【摘要】 目的探讨腹腔镜修补术对胃穿孔患者术后疼痛及康复指标的影响。方法选取本院2016年1月至2019年1月就诊的96例胃穿孔患者,根据患者自身意愿将其分为研究组和对照组,每组48例,对照组及研究组分别行传统的开腹胃穿孔修补术及腹腔镜胃穿孔修补术,比较两组的手术情况、术后疼痛程度及胃肠动力恢复情况及并发症发生率。结果研究组的切口长度、手术时间、术中出血量、下床活动时间及住院时间均显著少于对照组(P<0.01),研究组术后12、48、72h及7d的VAS评分均显著低于对照组(P<0.05),术后1h两组的血清胃泌素水平无统计学差异(P>0.05),术后24、48及72h研究组的血清胃泌素水平显著高于对照组,且研究组术后排气时间及肠鸣音恢复时间显著短于对照组(P<0.05),研究组术后并发症发生率显著低于对照组(P<0.05)。结论腹腔镜修补术创伤性小,术后疼痛轻微,并发症少,可有效改善患者的胃肠动力,对促进术后恢复具有积极意义。更多还原

【Abstract】 Objective To explore the effect of laparoscopic repair on postoperative pain and rehabilitation indexes in patients with gastric perforation.Methods The total of 96 patients with gastric perforation who were admitted to our hospital from Jan.2016 to Jan.2019.According to the patient’s own wishes,they were divided into the study group and the control group,and 48 cases of each group.The patients in the control group and the study group underwent conventional open gastric perforation repair and laparoscopic gastric perforation repair.Surgery,postoperative pain and gastrointestinal motility recovery and complication rate were compared of the two groups.Results The length of incision,the operation time,the intraoperative blood loss,the time of getting out of bed,and the hospital stay were significantly lower in the study group than in the control group(P<0.01).The VAS scores of the study group at 12 h,48 h,72 h and7 d were significantly lower than those of the control group(P<0.05).There was no significant difference in serum gastrin levels between the two groups at 1 h postoperative(P>0.05).The serum gastrin level in the study group was significantly higher than those in the control group at 24 h,48 h,and72 h after surgery,and the postoperative exhaust time and bowel sound recovery time in the study group were significantly shorter than those in the control group(P<0.05).The postoperative complication rate of the study group was significantly lower than that of the control group(P<0.05).Conclusion Laparoscopic repair is less invasive,with less postoperative pain and less complications.It can effectively improve the gastrointestinal motility of patients and has positive significance for promoting postoperative recovery.更多还原