摘要
目的探讨微创与开腹手术应用在重症胰腺炎中的临床价值。方法选择该院2019年2月—2021年8月收治的106例重症胰腺炎患者作为该次研究对象,按照计算机表法分为研究组与对照组,各53例。对照组实施开腹手术,研究组行微创手术,比较两组的应激反应情况、炎性反应情况、生活质量评分、住院时间、临床效果、症状改善程度、住院费用、T淋巴细胞水平、不良症状。结果研究组T淋巴细胞水平与炎性水平比较差异有统计学意义(P<0.05);研究组症状改善程度评分为(9.22±1.52)分,与对照组比较,差异有统计学意义(t=5.291,P<0.05);研究组住院时间(35.26±10.21)d短于对照组,住院费用(17354±4395)元低于对照组,差异有统计学意义(t=4.524、9.069,P<0.05);研究组临床有效率(94.34%)高于对照组(77.36%),差异有统计学意义(χ^(2)=6.290,P=0.012);研究组不良反应发生率(3.77%)低于对照组(16.98%),差异有统计学意义(χ^(2)=4.970,P<0.05);研究组生活质量评分优于对照组,差异有统计学意义(P<0.05);研究组围术期疼痛率(1.89%)低于对照组(18.87%),差异有统计学意义(χ^(2)=8.216,P<0.05)。结论微创手术治疗重症胰腺炎的效果显著,值得临床应用。
Objective To investigate the clinical value of minimally invasive and open surgery in severe pancreatitis.Methods 106 patients with severe pancreatitis admitted to the hospital from February 2019 to August 2021 were selected as the objects of this study.According to the computer table method,there were 53 cases in the study group and 53 cases in the control group.The control group underwent laparotomy,and the study group underwent minimally invasive surgery.The stress response,inflammatory response,quality of life score,hospital stay,clinical effect,degree of symptom improvement,hospitalization cost,T lymphocyte level,and adverse symptoms were compared between the two groups.Results There was a statistically significant difference between the level of T lymphocytes and the level of inflammation in the study group(P<0.05).The symptom improvement score of the study group was(9.22±1.52)points,compared with the control group,and the difference was statistically significant(t=5.291,P<0.05).The length of hospital stay in the study group(35.26±10.21)d was shorter than that in the control group,and the cost of hospitalization(17354±4395)yuan was lower than that of the control group,and the difference was statistically significant(t=4.524,9.069,P<0.05).The clinical effective rate of the study group(94.34%)was higher than that of the control group(77.36%),and the difference was statistically significant(χ^(2)=6.290,P=0.012).The incidence of adverse reactions in the study group(3.77%)was lower than that in the control group(16.98%),and the difference was statistically significant(χ^(2)=4.970,P<0.05).The quality of life score of the study group was better than that of the control group, and the difference was statistically significant (P<0.05). The perioperative pain rate in the study group (1.89%) was lower than that in the control group (18.87%), and the difference was statistically significant (χ^(2)=8.216,P<0.05). Conclusion Minimally invasive surgery is effective in treating severe pancreatitis and is worthy of clinical application.
作者
刘庆拿
张敏
Liu Qingna;Zhang Min(Department of General Surgery,Dongda Hospital,Shanxian County,Heze,Shandong Province,274300 China;Department of Gastroenterology,Dongda Hospital,Shanxian County,Heze,Shandong Province,274300 China)
出处
《系统医学》
2022年第7期111-114,共4页
Systems Medicine
关键词
重症胰腺炎
微创手术
开腹手术
炎性因子
T淋巴细胞
Severe pancreatitis
Minimally invasive surgery
Laparotomy
Inflammatory factors
T lymphocytes
