腹腔镜微创手术治疗胃穿孔患者的效果  

Effects of laparoscopic minimally invasive surgery in treatment of patients with gastric perforation

作　　者：黄智辉 HUANG Zhihui(The Second Department of Surgery of Dongxiang District People’s Hospital,Fuzhou 331800 Jiangxi,China)

机构地区：[1]东乡区人民医院外二科,江西抚州331800

出　　处：《中国民康医学》2021年第23期40-42,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察腹腔镜微创手术治疗胃穿孔患者的效果。方法:选取63例胃穿孔患者为研究对象,按照随机数字表法分为对照组(n=31)和观察组(n=32)。对照组采用开放性修补术治疗,观察组采用腹腔镜微创手术治疗。比较两组胃肠道功能恢复指标水平、胃电节律指标水平、胃泌素水平和疼痛评分。结果:观察组肛门排气时间、排便时间和肠鸣音恢复时间均短于对照组,差异有统计学意义(P<0.05);术后,两组正常慢波节律比、主频水平均高于术前,且观察组高于对照组,两组主功率、主频不稳定系数水平均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05);术后3 d,两组胃泌素水平均高于术前,且观察组高于对照组,两组视觉模拟评分量表(VAS)评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:腹腔镜微创手术治疗胃穿孔患者可缩短胃肠道功能恢复时间,改善胃电节律指标水平,提高胃泌素水平,以及降低VAS评分,优于开放性修补术治疗效果。Objective:To observe effects of laparoscopic minimally invasive surgery in treatment of patients with gastric perforation.Methods:63 patients with gastric perforation were selected as the res earch objects,and were divided into control group(n=31)and observation group(n=32)according to the random number table method.The control group was treated with open repair surgery,while the observation group was treated with laparoscopic minimally invasive surgery.The gastrointestinal function recovery time index levels,the gastric rhythm index level,the gastrin level and the pain score were compared between the two groups.Results:The anal exhaust time,the defecation time and the bowel sound recovery time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).After the surgery,the normal slow-wave rhythm ratio and the main frequency leve l of the two groups were higher than those before the surgery,and those of the observation group were higher than those of the control group;the main power and the main frequency instability coefficient levels of the two groups were lower than those before the surgery,and those of observation group were lower those of the control group;and the differences were statistically significant(P<0.05).3 days after the surgery,the gastrin levels of the two groups were higher than those before the surgery,and that of the observation group was higher than that of the control group;the visual analogue scale(VAS)scores of the two groups were lower than those before the surgery,that of the observation group was s lower than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:Laparoscopic minimally invasive surgery for the patients with gastric perforation can shorten the gastrointestinal function recovery time,improve the levels of gastric rhythm indicators,increase the gastrin level,and reduce the VAS score.Moreover,it is superior to open repair sur gery.

关 键 词：腹腔镜 微创手术 胃穿孔 胃电节律 胃泌素 VAS评分 

分 类 号：R656.6[医药卫生—外科学]