張文杰+劉文博
【摘要】 目的:探究不同手術(shù)方法應(yīng)用在急性胃穿孔患者治療中的臨床效果。方法:隨機(jī)選取2013年11月-2016年11月本院收治的96例急性胃穿孔患者作為觀察對(duì)象,依照治療方法的不同隨機(jī)分成觀察組與對(duì)照組,每組各48例。對(duì)照組選擇胃部分修補(bǔ)術(shù)治療,觀察組選擇單純穿孔修補(bǔ)術(shù)治療。結(jié)果:患者經(jīng)過手術(shù)治療后,觀察組患者的術(shù)中出血量、術(shù)后復(fù)發(fā)率以及住院時(shí)間等臨床指標(biāo)情況明顯優(yōu)于對(duì)照組(P<0.05);對(duì)照組的臨床治療總有效率為79.17%,而觀察組的臨床治療總有效率為95.83%,其中觀察組患者的臨床治療效果明顯的比對(duì)照組高(P<0.05)。結(jié)論:單純穿孔修補(bǔ)術(shù)應(yīng)用在急性胃穿孔患者治療中具有疾病復(fù)發(fā)率低、術(shù)后出血量少、住院時(shí)間短及并發(fā)癥少等優(yōu)勢(shì),可有效改善患者臨床癥狀,提高臨床療效與生活質(zhì)量,在臨床中值得廣泛推廣應(yīng)用。
【關(guān)鍵詞】 急性胃穿孔; 胃部分修補(bǔ)術(shù); 單純穿孔修補(bǔ)術(shù); 臨床療效
【Abstract】 Objective:To investigate the clinical effect of different surgical methods in the treatment of patients with acute gastric perforation.Method:96 cases with acute perforation of stomach were selected from November 2013 to November 2016 in our hospital as observation objects.According to the different treatment methods they were randomly divided into observation group and control group,48 patients in each group.Among them,the control group was treated with partial gastric repair,and the observation group was treated with simple perforation repair.Result:After surgical treatment,the patients with blood loss,postoperative recurrence rate,hospitalization time and other clinical indicators in observation group were significantly better than those of control group(P<0.05).The total efficiency rate in observation group was 95.83% higher than control group of 79.17%(P<0.05).Conclusion:The simple perforation repair with disease of low recurrence rate,postoperative bleeding,shorter hospitalization time and less complications in patients with acute gastric perforation treatment,can effectively improve the clinical symptoms,improve clinical efficacy and quality of life,worthy of wide application in clinic.
【Key words】 Acute gastric perforation; Partial repair of stomach; Simple perforation repair; Clinical efficacy
First-authors address:Central Hospital of Mudan District,Heze 274000,China
doi:10.3969/j.issn.1674-4985.2017.31.028
急性胃穿孔主要指的是十二指腸潰瘍的繼發(fā)性疾病,患者臨床癥狀主要包含四肢冰冷、面色蒼白、腹部放射性疼痛及呼吸加快等,對(duì)患者身心健康及日常生活產(chǎn)生了很大的影響,急性胃穿孔由于具有病死率高與起病急的特點(diǎn),已經(jīng)逐漸變成威脅人類健康與生命安全的疾病[1-2]。因此,臨床中及時(shí)采取有效措施對(duì)治療急性胃穿孔患者有至關(guān)重要的作用[3-4]。本研究中為了探究不同手術(shù)方法應(yīng)用在急性胃穿孔患者治療中的臨床效果,隨機(jī)選取2013年
11月-2016年11月本院收治的96例急性胃穿孔患者作為觀察對(duì)象,現(xiàn)對(duì)研究結(jié)果作如下匯報(bào)。
1 資料與方法
1.1 一般資料 本研究中隨機(jī)選取2013年
11月-2016年11月本院收治的96例急性胃穿孔患者作為觀察對(duì)象,依照治療方法的不同隨機(jī)分成觀察組與對(duì)照組,每組各48例。試驗(yàn)組中女25例,男23例;年齡為22~70歲,平均(45.7±2.3)歲;穿孔直徑為5~30 mm,平均直徑為(14.1±2.3)mm。對(duì)照組女19例,男21例;年齡為21~73歲,平均(45.2±1.8)歲;……