腹腔镜手术在老年急腹症患者早期治疗中的临床价值(1)
【摘要】 目的：评价腹腔镜手术在老年急腹症患者早期治疗中的应用效果。方法：选取本院2013年
5月-2014年3月收治的120例急腹症患者作为研究对象，按照随机数字表法将其分为对照组和观察组，每组60例。两组患者均给予基础药物治疗，对照组在此基础上采用传统手术方法治疗，观察组在此基础上实施腹腔镜手术治疗，观察比较两组患者的手术治疗效果。结果：经治疗后，观察组患者的治疗总有效率96.7%明显高于对照组的80.0%，体温恢复、腹痛消失、肛门排便、腹胀消失时间、手术时间及住院时间均明显短于对照组，术中出血量明显少于对照组，护理满意率88.3%明显高于对照组的71.7%，并发症发生率5.0%明显低于对照组的30.0%，比较差异均有统计学意义(P<0.05)。结论：腹腔镜手术用于治疗老年急腹症患者，微创且安全，确诊率高，治疗效果显著，值得临床推广
【关键词】 腹腔镜手术； 老年急腹症； 早期治疗
, http://www.100md.com The Clinical Value of Laparoscopic Operation in the Early Treatment of Elderly Patients with Acute Abdomen/ZENG Fan-zeng，ZHONG Zhi-qiang，ZHU Qiang. //Medical Innovation of China，2015，12(26)：062-065
【Abstract】 Objective：To evaluate the application effect of laparoscopic operation in the early treatment of elderly patients with acute abdomen.Method：120 patients with acute abdomen admitted to our hospital from May 2013 to March 2014 were selected as research objects，they were divided into the control group and the observation group according to the random number table method，60 cases in each group.The two groups were given basis drug treatment，the control group was given traditional operation method for treatment on the basis of basis drug treatment，the observation group was given laparoscopic operation for treatment on the basis of basis drug treatment.The surgical treatment effect between the two groups were observed and compared.Result：After treatment，the total effective rate of the observation group was 96.7%，which was significantly higher than 80.0% of the control group，the times of body temperature recovery，abdominal pain，defecation，abdominal distension disappeared，operation time and hospitalization time in the observation group were significantly shorter than those in the control group，the intraoperative blood loss was significantly less than the control group，the nursing satisfaction rate of the observation group(88.3%) was significantly higher than 71.7% of the control group，the complication rate of the observation group (5.0%) was significantly lower than 30.0% of the control group，the differences were statistically significant(P<0.05).Conclusion：Laparoscopic operation for the treatment of elderly patients with acute abdomen is minimally invasive and safety，with high diagnosis rate，the treatment effect is significant，is worthy of clinical promotion.
【Key words】 Laparoscopic operation； Elderly acute abdomen； Early treatment
First-author’s address：The Third People’s Hospital of Meizhou City，Meizhou 514021，China, 百拇医药(曾繁增 钟志强 朱蔷)
5月-2014年3月收治的120例急腹症患者作为研究对象，按照随机数字表法将其分为对照组和观察组，每组60例。两组患者均给予基础药物治疗，对照组在此基础上采用传统手术方法治疗，观察组在此基础上实施腹腔镜手术治疗，观察比较两组患者的手术治疗效果。结果：经治疗后，观察组患者的治疗总有效率96.7%明显高于对照组的80.0%，体温恢复、腹痛消失、肛门排便、腹胀消失时间、手术时间及住院时间均明显短于对照组，术中出血量明显少于对照组，护理满意率88.3%明显高于对照组的71.7%，并发症发生率5.0%明显低于对照组的30.0%，比较差异均有统计学意义(P<0.05)。结论：腹腔镜手术用于治疗老年急腹症患者，微创且安全，确诊率高，治疗效果显著，值得临床推广
【关键词】 腹腔镜手术； 老年急腹症； 早期治疗
, http://www.100md.com The Clinical Value of Laparoscopic Operation in the Early Treatment of Elderly Patients with Acute Abdomen/ZENG Fan-zeng，ZHONG Zhi-qiang，ZHU Qiang. //Medical Innovation of China，2015，12(26)：062-065
【Abstract】 Objective：To evaluate the application effect of laparoscopic operation in the early treatment of elderly patients with acute abdomen.Method：120 patients with acute abdomen admitted to our hospital from May 2013 to March 2014 were selected as research objects，they were divided into the control group and the observation group according to the random number table method，60 cases in each group.The two groups were given basis drug treatment，the control group was given traditional operation method for treatment on the basis of basis drug treatment，the observation group was given laparoscopic operation for treatment on the basis of basis drug treatment.The surgical treatment effect between the two groups were observed and compared.Result：After treatment，the total effective rate of the observation group was 96.7%，which was significantly higher than 80.0% of the control group，the times of body temperature recovery，abdominal pain，defecation，abdominal distension disappeared，operation time and hospitalization time in the observation group were significantly shorter than those in the control group，the intraoperative blood loss was significantly less than the control group，the nursing satisfaction rate of the observation group(88.3%) was significantly higher than 71.7% of the control group，the complication rate of the observation group (5.0%) was significantly lower than 30.0% of the control group，the differences were statistically significant(P<0.05).Conclusion：Laparoscopic operation for the treatment of elderly patients with acute abdomen is minimally invasive and safety，with high diagnosis rate，the treatment effect is significant，is worthy of clinical promotion.
【Key words】 Laparoscopic operation； Elderly acute abdomen； Early treatment
First-author’s address：The Third People’s Hospital of Meizhou City，Meizhou 514021，China, 百拇医药(曾繁增 钟志强 朱蔷)