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急性化脓性阑尾炎手术后抗感染治疗的临床效果评价

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目的 探讨急性化脓性阑尾炎手术后实施抗感染治疗的效果.方法 非随机选取2022年1月—2023年3月淄博市淄川区中医院普外科收治的80例急性化脓性阑尾炎患者为研究对象,根据不同治疗方法分为对照组和研究组,每组40例.两组均实施腹腔镜阑尾切除术,对照组患者术后接受广谱抗菌药治疗,研究组患者术后接受高敏感抗菌药治疗.对比两组并发症发生情况、炎性指标、临床指标以及生活质量.结果 研究组并发症发生率(5.00%)低于对照组(25.00%),差异有统计学意义(χ2=6.274,P<0.05).研究组抗菌药使用时间、下床活动时间、住院时间短于对照组,差异有统计学意义(P均<0.05).治疗后,研究组C反应蛋白、肿瘤坏死因子-α、白细胞介素-6、白细胞介素-8均低于对照组,差异有统计学意义(P均<0.05).研究组活力、躯体功能、情感职能、生理功能评分均高于对照组,差异有统计学意义(P均<0.05).结论 急性化脓性阑尾炎采取腹腔镜手术治疗后,根据药敏试验予以患者高敏抗菌药进行抗感染治疗,对于减轻患者术后炎性反应,减少抗菌药使用时间,降低并发症发生率有明显效果,有利于促进患者术后恢复,改善其生活质量.
Evaluation of Clinical Effect of Anti-Infection Treatment after Surgical for Acute Suppurative Appendicitis
Objective To investigate the clinical effect of anti-infection treatment after surgical for acute suppurative appendicitis.Methods A total of 80 patients with acute suppurative appendicitis admitted to the General Surgery De-partment of Zichuan District Traditional Chinese Medicine Hospital in Zibo City from January 2022 to March 2023 were non-randomly selected as the study objects.They were randomly divided into a control group and a study group using different treatment modalities,with 40 cases in each group.Both groups underwent laparoscopic appendectomy.The control group received broad-spectrum antibiotic treatment after surgery,while the study group received high sen-sitivity antibiotic treatment after surgery.The incidence of complications,inflammatory indicators,clinical indicators,and quality of life were compared between the two groups.Results The incidence of complications in the study group(5.00%)was lower than that in the control group(25.00%),and the difference was statistically significant(χ2=6.274,P<0.05).The study group had shorter antibiotic use time,time to get out of bed,and hospital stay than the control group,and the differences were statistically significant(all P<0.05).After treatment,the levels of C-reactive protein,tumor necrosis factor alpha,interleukin-6,and interleukin-8 in the study group were lower than those in the control group,the differences were statistically significant(all P<0.05).The scores of vitality,physical function,emotional function,and physiological function in the study group were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion After laparoscopic surgery for acute suppurative appendicitis,patients giving high sensitivity antibiotics for anti infection treatment based on drug sensitivity tests has a significant effect on reducing postoperative inflammatory reactions,reducing time of antimicrobial use,and reducing the inci-dence of complications.It is beneficial for promoting postoperative recovery and improving the quality of life of pa-tients.

Acute suppurative appendicitisSurgical treatmentAnti-infective therapyTherapeutic effect

陈小宝

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淄博市淄川区中医院普外科,山东 淄博 255100

急性化脓性阑尾炎 手术治疗 抗感染治疗 治疗效果

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(13)