完全腹膜外修补术治疗切口疝的临床效果及对患者动脉血气指标的影响  

Clinical effect of complete extraperitoneal repair in the treatment of incisional hernia and its influences on arterial blood gas indexes of patients

作　　者：马成云 王嘉毅[1] 李少华[1] 秦兴昌 MA Chengyun;WANG Jiayi;LI Shaohua;QIN Xingchang(Anyang People's Hospital,Anyang 455100,China)

机构地区：[1]安阳市人民医院,河南安阳455100

出　　处：《临床医学研究与实践》2022年第27期74-76,共3页Clinical Research and Practice

摘　　要：目的探究完全腹膜外修补术治疗切口疝的临床效果及对患者动脉血气指标的影响。方法选取本院2019年6月至2020年12月收治的84例切口疝患者为本次研究对象,遵循数字随机法将其分为参照组(n=42)和研究组(n=42)。参照组开展开放式切口疝修补术,研究组开展完全腹膜外修补术。比较两组患者的手术及康复指标、不良反应发生情况、动脉血气指标、炎症因子水平。结果研究组的手术时间、术后肠蠕动恢复时间、住院时间短于参照组,术中出血量少于参照组(P<0.05)。研究组的不良反应总发生率为4.76%,低于参照组的19.05%(P<0.05)。术后1 d,研究组的动脉血酸碱度(pH)、动脉血氧饱和度(SaO_(2))、动脉血氧分压(PaO_(2))高于参照组,动脉血二氧化碳分压(PaCO_(2))低于参照组(P<0.05)。术后1 d,研究组的超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)水平低于参照组(P<0.05)。结论完全腹膜外修补术治疗切口疝可改善患者的手术及康复指标,降低不良反应发生率,改善患者的动脉血气指标、炎性因子水平。Objective To investigate the clinical effect of complete extraperitoneal repair in the treatment of incisional hernia and its influences on arterial blood gas indexes of patients.Methods Eighty-four patients with incisional hernia admitted in our hospital from June 2019 to December 2020 were selected as the objects of this study.The patients were divided into reference group(n=42)and study group(n=42)according to the digital randomization method.The reference group performed open incisional hernia repair and the study group performed complete extraperitoneal repair.The indexes of operation and rehabilitation,adverse reactions,arterial blood gas indexes and inflammatory factors levels were compared between the two groups.Results The operation time,postoperative intestinal peristalsis recovery time and hospitalization time in the study group were shorter than those in the reference group,and the intraoperative bleeding volume was less than that in the reference group(P<0.05).The total incidence of adverse reactions in the study group was 4.76%,which was lower than 19.05%in the reference group(P<0.05).One day after operation,the arterial blood pH,arterial oxygen saturation(SaO_(2))and arterial partial pressure of oxygen(PaO_(2))in the study group were higher than those in the reference group,and the arterial partial pressure of carbon dioxide(PaCO_(2))was lower than that in the reference group(P<0.05).One day after operation,the levels of high-sensitivity C-reactive protein(hs-CRP),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and interleukin-8(IL-8)in the study group were lower than those in the control group(P<0.05).Conclusion Complete extraperitoneal repair in the treatment of incisional hernia can improve the operation and rehabilitation indexes of patients,reduce the incidence of adverse reactions,and improve the arterial blood gas indexes and inflammatory factor levels of patients.

关 键 词：完全腹膜外修补术 切口疝 开放式切口疝修补术 炎性因子 血气指标 

分 类 号：R656.2[医药卫生—外科学]