目的 分析传统开腹和腹腔镜手术对老年阑尾炎患者凝血和纤溶系统的影响.方法 选取2021年5月-2023年5月西藏自治区拉萨市当雄县人民医院收治的120例老年阑尾炎患者作为研究对象,根据随机数字表法将其分为对照组和观察组,每组各60例.对照组患者应用传统开腹治疗,观察组患者应用腹腔镜手术治疗.对比两组患者治疗前后凝血和纤溶系统指标变化及术后并发症发生情况.结果 治疗后,两组患者凝血和纤溶系统指标均有所升高,但观察组患者凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、D-二聚体(DD)及纤维蛋白原(FIB)均低于对照组,P<0.05;观察组术后并发症总发生率明显低于对照组,P<0.05.结论 腹腔镜手术治疗相较于传统开腹手术对老年阑尾炎患者凝血和纤溶系统影响较小,更有利于减少患者术后并发症,可促进患者术后康复.
Objective To analyze the effects of traditional open and laparoscopic surgery on the coagulation and fibrinolysis systems in elderly patients with appendicitis.Methods 120 elderly patients with appendicitis who were admitted to the People's Hospital of Dangxiong County,Lhasa City,Xizang Autonomous Region from May 2021 to May 2023 were selected as the study subjects,and they were divided into control team and watch team according to the random number table.The control team patients were treated with traditional open surgery,while the watch team patients were treated with laparoscopic surgery.Compare the changes in coagulation and fibrinolytic system indicators before and after treatment,as well as the incidence of postoperative complications between the two teams of patients.Results After treatment,both groups of patients showed an increase in coagulation and fibrinolysis system indicators,but the prothrombin time(PT),activated partial thromboplastin time(APTT),D-dimer(DD),and fibrinogen(FIB)in the watch team were lower than those in the control team(P<0.05);the total incidence of postoperative complications in the watch team was significantly lower than that in the control team,P<0.05.Conclusion Laparoscopic surgery has less impact on the coagulation and fibrinolysis systems of elderly appendicitis patients compared to open surgery,which is more conducive to reducing postoperative complications and promoting postoperative recovery.