内镜逆行性阑尾炎治疗在小儿阑尾炎中的应用价值  

Application value of endoscopic retrograde appendicitis therapy in pediatric appendicitis

作　　者：曾玲[1] ZENG Ling(Department of Gastroenterology,Ganzhou People's Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市人民医院消化内科,江西赣州341000

出　　处：《中国当代医药》2024年第17期26-29,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP220226450)。

摘　　要：目的探讨内镜逆行性阑尾炎治疗(ERAT)在小儿阑尾炎的应用价值。方法选取2021年1月至2022年6月赣州市人民医院收治的60例急性单纯性阑尾炎患儿为对象,按照随机数表法分为试验组(n=30)和对照组(n=30)。对照组行抗生素治疗,试验组行ERAT治疗。比较两组相关时间指标、并发症发生率、治疗前后白细胞水平。结果试验组的症状缓解时间、白细胞恢复时间、体温恢复时间、住院时间短于对照组,差异有统计学意义(P<0.05);两组的并发症总发生率比较,差异无统计学意义(P>0.05);试验组治疗后1 d的白细胞水平低于对照组,差异有统计学意义(P<0.05);试验组的复发率低于对照组,差异有统计学意义(P<0.05)。结论内镜逆行性阑尾炎治疗方案在小儿单纯性阑尾炎治疗中的应用对促进患儿症状快速缓解、缩短患儿住院时间等均有显著效果,可有效降低患儿复发率。Objective To explore the value of endoscopic retrograde appendicitistherapy(ERAT)in pediatric appendicitis.Methods A total of 60 children with acute simple appendicitis admitted to Ganzhou People's Hospital from January 2021 to June 2022 were selected as subjects,and they were divided into experimental group(n=30)and control group(n=30)according to random number table method.The control group received antibiotic treatment,while the experimental group received ERAT treatment.The relevant time indicators,incidence of complications,and white blood cell levels before and after treatment were compared between the two groups.Results Symptom relief time,white blood cell recovery time,body temperature recovery time and hospitalization time of test group were shorter than those of control group,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications between the experimental group and the control group(P>0.05).The leukocyte level of experimental group was lower than that of control group 1 day after treatment,and the difference was statistically significant(P<0.05).The recurrence rate of experimental group was lower than that of control group,and the difference was statistically significant(P<0.05).Conclusion The application of endoscopic retrograde appendicitis treatment scheme in the treatment of simple appendicitis in children has significant effects on promoting rapid remission of symptoms and shortening the hospital stay of children,and can effectively reduce the recurrence rate of children.

关 键 词：急性单纯性阑尾炎 抗生素 内镜逆行性阑尾炎治疗 时间指标 复发 

分 类 号：R656.1[医药卫生—急诊医学]