急性单纯性阑尾炎保守治疗和手术治疗效果  

Conservative and Surgical Treatment Effect of Acute Simple Appendicitis

作　　者：韩卫卫 蔡唯甦 邹德平 陈燕南 巢益群 HAN Weiwei;CAI Weisu;ZOU Deping;CHEN Yannan;CHAO Yiqun(Emergency Department,Changzhou City Cancer(the Fourth People's)Hospital,Changzhou,Jiangsu 213100)

机构地区：[1]常州市肿瘤(第四人民)医院急诊科,江苏常州213100

出　　处：《智慧健康》2024年第9期137-139,143,共4页Smart Healthcare

摘　　要：目的探究急性单纯性阑尾炎患者采取保守治疗及手术治疗临床效果的不同。方法选取2022年1—12月本院救治的60例急性单纯性阑尾炎患者进行研究分析,并按照随机分组法分为对照组(30例)与观察组(30例)。两组患者分别采取不同的治疗方式进行治疗,对照组患者给予保守治疗方式,即药物治疗,观察组患者采取手术方式进行治疗,对比两组患者的治疗效果。结果两组患者经两种方式治疗后,观察组患者的总有效率相较于对照组而言,组间差异有统计学意义(P<0.05);观察组患者经过手术治疗后,恢复情况较对照组来说明显较好,组间差异有统计学意义(P<0.05);观察组患者发生并发症情况比对照组患者并发症发生情况更少,组间差异有统计学意义(P<0.05)。结论急性单纯性阑尾炎患者通过手术治疗后的临床效果理想,明显好于保守治疗,治疗效果及并发症方面情况比保守治疗好,所以对于急性单纯性阑尾炎患者建议首选手术治疗,更能保证预后效果。Objective To explore difference in clinical outcomes of conservative treatment and surgical treatment for patients with acute simple appendicitis.Methods The paper chose 60 patients diagnosed with acute simple appendicitis met inclusion criteria in emergency department of Changzhou City Cancer Hospital from January 2022 to December 2022,and divided them into control group(30 cases)and observation group(30 cases)randomly,treated with different treatment methods.Control group was treated with conservative treatment,namely drug therapy,while observation group with surgical treatment.Results After two treatment methods,total effective rate of observation group was significantly higher than control group,with P<0.05.After surgical treatment,recovery of observation group was significantly better than control group,difference between the groups was statistically significant(P<0.05).Incidence of complications in observation group was lower than control group,with p-value of less than 0.05.Conclusion Surgical treatment can achieve ideal clinical outcomes for patients with acute simple appendicitis,which is significantly better than conservative treatment,with better curative effect and complications.Therefore,surgical treatment is recommended as the first choice for patients with acute simple appendicitis to ensure better prognosis.

关 键 词：急性单纯性阑尾炎 保守治疗 手术治疗 治疗效果 

分 类 号：R656.8[医药卫生—外科学]