赵洪泉

摘要：目的 探讨分析对老年急性胆囊炎患者采用开腹手术治疗的临床疗效。本次研究对象均选自本院2018年03月-2018年12月期间收治的老年急性胆囊炎患者共50例，对全部患者均采用开腹手术治疗。结果 患者的治疗有效率为98.00%（显效26例，有效23例，无效1例），并发症发生率为12.00%（切口感染3例，肠粘连3例）。平均手术时间为（47.6±4.4）分钟，术中出血量为（72.1±6.8）毫升，术后引流量为（62.2±5.7）毫升，住院时间为（6.8±2.3）天。结论 根据本次研究的结果可以确认，对老年急性胆囊炎患者采用开腹手术治疗的临床疗效较为确切，患者的术后恢复情况比较理想，但是患者容易出现并发症问题，需要做好对患者的并发症预防护理工作。

关键词：老年急性胆囊炎;开腹手术;治疗效果

[Abstract]Objective To investigate and analyze the clinical efficacy of laparotomy in the treatment of elderly patients with acute cholecystitis. The research objects were selected from 50 elderly patients with acute cholecystitis in our hospital from March 2018 to December 2018，and all patients were treated with open surgery. Results the effective rate was 98.00%（26 cases were markedly effective，23 cases were effective，1 case was ineffective），and the incidence of complications was 12.00%（3 cases of incision infection，3 cases of intestinal adhesion）. The average operation time was（47.6 6 ± 4）minutes，intraoperative blood loss was（72. 1 4 ± 8）ml，and the postoperative drainage volume was（62. 2 6 ± 7）ml，the length of stay was（6. 8 5 ± 3）days. Conclusion according to the results of this study，it can be confirmed that the clinical effect of laparotomy in the treatment of elderly patients with acute cholecystitis is more accurate，and the postoperative recovery of patients is ideal，but patients are prone to complications，so it is necessary to do a good job in the prevention and nursing of complications.

[Key words]senile acute cholecystitis;Open operation;treatment effect

急性膽囊炎属于一种发病率较高的普外科疾病，该病具有进展迅速、合并症多以及危险性大等特点，导致患者发病的主要原因有胆囊管阻塞以及细菌侵袭等【1】。患者在发病后，将会出现明显的右上腹阵发性绞痛症状，部分患者还会出现触痛以及腹肌强直痛等症状。随着我国逐渐进入老龄化社会，该病的发病率也是显著提高【2】。针对该病采用保守治疗的效果不佳，通常是采用开腹手术治疗。因此，本文旨在探讨分析对老年急性胆囊炎患者采用开腹手术治疗的临床疗效。

1 资料和方法

1.1一般资料

本次研究对象均选自本院2018年03月-2018年12月期间收治的老年急性胆囊炎患者共50例。全部患者的男女比例为30：20，年龄60到85岁，均龄67.6（s=3.3）岁。其中，6例患者为急性单纯型胆囊炎，10例患者为急性坏疽性胆囊炎，34例患者为急性化脓性胆囊炎。……