腹腔镜手术治疗粘连性不全性肠梗阻的临床效果  

Clinical Effect of Laparoscopic Operation in the Treatment of Adhesive Incomplete Intestinal Obstruction

作　　者：陈士彬[1] 刘宝军[1] 任卫宁 郑亚珍[1] Chen Shi-bin;Liu Bao-jun;Ren Wei-ning;Zheng Ya-zhen(Seventh People's Hospital of Hebei Province,Dingzhou 073000,Hebei Province,China)

机构地区：[1]河北省第七人民医院,河北定州073000

出　　处：《中外医药研究》2022年第10期6-8,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析腹腔镜手术治疗粘连性不全性肠梗阻的临床效果及对疼痛评分等的影响。方法:选取2018年1月-2022年1月河北省第七人民医院收治的粘连性不全性肠梗阻患者110例为观察对象,采用随机数字表法分为对照组与观察组,各55例。对照组给予开腹手术治疗,观察组给予腹腔镜手术治疗。比较两组手术治疗指标、治疗前后患者视觉模拟评分法(VAS)评分、超敏C反应蛋白及并发症发生率。结果:观察组切口长度、住院时间短于对照组,差异有统计学意义(P<0.05);治疗后,两组VAS评分、超敏C反应蛋白水平均降低,观察组VAS评分、超敏C反应蛋白低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:腹腔镜手术治疗粘连性不全性肠梗阻的效果确切,可缩短住院时间,缩短切口长度,可缓解疼痛和减轻炎性应激,减少并发症,加速康复。Objective:To analyze the clinical effect of laparoscopic operation for adhesive incomplete intestinal obstruction and the effect on pain scores and so on.Methods:110 patients with adhesive incomplete intestinal obstruction admitted to the Seventh People's Hospital of Hebei Province from January 2018 to January 2022 were selected as observation subjects,and were divided into control group and observation group,55 cases each,using the random number table method.The control group was given laparotomy treatment and the observation group was given laparoscopic operation treatment.The surgical treatment indexes,visual analog scale(VAS)scores,hypersensitive C-reactive protein and complication rates of patients before and after treatment were compared between the two groups.Results:The incision length and hospital stay in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).After treatment,VAS score and hypersensitive Creactive protein levels were reduced in both groups,and VAS score and hypersensitive C-reactive protein in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:laparoscopic operation for adhesive incomplete intestinal obstruction is effective,can shorten the hospitalization time and incision length,can relieve pain and reduce inflammatory stress,reduce complications and accelerate recovery.

关 键 词：腹腔镜手术 开腹手术 粘连性不全性肠梗阻 视觉模拟评分法 

分 类 号：R47[医药卫生—护理学]