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基于数据挖掘的腹腔镜手术治疗胃部肿瘤的临床效果分析。

Clinical Effect Analysis of Laparoscopic Surgery for Gastric Tumor under Data Mining.

机构信息

Ganxi Cancer Hospital, Jiangxi, Pingxiang 337000, China.

The Third People's Hospital of Pingxiang City, Jiangxi, Pingxiang 337000, China.

出版信息

J Healthc Eng. 2021 Sep 15;2021:7779693. doi: 10.1155/2021/7779693. eCollection 2021.

Abstract

This paper mainly analyzes the feasibility of laparoscopic local gastrectomy for the treatment of benign gastric tumors, evaluating its curative effect, and the use of traditional Chinese medicine (TCM) such as , Radix Pseudostellariae, yi, , , wood fragrance, , Yuzhu, hawthorn, , chicken yellow film, nail, and turtle, and clinical symptoms of statistical analysis of data mining. A total of 86 patients with gastric benign tumor were selected as the research object and were divided into observation group and control group with 43 cases in each by the random number table method. The control group received radical gastrectomy for benign tumor under laparoscopy, while the observation group received local gastrectomy under laparoscopy. Perioperative indexes such as operative time, intraoperative blood loss, and length of hospital stay were recorded in the two groups. Serum C-reactive protein (CRP) and carcinoembryonic antigen (CEA) levels were analyzed by enzyme-linked immunosorbent assay (ELISA), and the incidence of complications was compared. Based on the clinical analysis of the drug used, the results of association significance were selected, and the top ten results were selected in order of confidence and grouped according to clinical symptoms, respectively, as follows: (1) abdominal distension: , , , , and seed; (2) dry mouth: , , seed, , and . The results showed that the minimum operation time in the observation group was 159.7 ± 13.07 min and the maximum was 172.57 ± 2.47 min, which was lower than that in the control group (the minimum was 172.46 ± 12.45 min and the maximum was 186.49 ± 24.32 min). The length of hospital stay (6.51 ± 1.29 days) was lower than that in the control group (7.56 ± 1.42 days) (P < 0.05). The CEA and CRP levels decreased significantly in both groups after treatment ( < 0.05). However, the observation group's CEA was (4.21 ± 1.05) mg/L and CRP was (8.46 ± 1.25) g/L. In the control group, CEA was (4.18 ± 1.02) mg/L and CRP was (8.39 ± 1.24) g/L. There were no significant differences ( < 0.05). The incidence of complications in the observed group was 4.7% lower than 7.0% in the control group ( < 0.05). Therefore, laparoscopic local gastric resection for benign gastric tumors can effectively reduce the incidence of CEA and CRP level and complications and improve the perioperative indicators, which is worth popularizing in clinical practice.

摘要

本文主要分析了腹腔镜局部胃切除术治疗胃良性肿瘤的可行性,评价其疗效,并对临床数据进行统计分析,挖掘中药如太子参、薏苡仁、木香、预知子、山楂、鸡内金、鳖甲、龟甲的应用及临床症状。选取 86 例胃良性肿瘤患者为研究对象,采用随机数字表法分为观察组和对照组,每组 43 例。对照组采用腹腔镜下根治性胃良性肿瘤切除术,观察组采用腹腔镜下局部胃切除术。记录两组患者的手术时间、术中出血量、住院时间等围手术期指标。采用酶联免疫吸附法(ELISA)分析两组患者血清 C 反应蛋白(CRP)和癌胚抗原(CEA)水平,并比较两组患者并发症发生率。基于药物使用的临床分析,选择关联显著性的结果,按置信度顺序选择前 10 名,并根据临床症状分别分组,如下:(1)腹胀:薏苡仁、木香、预知子、山楂、鸡矢藤;(2)口干:太子参、薏苡仁、木香、预知子、鸡矢藤。结果显示,观察组手术时间最短 159.7±13.07min,最长 172.57±2.47min,低于对照组(最短 172.46±12.45min,最长 186.49±24.32min)。观察组住院时间(6.51±1.29d)短于对照组(7.56±1.42d)(P<0.05)。两组治疗后 CEA、CRP 水平均显著下降(<0.05)。但观察组 CEA 为(4.21±1.05)mg/L,CRP 为(8.46±1.25)g/L;对照组 CEA 为(4.18±1.02)mg/L,CRP 为(8.39±1.24)g/L,两组比较差异无统计学意义(>0.05)。观察组并发症发生率为 4.7%,低于对照组的 7.0%(<0.05)。因此,腹腔镜局部胃切除术治疗胃良性肿瘤能有效降低 CEA 和 CRP 水平及并发症发生率,改善围手术期指标,值得在临床实践中推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a22e/8457959/b5ceb2eb352b/JHE2021-7779693.001.jpg

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