开腹手术治疗急性阑尾炎的效果研究

刘文献

【摘 要】目的：研究分析开腹手术治疗急性阑尾炎的效果。方法：纳入研究的对象均是急性阑尾炎患者，到院进行诊断和治疗的时间为2020年6月至2021年7月，共计病例数为50例，所有患者均施予开腹手术，观察分析手术情况和并发症发生情况，比较治疗前后患者情感职能、社会生存质量、生理健康评分情况。结果：50例患者通过开腹手术治疗，平均手术时间为（60.12±4.32） min，术后下床活动平均时间为（35.23±4.23）h，手术期间平均出血量为 （180.12±4.23）mL，平均住院时间（8.39±1.45）天。有5例出现并发症，并发症发生率为10.0%。和治疗前相比较，治疗后50例患者情感职能评分、社会生存质量评分、生理健康评分均明显升高，治疗前后各指标比较差异明显（P<0.05）。结论：在急性阑尾炎的临床中以开腹手术治疗，所致创伤相对较少，并发症发生率低，有利于患者生理健康和生存质量的提高。

【关键词】开腹手术；并发症；急性阑尾炎

Study on the effect of open surgery on acute appendicitis

LIU Wenxian

Heze Hospital of Traditional Chinese Medicine， Heze， Shandong 274000， China

【Abstract】Objective： To analyze the effect of open surgery in the treatment of acute appendicitis.Methods： The subjectsi ncluded in the study of acute appendicitis patients， the hospital for diagnosis and treatment time from June 2020 to July 2021， a total of cases is 50， all patients underwent abdominal surgery， observation and analysis of surgery and complications， before and after treatment patients emotional function， social survival quality， physiological and health score.Results：50 patients were treated by laparotomy. The average operation time was （60.12±4.32） min， the average time of getting out of bed after operation was （35.23±4.23 ）h， the average amount of bleeding during operation was （180.12±4.23） mL， and the average hospital stay was（ 8.39±1.45） days. Complications occurred in 5 cases， and the incidence of complications was 10.0%. Compared with before treatment， the scores of emotional function， social quality of life and physiological health of 50 patients after treatment were significantly higher. There were significant differences in various indexes before and after treatment（P<0.05）. Conclusion： In the clinical treatment of acute appendicitis， laparotomy is relatively little trauma and low incidence of complications， which is conducive to the improvement of patients’physiological health and quality of survival.

【Key？Words】Open abdominal surgery； Complications； Acute appendicitis

急性闌尾炎在普通外科中作为常见疾病类型之一，在各种急腹症的发生率中占第一位，相关调查资料表示，急性阑尾炎多发生在青少年，究其原因可能是因为青少年饮食不洁造成[1-2]。 据不完全统计，目前国内急性阑尾炎的发生率呈现出逐年上升趋势。急性阑尾炎的症状表现以显著上腹部疼痛、脐部附近疼痛为主，出现转移性右下腹疼痛和触痛，在临床中以典型临床表现进行诊断难度不大[3-4]。目前在急性阑尾炎的临床治疗中开腹手术依旧是比较常用的方式，这种手术虽然创伤比较大，出血较多，但是费用较低，且效果也比较理想。……