开腹手术与保守疗法治疗急性阑尾炎的效果评价

边登峰

（榆林市榆阳区妇幼保健院，陕西 榆林，719000）

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摘要：

目的 评价开腹手术与保守疗法在急性阑尾炎中的应用价值。方法 选取我院收治的70 例急性阑尾炎患者作为研究对 象，随机抽签分为两组，各35 例。对照组接受抗生素保守治疗，观察组接受开腹手术治疗。比较两组治疗效果。结果 观察组 的治疗总有效率为100.00%，显著高于对照组的82.86%（P<0.05）。观察组抗生素使用时间、下床时间、住院时间及恢复工作 时间均显著短于对照组（P<0.05）。两组疼痛持续时间比较，无显著性差异（P>0.05）。观察组并发症总发生率和复发率分别为 8.57%和2.86%，均显著低于对照组的28.57%和22.86%（P<0.05）。结论 开腹手术用于急性阑尾炎疗效显著优于保守疗法，并发症少，有助于缩短康复时间，可作为急性阑尾炎的首选治疗方案。

关键词：急性阑尾炎；开腹手术；保守治疗

中图分类号：R656.8文献标志码：A文章编号：2096-1413(2017)36-0096-02

Effect evaluation of open surgery and conservative therapy in acute appendicitis
BIAN Deng-feng
(Maternal and Child Health Care Hospital of Yuyang District, Yulin 719000, China)

ABSTRACT: Objective To evaluate the application value of open surgery and conservative therapy in acute appendicitis. Methods Seventy patients with acute appendicitis in our hospital were randomly divided into 2 groups, with 35 cases in each group. The control group was treated with antibiotics, while the observation group was treated with open surgery. The treatment effects of the two groups were compared. Results The total effective rate of treatment in the observation group was 100.00%, which was significantly higher than 82.86% in the control group (P<0.05). The time of antibiotic use, getting out of bed, hospitalization and the recovery of the observation group were significantly shorter than those of the control group (P<0.05). There was no significant difference in the duration of pain in the two groups (P>0.05). The total complication rate and recurrence rate of the observation group were 8.57% and 2.86% respectively, which were significantly lower than 28.57% and 22.86% of the control group (P<0.05). Conclusion The effect of open surgery in acute appendicitis is significantly better than conservative therapy, with fewer complications and shorter rehabilitation time, which can be the first choice for acute appendicitis.

KEYWORDS: acute appendicitis; open surgery; conservative therapy

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