胃穿孔微创术式对患者临床疗效及胃肠动力效果的分析  

Analysis of Clinical Efficacy and Gastrointestinal Motility of Patients with Gastric Perforation by Minimally Invasive Surgery

作　　者：孙轲 SUN Ke(The Second People's Hospital of Beizhen City,Beizhen 121308,China)

机构地区：[1]辽宁省北镇市第二人民医院,辽宁北镇121308

出　　处：《中国医药指南》2021年第22期35-36,共2页Guide of China Medicine

摘　　要：目的分析胃穿孔微创术式治疗方法对患者产生的疗效和对胃肠动力产生的影响。方法将2020年1月至2021年1月本院收治确诊胃穿孔患者中挑选100例患者纳入本次研究,分为两组,以信封抽取以保证公平,每组50例。对照患者接受开放性修补术式治疗,观察组患者则接受腹腔镜微创手术方法治疗。比较两组治疗效果。结果观察组患者的术中出血量、总住院时间以及总住院治疗费用明显少于对照组患者,手术治疗时间长于对照组患者,差异显著(P<0.05);观察组患者的术后初次排气时间、肠鸣音恢复正常时间以及术后初次下床活动时间均短于对照组患者,差异显著(P<0.05)。观察组患者在术后1、3、7 d的VAS评分均低于对照组(P<0.05)。结论在治疗胃穿孔患者中,与传统的开放式修复手术方法相比,腹腔镜微创术式的治疗效果最好,有助于患者在较短的时间内恢复良好的身体状态,并且腹腔镜微创术式治疗对患者的胃肠动力的影响较小,功能恢复也较为迅速,值得在临床上推广应用。Objective The experiment will explore the curative effect of minimally invasive treatment of gastric perforation on patients and its influence on gastrointestinal motility.Methods A total of 100 patients with gastric perforation admitted to our hospital from January 2020 to January 2021 were selected and included in this study.The 100 patients with gastric perforation were randomly divided into two groups,take the envelope to ensure fairness,with 50 cases in each group.Patients in the control group were treated with open repair,while patients in the observation group were treated with laparoscopic minimally invasive surgery.Compare the treatment effects of the two groups.Results The intraoperative blood loss,total hospitalization time and total hospitalization expenses of the patients in the observation group were significantly less than those in the control group,and the operation time was longer than that in the control group,with significant difference(P<0.05).The time of first exhaust after operation,the time of bowel sounds returning to normal and the time of first getting out of bed after operation in the observation group were shorter than those in the control group,with significant difference(P<0.05).The VAS scores of patients in the observation group were lower than those in the control group at 1,3,and 7 days after surgery(P<0.05).Conclusion In the treatment of patients with gastric perforation,compared with traditional open repair surgery,laparoscopic minimally invasive surgery has the best therapeutic effect,which helps patients recover to a good physical condition in a shorter time,and laparoscopic minimally Invasive surgical treatment has less impact on patients'gastrointestinal motility,and functional recovery is relatively rapid,which is worthy of clinical application.

关 键 词：胃穿孔 微创术 胃肠动力 治疗效果 

分 类 号：R57[医药卫生—消化系统]