不同手术方式在妊娠合并急性阑尾炎患者中的应用及对围术期指标的影响

摘要/Abstract

摘要： 目的研究妊娠合并急性阑尾炎患者采用不同术式的疗效及对围术期指标的影响。方法选择2020年1月—2023年2月寿光市人民医院58例妊娠合并急性阑尾炎患者为研究对象,采用随机数表法将上述病例分为对照组和研究组,每组29例,对照组采用开腹手术治疗,研究组采用腹腔镜手术治疗,比较两组临床疗效。结果研究组下床活动、肛门排气及住院时间均短于对照组,差异有统计学意义（P<0.05）;术后1 d,研究组炎症因子、丙二醛、血管活性肠肽水平及并发症发生率均低于对照组,氧化物歧化酶、胃泌素、胆囊收缩素水平均高于对照组,差异有统计学意义（P<0.05）;两组分娩孕周、新生儿体质量及阿氏评分比较,差异无统计学意义（P>0.05）;研究组早产率、剖宫产率低于对照组,差异有统计学意义（P<0.05）,两组流产率比较,差异无统计学意义（P>0.05）。结论腹腔镜手术治疗妊娠合并急性阑尾炎炎症反应及应激反应较轻,对患者胃肠功能影响较小,患者术后恢复较快。

关键词: 妊娠, 急性阑尾炎, 腹腔镜手术, 开腹手术

Abstract: Objective To study the therapeutic effects of different surgical procedures on pregnant women with acute appendicitis and their impact on perioperative indicators. Methods A random number table method was used to divide 58 pregnant women with acute appendicitis at Shouguang People's Hospital from January 2020 to February 2023 into two groups (29 cases each). The control group received open surgery, while the study group received laparoscopic surgery. The clinical efficacy of the two groups was compared. Results The study group had shorter bed activity, anal exhaust, and hospital stay compared to the control group （P<0.05). On the 1st day after surgery, the levels of inflammatory factors, malondialdehyde, vasoactive intestinal peptide, and incidence of complications in the study group were lower than those in the control group, while the levels of oxide dismutase, gastrin, and cholecystokinin were higher than those in the control group （P<0.05). There was no significant difference between the two groups in terms of gestational age, newborn body weight, and A-score during delivery（P>0.05) . The preterm birth rate and cesarean section rate in the study group were lower than those in the control group, with statistically significant differences （P<0.05). There was no statistically significant difference in the comparison of abortion rates between the two groups （P>0.05). Conclusion Laparoscopic surgery has a milder inflammatory and stress response, less impact on gastrointestinal function, and faster postoperative recovery in patients.

Key words: pregnancy, acute appendicitis, laparoscopic surgery, open surgery

中图分类号:

R714.25

朱宝平, 陈明. 不同手术方式在妊娠合并急性阑尾炎患者中的应用及对围术期指标的影响[J]. 中华养生保健, 2025, 43(4): 56-60.

ZHU Bao-ping, CHEN Ming. The Application of Different Surgical Methods in Pregnant Women with Acute Appendicitis and Their Impact on Perioperative Indicators[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(4): 56-60.

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