摘要
目的分析为胃肠外科急腹症患者实施腹腔镜治疗对患者疼痛评分、生活质量评分的影响。方法采用随机双盲法将该院2019年7月—2021年2月间收治的胃肠外科急腹症患者80例分为对比组40例(行开腹手术治疗)、观察组40例(行腹腔镜治疗)。对比两组治疗效果。结果观察组VAS评分术后4 h(2.29±0.97)分、术后24 h(4.62±1.05)分均低于对比组,两组对比差异有统计学意义(t=14.941、8.216,P<0.001);观察组手术切口长度、手术时间、胃肠功能恢复时间、住院时间、术中失血量及并发症发生率均低于对比组,差异有统计学意义(t=18.737、18.653、16.301、30.201、16.043,χ^(2)=5.165,P<0.05);观察组情绪角色(90.08±5.69)分、心理健康(92.07±5.42)分、生理健康(90.35±5.82)分、社会功能(91.56±5.72)分各维度评分均高于对比组,差异有统计学意义(t=3.629、3.832、3.628、4.200,P<0.001)。结论对胃肠外科急腹症患者实施腹腔镜治疗能够有效减轻患者疼痛感,降低并发症发生率,缩短患者病情恢复时间,提升患者生活质量水平,明显提高患者对治疗的满意程度,适合临床推广应用。
Objective To analyze the effects of laparoscopic treatment on pain scores and quality of life scores for patients with acute abdomen in gastrointestinal surgery.Methods A random double-blind method was used to divide 80 patients with acute abdomen in gastrointestinal surgery admitted in the hospital between July 2019 and February 2021 into a control group of 40 cases(open surgery)and an observation group of 40 cases(laparoscopic treatment).Compare the treatment effects of the two groups.Results The VAS scores of the observation group at 4 h(2.29±0.97)points after surgery and(4.62±1.05)points at 24 h after surgery were lower than those of the control group,the difference between the two groups was statistically significant(t=14.941,8.216,P<0.001).The length of surgical incision,operation time,gastrointestinal function recovery time,hospitalization time,intraoperative blood loss and complication rate in the observation group were lower than those in the control group,the difference was statistically significant(t=18.737,18.653,16.301,30.201,16.043,χ^(2)=5.165,P<0.05).The scores of emotional role(90.08±5.69)points,mental health(92.07±5.42)points,physical health(90.35±5.82)points,and social function(91.56±5.72)points of the observation group were higher than those of the control group.After inspection,the difference was statistically significant(t=3.629,3.832,3.628,4.200,P<0.001).Conclusion Laparoscopic treatment of patients with acute abdomen in gastrointestinal surgery can effectively relieve pain,reduce the incidence of complications,shorten the recovery time of patients,and improve the quality of life of patients.The patient's satisfaction with the treatment is obviously improved,and it is suitable for clinical promotion and application.
作者
张志国
ZHANG Zhiguo(Jinxiang County People's Hospital of Shandong Province,Jining,Shandong Province,272200 China)
出处
《系统医学》
2022年第1期14-18,共5页
Systems Medicine
关键词
胃肠外科
急腹症
腹腔镜
疼痛评分
生活质量评分
Gastrointestinal surgery
Acute abdomen
Laparoscopy
Pain score
Quality of life score
