单纯修补术与胃大部切除术治疗急性胃穿孔的效果  

Effect of Simple Repair and Subtotal Gastrectomy in the Treatment of Acute Gastric Perforation

作　　者：徐宝康 XU Baokang(Wuyishan Municipal Hospital,Wuyishan 354300,China)

机构地区：[1]武夷山市立医院,福建武夷山354300

出　　处：《中外医学研究》2023年第32期35-38,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析比较单纯修补术与胃大部切除术治疗急性胃穿孔的临床效果。方法:选取2021年7月—2022年8月武夷山市立医院接收的86例急性胃穿孔患者为研究对象,根据随机数表法分为对照组(胃大部切除术治疗)、观察组(单纯修补术治疗),各43例。比较两组疗效、围手术期指标、胃肠功能恢复情况、并发症发生率及复发率。结果:观察组总有效率高于对照组,差异有统计学意义(P<0.05)。观察组手术时间、开始进食时间、肛门排气时间、术后下床活动时间及住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组血清胃泌素水平高于对照组,肠鸣音恢复时间早于对照组,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);观察组复发率为5.00%(2/40),高于对照组的3.13%(1/32),但组间比较,差异无统计学意义(χ^(2)=0.039,P=0.843)。术前,两组健康调查简表(SF-36)各项评分比较,差异无统计学意义(P>0.05);术后,两组SF-36各项评分均高于术前,观察组各项评分均高于对照组,差异有统计学意义(P<0.05)。结论:采用单纯修补术治疗急性胃穿孔可有效减轻患者损伤,缩短治疗时间,促进胃肠功能恢复,且并发症少,有效缩短患者住院时间,提高其生活质量,治疗时需综合评估患者病情,选择合适手术进行治疗。Objective:To analyze and compare the effect of simple repair and subtotal gastrectomy in the treatment of acute gastric perforation.Method:A total of 86 patients with acute gastric perforation admitted to Wuyishan Municipal Hospital from July 2021 to August 2022 were selected as the study objects,and divided into control group(subtotal gastrectomy treatment)and observation group(simple repair treatment)according to random number table method,with 43 cases in each group.The efficacy,perioperative indexes,gastrointestinal function recovery,complication rate and recurrence rate of the two groups were compared.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The operation time,feeding time,anal exhaust time,getting out of bed time and hospitalization time in observation group were shorter than those in control group,and the intraoperative blood loss was less than that in control group,the differences were statistically significant(P<0.05).The level of serum gastrin in the observation group was higher than that in the control group,and the recovery time of intestinal ringing was earlier than that in the control group,the differences were statistically significant(P<0.05).The complication rate of observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The recurrence rate of observation group was 5.00%(2/40),which was higher than 3.13%(1/32)of control group,but there was no significant difference between groups(X^(2)=0.039,P=0.843).Before surgery,there were no significant differences in the MOS item short from health survey(SF-36)scores between the two groups(P>0.05).After surgery,the scores of SF-36 in both groups were higher than those before surgery,and the scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Simple repair in the treatment of acute gastric perforation c

关 键 词：单纯修补术 胃大部切除术 急性胃穿孔 疗效 胃肠功能 

分 类 号：R656.6[医药卫生—外科学]