CAJ | 학술논문

【目的】比较手术与保守治疗老年急性肠梗阻的疗效。【方法】收集老年急性肠梗阻患者80例，依据治疗方法不同分为三组：保守治疗22例（A组），发病48 h内手术30例（B组），发病48 h后手术28例（C组），比较三组患者的肠坏死率、病死率、恢复时间及治疗有效率。【结果】A组患者的肠坏死率及病死率显著低于B和C组，A组患者的恢复时间均短于B和C组，其中手术治疗患者中，B组患者的恢复时间显著短于C组，其差异均有统计学意义（ P＜0．05）；A组患者的治疗有效率（100．0％）与B组有效率（96．7％）、C组患有效率（96．4％）比较差异无统计学意义（ P ＞0．05）。【结论】根据老年患者急性肠梗阻的具体病情发展不同，采取不同的治疗方法对于患者疾病的治愈是行之有效的。
【목적】비교수술여보수치료노년급성장경조적료효。【방법】수집노년급성장경조환자80례，의거치료방법불동분위삼조：보수치료22례（A조），발병48 h내수술30례（B조），발병48 h후수술28례（C조），비교삼조환자적장배사솔、병사솔、회복시간급치료유효솔。【결과】A조환자적장배사솔급병사솔현저저우B화C조，A조환자적회복시간균단우B화C조，기중수술치료환자중，B조환자적회복시간현저단우C조，기차이균유통계학의의（ P＜0．05）；A조환자적치료유효솔（100．0％）여B조유효솔（96．7％）、C조환유효솔（96．4％）비교차이무통계학의의（ P ＞0．05）。【결론】근거노년환자급성장경조적구체병정발전불동，채취불동적치료방법대우환자질병적치유시행지유효적。
[Objective] To compare the clinical efficacy of surgical operation vs conservative treatment for elderly patients with acute intestinal obstruction .[Methods] Totally 80 elderly patients with acute intestinal obstruction were collected .According to the treatment methods ,all patients were divided into 3 groups . Group A( n =22) received conservative treatment ,and group B( n = 30) underwent the surgical treatment within 48h after onset ,and group C( n=28) underwent surgical treatment at 48h after onset .The rate of in-testinal necrosis ,mortality ,the recovery time and efficiency were compared among 3 groups .[Results] The rate of intestinal necrosis and mortality in group A were lower than those in group B and group C ,but the re-covery time in group A was shorter than that in group B and group C .Among the patients treated with the op-eration ,the recovery time in group B was markedly shorter than that in group B ,and there was significant difference( P <0 .05) .There was no significant difference in the efficacy among group A ,group B and group C(100% vs 96 .7% vs 96 .4% )( P >0 .05) .[Conclusion] According to the different disease development of elderly patients with acute intestinal obstruction ,different treatment methods should be taken and is effective to cure the disease .