摘要
目的探讨腹腔镜治疗老年急性阑尾炎的效果及对患者术后炎症细胞因子和睡眠质量的影响。方法回顾性分析2015年3月~2016年8月在我院接受治疗的老年急性阑尾炎患者90例的临床资料,根据其手术方式分为腹腔镜组(n=50)和开腹组(n=40)。观察两组患者的手术一般情况,比较两组患者术后恢复情况、手术前后炎症细胞因子水平、并发症发生率和睡眠质量。结果腹腔镜组的手术时间长于开腹组,术中出血量少于开腹组,切口长度短于开腹组,差异有统计学意义(P<0.001)。腹腔镜组的排气、下床活动和术后住院时间均短于开腹组,差异有统计学意义(P<0.001)。两组患者手术前的炎症细胞因子水平差异无统计学意义(P>0.05),术后1 d,腹腔镜组的CRP、WBC水平均低于开腹组(P<0.05)。两组手术前的睡眠质量评分差异无统计学意义(P>0.05),术后3 d,腹腔镜组患者的睡眠质量评分优于开腹组(P<0.05)。两组患者术后并发症发生率差异无统计学意义(χ~2=0.621,P=0.431)。结论腹腔镜手术对老年急性阑尾炎有较好的治疗效果,且创伤小,对促进患者术后康复具有积极意义。
Objective To investigate the effect of laparoscope treating acute senility appendicitis and its influence of postoperative inflammatory cytokine and sleep quality in patients.Methods The clinical data of 90 patients with acute senility appendicitis treated in our hospital from March 2015 to August 2016 was retrospectively analyzed.All patients were divided into the laparoscopic group （n=50） and laparotomy group （n=40） according to surgical procedure.The general operation condition was observed in patients of the two groups,and the postoperative recovery,preoperative and postoperative inflammatory cytokines,ineidence of complications and sleep quality were compared inpatients between the two groups. Results The operation time of the laparoscopy group was longer than that in the laparotomy group,the amount of bleeding during the operation was fewer than that in the laparotomy group,and the length of the incision was shorter than that in the laparotomy group （P〈0.001）.In the laparoscopy group,the exhaust,the ambulation and the postoperative hospital stay were shorter than those in the laparotomy group （P〈0.O01）.There was no significant difference in inflammatory cytokine level between the two groups before operation （P〉0.05）,and the level of CRP and WBC in the laparoscopie group was lower than that in laparotomy group at after 1 d operation （P〈O.O5）.There was no significant difference in the sleep quality score between the two groups before operation （P〉O.O5）,and the sleep quality score of the laparoscopic group was better than that of the laparotomy group after 3 d operation （P〈O.05）.There was no significant difference in the incidence of postoperative complications between the two groups （X^2=0.621,P=0.431）.Conclusion Laparoscopie appendectomy for acute senility appendicitis has good therapeutic effect and less trauma,which plays a positive significance in promoting the postoperative rehabilitation of patients.
出处
《中国当代医药》
2018年第1期23-26,共4页
China Modern Medicine
关键词
腹腔镜
阑尾炎
并发症
睡眠质量
细胞因子
Laparoscope
Appendicitis
Complication
Sleep quality
Cytokine
