Application of laparoscopic exploration in acute abdomen of general surgery in primary hospitals
腹腔镜探查在基层医院普外科急腹症中的应用

摘要

目的 讨论研究在基层医院急腹症中应用腹腔镜探查方式的价值作用。方法 将2020年2月到2022年7月期间基层医院院内的110例急腹症患者纳入研究范围，利用随机分配法划分为对照组（接受开腹手术）、观察组（实施腹腔镜探查与治疗），对比两组患者对整体治疗工作满意情况，对比两组患者手术持续时间、术中出血量、术后视觉模拟疼痛评分、整体住院时间。结果 两组患者各项基础资料之间无显著差异（P>0.05），观察组整体患者对治疗工作满意水平明显高于对照组，P<0.05，有统计学差异。观察组整体患者手术持续时间、术中出血量、术后视觉模拟疼痛评分、整体住院时间等各项数据信息均明显比对照组更具优势，P<0.05，有统计学差异。结论 在基层医院急腹症中应用腹腔镜可以为患者提供更为满意的诊疗服务，缩短手术时间与住院时间，减轻患者机体痛苦。

Abstract

Objective: To discuss the value of laparoscopic exploration in acute abdomen in primary hospitals.
Methods: from February 2020 to July 2022, 110 patients with acute abdomen in grass-roots hospitals were included in the study. They were randomly divided into control group (open surgery) and observation group (laparoscopic exploration and treatment). The satisfaction of patients in the two groups with the overall treatment was compared, and the operation duration, intraoperative bleeding, postoperative visual analog pain score and overall hospitalization time of patients in the two groups were compared.
Results: there was no significant difference in the basic data between the two groups (p>0.05), and the overall satisfaction level of patients in the observation group was significantly higher than that in the control group (p<0.05). The overall operation duration, intraoperative bleeding, postoperative visual analog pain score, overall hospital stay and other data of the observation group were significantly better than those of the control group, p<0.05, with statistical differences.
Conclusion  : the application of laparoscopy in acute abdomen in grass-roots hospitals can provide more satisfactory diagnosis and treatment services for patients, shorten the operation time and hospitalization time, and reduce the pain of patients.