单纯修补术联合术后药物治疗急性胃穿孔的效果  

Effect of simple repair combined with postoperative drugs therapy in the treatment of acute gastric perforation

作　　者：范新磊 FAN Xinlei(Department of General Surgery,Sanhe Hospital of Huiyang City,Huizhou,Guangdong,516200,China)

机构地区：[1]惠阳市三和医院普外科,广东惠州516200

出　　处：《当代医学》2023年第33期106-109,共4页Contemporary Medicine

摘　　要：目的探究单纯修补术联合术后药物治疗急性胃穿孔的效果。方法选取2020年10月至2021年10月惠阳市三和医院收治的60例急性胃穿孔患者作为研究对象,并根据治疗方式不同分为观察组与对照组,各30例。对照组行胃部分切除术,观察组行单纯修补术联合药物治疗,比较两组围手术指标、生命质量评分、临床疗效及并发症发生率。结果观察组术中出血量少于对照组,手术时间、住院时间、肠胃功能恢复时间、肛门排气时间均短于对照组,差异有统计学意义(P<0.05);观察组生理功能、社会功能、精神状态、身体状况评分均高于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为93.33%,高于对照组的70.00%,差异有统计学意义(P<0.05);观察组并发症发生率为10.00%,低于对照组的33.33%,差异有统计学意义(P<0.05)。结论单纯修补术联合术后药物治疗急性胃穿孔疗效确切,可改善患者生命质量,减少术中出血量,缩短患者手术时间、住院时间,促使肠胃功能尽快恢复,且可降低并发症发生率,有效弥补胃部分切除术的不足,值得临床推广应用。Objective To study the effect of simple repair combined with postoperative drugs therapy in the treatment of acute gastric perfora�tion.Methods A total of 60 patients with acute gastric perforation admitted to Sanhe Hospital of Huiyang City from October 2020 to October 2021 were selected as the research subjects,and they were divided into the observation group and the control group according to different treatment meth�ods,with 30 cases in each group.The control group underwent partial gastrectomy,and the observation group underwent simple repair combined with postoperative drugs therapy.The perioperative indexes,quality of life score,clinical efficacy and complication rate were compared between the two groups.Results The intraoperative blood loss in the observation group was less than that in the control group,and the operation time,hospital�ization time,gastrointestinal function recovery time and anal exhaust time were shorter than those in the control group,the differences were statisti�cally significant(P<0.05).The scores of physiological function,social function,mental state and physical condition in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the observa�tion group was 93.33%,which was higher than 70.00%in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 10.00%,which was lower than 33.33%in the control group,and the difference was statistically signifi�cant(P<0.05).Conclusion Simple repair combined with postoperative drugs therapy is effective in the treatment of acute gastric perforation,it can improve the quality of life of patients,reduce intraoperative blood loss,shorten the operation time and hospitalization time of patients,promote the re�covery of gastrointestinal function as soon as possible,reduce the incidence of complications,and effectively make up for the deficiency of partial

关 键 词：急性胃穿孔 单纯修补术 药物治疗 胃部分切除术 

分 类 号：R656.6[医药卫生—外科学]