术中腹腔冲洗治疗急性化脓性阑尾炎的研究  

Intraoperative Intraperitoneal Irrigation in the Treatment of Acute Suppurative Appendicitis

作　　者：肖建东[1] Xiao Jian-dong(Department of General Surgery,People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian,350000,China)

机构地区：[1]福建中医药大学附属人民医院普外科,福建福州350000

出　　处：《黑龙江医学》2023年第16期1951-1953,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨术中腹腔冲洗治疗急性化脓性阑尾炎的效果,为临床上对急性化脓性阑尾炎的手术治疗效果提升提供经验。方法:选取2018年6月—2020年6月福建中医药大学附属人民医院普外科收治的100例急性化脓性阑尾炎患者作为研究对象,采用随机数表法分为对照组和研究组,每组各50例。对照组术中不行腹腔冲洗,研究组术中行腹腔冲洗,记录两组患者术后首次排气时间、手术时间、住院时间及术后并发症发生情况;观察术前、术后3 d的白细胞计数、超敏C-反应蛋白(high-sensitivity C-reactive protein,hsCRP)及降钙素原(procalcitonin,PCT)情况。结果:两组患者术后首次排气时间、住院时间比较,差异有统计学意义(t=3.197、3.500,P<0.05);两组患者白细胞计数、hsCRP、PCT比较,研究组均优于对照组,差异有统计学意义(t=-2.736、-2.077、-2.460,P<0.05)。结论:在急性化脓性阑尾炎腹腔镜手术中行腹腔冲洗,能够控制炎症因子及促进胃肠功能恢复,缩短住院时间,提高治疗效果。Objective:To explore the effectiveness of intraoperative abdominal irrigation in the treatment of acute suppurative appendicitis and to provide clinical experience in improving the effectiveness of surgical treatment of acute suppurative appendicitis.Methods:100 patients with acute suppurative appendicitis admitted to the hospital from June 2018 to June 2020 were selected for the study and were divided into control group and study group using the random number table method,with 50 cases in each group.No intraoperative abdominal irrigation was performed in the control group and intraoperative abdominal irrigation was performed in the study group.The time of first postoperative venting,operation time,hospital stay and the occurrence of postoperative complications were recorded in both groups.The white blood cell count,high-sensitivity C-reactive protein(hsCRP)and procalcitonin(PCT)were observed preoperatively and 3 d postoperatively.Results:There was a statistically significant difference in the time to first postoperative venting and hospital stay between the two groups(t=3.197,3.500,P<0.05).The white blood cell count,hsCRP,and PCT were better in the study group than in the control group,and the differences were statistically significant(t=-2.736,-2.077,-2.460,P<0.05).Conclusion:Peritoneal irrigation during laparoscopic surgery for acute suppurative appendicitis can control inflammatory factors,promote recovery of gastrointestinal function,reduce hospitalization and improve treatment effect.

关 键 词：急性化脓性阑尾炎 腹腔冲洗 腹腔镜手术 术后并发症 炎症指标 

分 类 号：R656.8[医药卫生—外科学]