[1]李 泉,张程鹏△.腹腔镜治疗肥胖症阑尾炎对患者术后生活质量及炎性因子影响研究*[J].陕西医学杂志,2019,(10):1313-1315，1329.
　LI Quan,ZHANG Chengpeng..Effect of laparoscopic treatment on quality of life and postoperative 〖JZ〗inflammatory factors in patients with obese appendicitis[J].,2019,(10):1313-1315，1329.
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腹腔镜治疗肥胖症阑尾炎对患者术后生活质量及炎性因子影响研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年10期
页码:
1313-1315，1329
栏目:
临床研究
出版日期:
2019-10-05

文章信息/Info

Title:
Effect of laparoscopic treatment on quality of life and postoperative 〖JZ〗inflammatory factors in patients with obese appendicitis
文章编号:
DOI:10.3969/j.issn.10007377.2019.10.018
作者:
李 泉1; 张程鹏2△
1.陕西省渭南市妇幼保健院急诊科（渭南714000）；2.陕西省渭南市妇幼保健院普外科（渭南714000）
Author(s):
LI Quan; ZHANG Chengpeng.
Weinan Maternal and Child Health Hospital Emergency Department of Weinan（Weinan 714000）
关键词:
腹腔镜; 传统开腹术; 肥胖阑尾炎; 生活质量; 炎性因子水平
Keywords:
Key words 〖WT5BZ〗〖HT5”SS〗Laparoscopy; Traditional open surgery; Obese appendicitis; Quality of life; Inflammatory factor levels
分类号:
R656.6
文献标志码:
A
摘要:
摘 要 目的:探讨腹腔镜治疗对肥胖阑尾炎患者术后生活质量及炎性因子水平的影响。方法：选取近2年所收治的100例肥胖阑尾炎患者，根据不同手术方式，将其分为腹腔镜手术组与传统手术组，每组患者50例，腹腔镜手术组采取腹腔镜手术，传统手术组采取传统开腹手术治疗，对比两种手术方式对肥胖阑尾炎患者生活质量及术后炎性因子水平影响。结果：腹腔镜手术组患者的各项临床指标均明显优于传统手术组，手术时间、下床时间、肛门排气时间、进食水时间、住院时间较传统手术组短，术中出血量较传统手术组少，差异具有统计学意义（P＜0.05）；两组患者手术前生活质量评分对比差异无统计学意义（P＞0.05），两组患者术后生活质量均有所提高，且腹腔镜手术组患者的生活质量评分明显高于传统手术组（P＜0.05）；两组患者手术前肿瘤坏死因子α(TNFa)、血清C反应蛋白(CRP)、白细胞介素6(IL6)、白细胞介素8(IL8)对比差异无统计学意义（P＞0.05），手术后，腹腔镜手术组患者TNFa、CRP、IL6、IL8明显低于传统手术组，差异显著（P＜0.05）。结论:腹腔镜手术治疗肥胖阑尾炎患者效果更优，可减少创伤，降低炎性反应，有利于患者快速康复，提高患者的生活质量，具有明显优势。
Abstract:
Abstract 〖WT5BZ〗〖HT5”SS〗Objective:To investigate the effect of laparoscopy on the quality of life and postoperative inflammatory factors in patients with obese appendicitis.Methods:100 patients with obese appendicitis admitted to our hospital in the past 2 years were divided into laparoscopic surgery group and traditional operation group according to different surgical methods.50 patients in each group were treated with laparoscopic surgery in laparoscopic surgery group.The traditional operation group was treated with traditional open surgery,and the effects of the two surgical methods on the quality of life and postoperative inflammatory factors in patients with obese appendicitis were compared.Results:The clinical indexes of the patients in the laparoscopic surgery group were significantly better than those in the traditional operation group.The operation time,bedout time,anal exhaust time,feeding time,and hospitalization time were shorter than those of the traditional operation group.There were few differences in the operation group (P＜0.05).There was no significant difference in the quality of life scores between the two groups (P＞0.05).The postoperative quality of life was improved in both groups,and laparoscopic surgery was performed.The quality of life scores of the patients in the group were significantly higher than those in the traditional operation group (P＜0.05).There was no significant difference in the preoperative TNFa,CRP,IL6 and IL8 between the two groups (P＞0.05).The levels of TNFa,CRP,IL6 and IL8 in the laparoscopic surgery group were significantly lower than those in the conventional surgery group (P＜0.05).Conclusion:Laparoscopic surgery for patients with obese appendicitis is more effective,can reduce trauma,reduce inflammatory reaction,is conducive to rapid rehabilitation of patients,improve patients' quality of life,has obvious advantages,and is promoted clinically.

参考文献/References:

[1] 〖ZK（#〗马 辉,唐 帆,侯吉学,等.酪酸梭菌联合抗菌药物对急性阑尾炎患者腹腔镜术后炎症因子及胃肠功能的影响[J].中国药房,2017,28(28):4980.
[2] Kulhan M,Kulhan NG,Nayki U,et al.Outcomes of the patients diagnosed incidentally appendicitis during cesarean section[J].Ginekol Pol,2017,88(3):147150.
[3] 杨志勇，吴永哲，安宏超，等．腹腔镜阑尾切除术治疗老年急性阑尾炎的疗效[J]．中国老年学杂志，2017，37(9):22492250.〖JP〗
[4] 〖ZK（#〗李高平，白万祥，丁志雄，等．不同术式阑尾切除治疗急性阑尾炎临床疗效比较[J]．陕西医学杂志，2017，46(7):940941.
[5] 李晓欢,周鸿鲲,梅小平,等.腹腔镜下阑尾切除术治疗穿孔性阑尾炎的疗效及对围术期氧化应激和炎症反应的影响[J].中国普通外科杂志,2018,3:382386.
[6] 李凤珠,山长婷,庄 博,等.腹腔镜与开腹手术治疗穿孔性阑尾炎患儿的临床疗效及对血清CRP和PCT水平的影响比较[J].现代生物医学进展,2018,18(7):13221325.
[7] 张佳玲.内镜逆行阑尾炎治疗术治疗急性非穿孔性阑尾炎的临床疗效及其对血清炎症因子的影响[J].医学临床研究,2017,34(5):955958.
[8] Jennifer J,Daniel TM,Todd RW,et al.Stump appendicitis:surgical background,CT appearance,and imaging mimics[J].Emergency Radiology,2015,22(1):1318.
[9] 张 美,贺佳贝.急性阑尾炎超声诊断的临床价值探讨[J].影像研究与医学应用,2018,2(8):167169.〖ZK）〗
[10] 〖ZK（#〗许伟伟.腹腔镜阑尾切除术CO2气腹对老年急性阑尾炎患者眼内压及循环系统的影响[J].陕西医学杂志,2018,47(11):6163.
[11] Timmerman MEW,Groen H,Heineman E,et al.The influence of underweight and obesity on the diagnosis and treatment of appendicitis in children[J].International Journal of Colorectal Disease,2016,31(8):14671473.

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备注/Memo

备注/Memo:
*陕西省自然科学基金资助项目(2014D14)
更新日期/Last Update: 2019-10-23