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目的观察短期胰岛素联合降糖药物强化治疗社区初诊2型糖尿病的疗效。方法选取2009年3月—2013年12月厦门市第三医院62例异位妊娠患者按照治疗方法将其分为腹腔镜手术组和开腹手术组各31例,对比分析两种手术方法的临床疗效。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果腹腔镜手术组患者临床治疗总有效率(96.77%)显著高于开腹手术组患者(74.19%),差异有统计学意义(P<0.05);腹腔镜手术组患者手术时间[(42.05±10.07)min]、术中出血量[(25.61±10.01)ml]、肛门排气时间[(24.16±4.20)h]、术后抗生素使用时间[(3.21±1.11)d]、住院时间[(6.41±1.54)d]、住院费用[(2 986.25±56.17)元]、伤口大小[(1.01±0.12)cm]均显著优于开腹手术组患者[(73.18±9.68)min、(48.97±11.28)ml、(38.64±6.24)h、(5.17±1.57)d、(8.36±1.87)d、(3 647.19±101.21)元、(5.02±1.05)cm],差异均有统计学意义(均P<0.05)。腹腔镜手术组患者发热(6.5%)、伤口感染(6.5%)、肠麻痹(0.0%)、持续性异位妊娠的发生率(3.2%)均低于对照组[25.8%、29.03%、22.6%、25.8%],差异均有统计学意义(均P<0.05);而输卵管通畅率(96.8%)显著高于对照组患者(74.2%),差异有统计学意义(χ2=4.769,P<0.05)。结论在治疗异位妊娠临床上腹腔镜手术效果显著,提高患者生活质量。
Objective To observe the efficacy of short-term insulin combined with hypoglycemic agents in the treatment of newly diagnosed type 2 diabetes in community. Methods Sixty-two patients with ectopic pregnancy in the Third Hospital of Xiamen from March 2009 to December 2013 were divided into laparoscopic surgery group and laparotomy group according to the treatment method, and 31 cases were divided into two groups. The clinical data of two surgical methods Efficacy. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The total effective rate of clinical treatment (96.77%) in laparoscopic surgery group was significantly higher than that in open surgery group (74.19%), the difference was statistically significant (P <0.05) The average duration of postoperative antibiotic use [(3.21 ± 1.11) d], length of hospital stay [(6.41 ± 1.11) d, ± 1.54) d], hospitalization cost [(2 986.25 ± 56.17) yuan], and wound size [(1.01 ± 0.12) cm] were significantly better than those in the open surgery group [(73.18 ± 9.68) min and (48.97 ± 11.28) ml, 38.64 ± 6.24 h, 5.17 ± 1.57 d, 8.36 ± 1.87 d, (3 647.19 ± 101.21) yuan, (5.02 ± 1.05) cm, respectively (all P <0.05 ). In laparoscopic surgery group, fever (6.5%), wound infection (6.5%), intestinal paralysis (0.0%) and persistent ectopic pregnancy (3.2%) were lower than those in control group [25.8%, 29.03%, 22.6% %, 25.8%], the difference was statistically significant (all P <0.05), while the tubal patency rate was significantly higher (96.8%) than the control group (74.2%), the difference was statistically significant (χ2 = 4.769, P < 0.05). Conclusion The clinical effect of laparoscopic surgery in the treatment of ectopic pregnancy is significant and improve the quality of life of patients.