小切口阑尾切除术对急性阑尾炎合并糖尿病患者的临床疗效分析(1)
[摘要] 目的 观察小切口阑尾切除术对急性阑尾炎合并糖尿病患者的临床疗效。方法 选择2013年1月—2018年1月该院收治的急性阑尾炎合并糖尿病患者120例，将其分为试验组和对照组，各60例：试验组予以小切口阑尾切除术;对照组予以传统阑尾切除术。比较两组的手术时长、手术切口长度、术中出血量、术后排气时间、住院时长、围术期血糖、术后并发症和临床疗效。结果 试验组患者的手术时长、手术切口长度、术中出血量、术后排气时间、住院时长、拔管即刻、术后1 h的空腹血糖、术后并发症发生率均显著低于对照组(P<0.05)，总有效率显著高于对照组(P<0.05)。结论 小切口阑尾切除术对急性阑尾炎合并糖尿病患者的临床疗效优于传统阑尾切除术，对患者造成的创伤小、患者血糖稳定、恢复快，并发症发生率低。
[关键词] 小切口阑尾切除术;传统阑尾切除术;急性阑尾炎;糖尿病
[中图分类号] R59 [文献标识码] A [文章编号] 1672-4062(2020)09(a)-0047-03
[Abstract] Objective To observe the clinical efficacy of small incision appendectomy in patients with acute appendicitis and diabetes. Methods A total of 120 patients with acute appendicitis and diabetes who were admitted to the hospital from January 2013 to January 2018 were divided into a test group and a control group with 60 cases each： the test group received small incision appendectomy; the control group received traditional appendix cut. The operation time， surgical incision length， intraoperative blood loss， postoperative exhaust time， length of hospital stay， perioperative blood glucose， postoperative complications and clinical efficacy were compared between the two groups. Results The operation time， surgical incision length， intraoperative blood loss， postoperative exhaust time， length of hospital stay， immediate extubation， fasting blood glucose 1 h after operation， and postoperative complications rate of patients in the experimental group were significantly lower than those in the control group(P<0.05)， the total effective rate was significantly higher than the control group (P<0.05). Conclusion The clinical efficacy of small incision appendectomy for patients with acute appendicitis and diabetes mellitus is better than that of traditional appendectomy. It causes less trauma， stable blood glucose， quick recovery， and low complication rate.
[Key words] Small incision appendectomy; Traditional appendectomy; Acute appendicitis; Diabetes
作為临床最常见的急腹症，急性阑尾炎的发生和发展被证实与细菌感染、阑尾管腔受阻、胃肠道疾病等因素密切相关，其发病率居高不下，进展迅速，临床上常规的治疗方案为阑尾切除术[1]。传统阑尾切除术由于所产生的手术创口大且会留下瘢痕、手术相关并发症多、术后恢复较慢等弊端而在临床应用中日益受限。随着医学界微创技术的迅猛发展和人民群众对手术切口在美观方面的需求不断增长，小切口阑尾切除术因具有创伤小、手术切口美观、术后恢复快等临床优势而受到医务工作者的广泛推崇[2]。该研究比较了小切口阑尾切除术和传统阑尾切除术对2013年1月—2018年1月该院收治的120例急性阑尾炎合并糖尿病患者的临床疗效，现报道如下。
1 对象与方法
1.1 研究对象
选择该院收治的急性阑尾炎合并糖尿病患者120例，其中男性68例，女性52例;年龄21～67岁。经医院伦理委员会批准，患者均知情同意参与研究。排除标准：①合并心血管、呼吸、血液系统、肝肾功能障碍。②合并精神疾病或认知障碍。③合并恶性肿瘤。④重度肥胖或腹壁脂肪厚度>4 cm的患者。将患者随机分为试验组和对照组：试验组60例，男34例，女26例;年龄23～67岁，平均(39.12±10.81)岁。对照组60例，男34例，女26例;年龄21～66岁，平均(38.87±10.01)岁。两组患者的年龄、性别比等差异无统计学意义(P>0.05)，具可比性。, http://www.100md.com(刘万强)
[关键词] 小切口阑尾切除术;传统阑尾切除术;急性阑尾炎;糖尿病
[中图分类号] R59 [文献标识码] A [文章编号] 1672-4062(2020)09(a)-0047-03
[Abstract] Objective To observe the clinical efficacy of small incision appendectomy in patients with acute appendicitis and diabetes. Methods A total of 120 patients with acute appendicitis and diabetes who were admitted to the hospital from January 2013 to January 2018 were divided into a test group and a control group with 60 cases each： the test group received small incision appendectomy; the control group received traditional appendix cut. The operation time， surgical incision length， intraoperative blood loss， postoperative exhaust time， length of hospital stay， perioperative blood glucose， postoperative complications and clinical efficacy were compared between the two groups. Results The operation time， surgical incision length， intraoperative blood loss， postoperative exhaust time， length of hospital stay， immediate extubation， fasting blood glucose 1 h after operation， and postoperative complications rate of patients in the experimental group were significantly lower than those in the control group(P<0.05)， the total effective rate was significantly higher than the control group (P<0.05). Conclusion The clinical efficacy of small incision appendectomy for patients with acute appendicitis and diabetes mellitus is better than that of traditional appendectomy. It causes less trauma， stable blood glucose， quick recovery， and low complication rate.
[Key words] Small incision appendectomy; Traditional appendectomy; Acute appendicitis; Diabetes
作為临床最常见的急腹症，急性阑尾炎的发生和发展被证实与细菌感染、阑尾管腔受阻、胃肠道疾病等因素密切相关，其发病率居高不下，进展迅速，临床上常规的治疗方案为阑尾切除术[1]。传统阑尾切除术由于所产生的手术创口大且会留下瘢痕、手术相关并发症多、术后恢复较慢等弊端而在临床应用中日益受限。随着医学界微创技术的迅猛发展和人民群众对手术切口在美观方面的需求不断增长，小切口阑尾切除术因具有创伤小、手术切口美观、术后恢复快等临床优势而受到医务工作者的广泛推崇[2]。该研究比较了小切口阑尾切除术和传统阑尾切除术对2013年1月—2018年1月该院收治的120例急性阑尾炎合并糖尿病患者的临床疗效，现报道如下。
1 对象与方法
1.1 研究对象
选择该院收治的急性阑尾炎合并糖尿病患者120例，其中男性68例，女性52例;年龄21～67岁。经医院伦理委员会批准，患者均知情同意参与研究。排除标准：①合并心血管、呼吸、血液系统、肝肾功能障碍。②合并精神疾病或认知障碍。③合并恶性肿瘤。④重度肥胖或腹壁脂肪厚度>4 cm的患者。将患者随机分为试验组和对照组：试验组60例，男34例，女26例;年龄23～67岁，平均(39.12±10.81)岁。对照组60例，男34例，女26例;年龄21～66岁，平均(38.87±10.01)岁。两组患者的年龄、性别比等差异无统计学意义(P>0.05)，具可比性。, http://www.100md.com(刘万强)