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腹腔镜胆囊切除术与心理疗法治疗老年急性胆囊炎患者的疗效

Therapeutic effect of laparoscopic cholecystectomy and psychotherapy to treat patients with acute gallbladderitis

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【作者】 董浩王丽艳毕长富

【Author】 Dong Hao;Wang Li-yan;Bi Chang-fu;Department of General Surgery,Qinhuangdao City;

【机构】 秦皇岛市山海关人民医院普外科

【摘要】 目的对老年急性胆囊炎患者接受腹腔镜胆囊切除术结合心理疗法的治疗效果进行探究。方法选择本院2019年7月~2020年11月收治的老年急性胆囊炎患者104例纳入本研究中,根据患者的不同治疗方法,将其划分为甲组和乙组,各52例。甲组接受常规胆囊切除术治疗,乙组接受腹腔镜胆囊切除术联合心理疗法。对比两组的治疗效果。结果乙组的术中出血量、手术时间、住院时间均明显低于甲组;治疗前,两组的焦虑评分、抑郁评分无明显差距(P>0.05),治疗后,乙组的焦虑评分、抑郁评分明显低于甲组;乙组的并发症发生率明显低于甲组(P<0.05)。结论在老年急性胆囊炎患者的治疗中,采用腹腔镜胆囊切除术与心理疗法效果确切,可以降低患者的术中出血量,缩短其手术时间和住院时间,缓解其不良情绪,减少其并发症发生率。

【Abstract】 Objective The treatment effect of receiving laparoscopic cholecystectomy in patients with acute gallbladder in the elderly is explored. Methods 104 patients with patients with acute gallbladderitis in November 2019 to November 2019 were included in this study. According to the patient’s different treatments, it is divided into a group and group B, and 52 patients. The A group receives conventional gallbladder switter treatment, and the group of groups receive laparoscopic cholecystectomy combined with psychotherapy. The therapeutic effect of the two groups was compared. Results The amount of blood, the operation, the operation time, and the hospitalization time is significantly lower than the A group; before treatment, the two groups of anxiety scores, depression scores have no significant gap(P>0.05), after treatment, the anxiety score of the group B, depression The score was significantly lower than that of the A group; the incidence of complications of the group B was significantly lower than that of the A group(P<0.05). Conclusion In the treatment of patients with acute gallbladderitis, laparoscopic cholecystectomy and psychotherapy effect are precise, reduce the patient’s intraoperative blood volume, shorten its operation time and hospitalization time, relieve its bad emotions, reduce the incidence of complications.

  • 【分类号】R657.4
  • 【下载频次】34
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