appendectomy in Patients with Acute Appendicitis and Diabetes

作　　者：刘万强 LIU Wan-qiang(Department of Surgery,Community Health Service Center,Gaoxin Street,Zouping,Shandong Province,256205 China)

机构地区：[1]山东省邹平市高新街道社区卫生服务中心外科,山东邹平256205

出　　处：《糖尿病新世界》2020年第17期47-48,51,共3页Diabetes New World Magazine

摘　　要：目的观察小切口阑尾切除术对急性阑尾炎合并糖尿病患者的临床疗效。方法选择2013年1月—2018年1月该院收治的急性阑尾炎合并糖尿病患者120例,将其分为试验组和对照组,各60例:试验组予以小切口阑尾切除术;对照组予以传统阑尾切除术。比较两组的手术时长、手术切口长度、术中出血量、术后排气时间、住院时长、围术期血糖、术后并发症和临床疗效。结果试验组患者的手术时长、手术切口长度、术中出血量、术后排气时间、住院时长、拔管即刻、术后1 h的空腹血糖、术后并发症发生率均显著低于对照组(P<0.05),总有效率显著高于对照组(P<0.05)。结论小切口阑尾切除术对急性阑尾炎合并糖尿病患者的临床疗效优于传统阑尾切除术,对患者造成的创伤小、患者血糖稳定、恢复快,并发症发生率低。Objective To observe the clinical efficacy of small incision appendectomy in patients with acute appendicitis and diabetes.Methods A total of 120 patients with acute appendicitis and diabetes who were admitted to the hospital from January 2013 to January 2018 were divided into a test group and a control group with 60 cases each:the test group received small incision appendectomy;the control group received traditional appendix cut.The operation time,surgical incision length,intraoperative blood loss,postoperative exhaust time,length of hospital stay,perioperative blood glucose,postoperative complications and clinical efficacy were compared between the two groups.Results The operation time,surgical incision length,intraoperative blood loss,postoperative exhaust time,length of hospital stay,immediate extubation,fasting blood glucose 1 h after operation,and postoperative complications rate of patients in the experimental group were significantly lower than those in the control group(P<0.05),the total effective rate was significantly higher than the control group(P<0.05).Conclusion The clinical efficacy of small incision appendectomy for patients with acute appendicitis and diabetes mellitus is better than that of traditional appendectomy.It causes less trauma,stable blood glucose,quick recovery,and low complication rate.

关 键 词：小切口阑尾切除术 传统阑尾切除术 急性阑尾炎 糖尿病 

分 类 号：R59[医药卫生—内科学]