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1、小切口阑尾手术用于老年阑尾炎的临床疗效四川省广元市利州区大石镇卫生院四川广元628000【摘要】目的:探宄分析小切口阑尾手术在治疗老年阑尾炎患者上的临床疗效。方法:选取我院自2014年10月至2015年10月共收治的120例老年阑尾炎患者,随机将其分为实验组60例和对照组60例,给予对照组患者以传统切口阑尾手术,而给予实验组患者以小切口阑尾手术,对比两组患者在术中出血量、手术时间、住院时间以及并发症发病率等指标上的差异。结果:经统计分析,实验组患者术后发生并发症4例,对照组则为13例;实验组住院时间为(5.11±l,42)
2、天,对照组则为(7.54±2.81)天;实验组手术时间为(32.48±5.37)min,对照组手术时间为(50.69±6.51)min;实验组的术中出血量为(22.67±4.25)ml,对照组为(50.17±8.17)ml。两组数据比较差异显著,具有统计学意义(P<0.05)o结论:对老年阑尾炎患者进行小切U阑尾手术具有更佳的临床疗效,显著降低了并发症的发生率,值得在临床上作进一步的推广应用。【关键词】小切口阑尾手术;老年患者;阑尾炎;Theclinicalcu
3、rativeeffectofsmallincisionappendixoperationforsenileappendicitisLIGuang-pingInguangyuancity,sichuanprovince,thestatestonetownshiphealthcentersSichuanguangyuan,628000【abstract】objective:toexploretheanalysisofsmallincisionappendixsurgeryinthetreatmentofclinicalcurativeeff
4、ectonsenileappendicitispatients.Methods:toselectourhospitalfromOctober2014toOctober2014,atotalof120casesofsenileappendicitistreatedpatientsrandomlydividedintoexperimentalgroup60casesandthecontrolgroup60cases,controlgrouppatients'inthetraditionalincisionappendixoperation,
5、andgivestheexperimentalgrouppatientswithsmallincisionappendixoperation,comparedtwogroupsofpatientsintheintraoperativebloodloss,operativetime,lengthofhospitalstayandtheincidenceofcomplicationssuchasthedifferencesofindicators.Results:throughstatisticalanalysis,experimental
6、postoperativecomplicationsoccurredin4patients,controlgroupof13cases;Experimentalgrouplengthofhospitalstay(plusorminus1and5.11)days,thecontrolgroupwas(7.54+2.81)days;Experimentaloperationtimewas(32.48+32.48)min,thecontroloperationtimeis(50.69+6.51)min;Experimentalgroupofi
7、ntraoperatiebloodlossforml(22.67+4.25),thecontrolgroup(50.17-8.17)forml.Twogroupsofdataismoresignificantdifference,statisticallysignificant(P<0.05).Conclusion:smallincisionappendixsurgeryinpatientswithsenileappendicitishasbetterclinicalcurativeeffect,significantlyredu
8、cedtheincidenceofcomplications,worthyoffurtherpopularizationandapplicationinclinic.【keywords】smallincis