摘要
目的分析在胃穿孔治疗中使用腹腔镜下微创手术对患者胃肠动力恢复的影响。方法随机选取福清市医院急诊科于2022年1月—2023年3月收治的60例胃穿孔患者作为研究对象,以黑白球方式随机分为观察组(腹腔镜微创手术)和对照组(常规手术),每组30例,比较两组治疗后临床疗效、修补成功率、胃肠动力、胃动素、胃电幅、胃电主功率、手术指标。结果观察组治疗总有效率(96.7%)比对照组(70.0%)高,差异有统计学意义(χ^(2)=7.860,P<0.05);治疗后,观察组各项胃肠动力、手术指标均优于对照组,差异有统计学意义(P均<0.05)。结论在胃穿孔治疗中对患者采取腹腔镜下微创手术治疗可明显提高疾病治疗效果,同时还可改善胃肠动力,较常规手术创伤更小,出血量更低,有利于术后恢复。
Objective To analyze the effect of minimally invasive laparoscopic surgery on gastrointestinal motility recovery in patients with gastric perforation.Methods A total of 60 cases of gastric perforation admitted to Fuqing Hospital from January 2022 to March 2023 were randomly selected as the study objects and were randomly divided into observation group(laparoscopic minimally invasive surgery)and control group(conventional surgery)according to the method of laparoscopic minimally invasive surgery,with 30 cases in each group.The clinical efficacy,repair success rate,gastrointestinal motility,motilin,gastric electric amplitude,main power of gastric electric power and surgical indexes were compared between the two groups after treatment.Results The total effective rate of observation group(96.7%)was better than that of control group(70.0%),and the difference was statistically significant(χ^(2)=7.860,P<0.05).The indexes of gastrointestinal motility and operation of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion In the treatment of gastric perforation,laparoscopic minimally invasive surgery can significantly improve the treatment effect of the disease,and also improve the gastrointestinal motility.Compared with conventional surgery,it has less trauma and lower blood loss,which is conducive to postoperative recovery.
作者
张小华
ZHANG Xiaohua(Department of Emergency,Fuqing Hospital,Fuqing,Fujian Province,350300 China)
出处
《中外医疗》
2024年第8期35-38,共4页
China & Foreign Medical Treatment
关键词
腹腔镜
微创手术
胃穿孔
胃肠动力
Laparoscopy
Minimally invasive surgery
Gastric perforation
Gastrointestinal motility
