当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
23期
65-66
,共2页
外科手术%腹部手术%肠瘘%治疗
外科手術%腹部手術%腸瘺%治療
외과수술%복부수술%장루%치료
Surgical operation%Abdominal operation%Intestinal ifstula%Treatment
目的对应用外科手术方式对接受腹部手术后出现肠瘘症状（非高位肠瘘）的患者实施治疗的临床效果进行研究。方法抽取瑞金市人民医院外二科70例接受腹部手术后出现肠瘘症状的患者，随机均分为对照组和治疗组（n=35）。对照组采用常规抗感染、瘘口引流、营养支持方式实施治疗；治疗组采用外科手术方式实施治疗。结果对照组下床活动时间（9.54±2.31）d，肠功能复常时间（13.47±2.02）d，住院治疗总时间（19.06±2.25）d；治疗组下床活动时间（5.02±1.36）d，肠功能复常时间（8.95±2.16）d，住院治疗总时间（14.63±2.64）d；2组患者肠道功能恢复正常时间、下床活动时间、住院治疗总时间比较差异有统计学意义。对照组肠瘘治疗总有效率为65.7%，治疗组肠瘘治疗总有效率率为91.4%，治疗组治疗总有效率显著高于对照组。对照组不良反应发生率为22.9%，对治疗的满意度为77.1%，治疗组不良反应发生率为2.9%，对治疗的满意度为97.1%，2组指标差异均显著。结论应用外科手术方式对接受腹部手术后出现肠瘘症状的患者实施治疗的临床效果非常明显。
目的對應用外科手術方式對接受腹部手術後齣現腸瘺癥狀（非高位腸瘺）的患者實施治療的臨床效果進行研究。方法抽取瑞金市人民醫院外二科70例接受腹部手術後齣現腸瘺癥狀的患者，隨機均分為對照組和治療組（n=35）。對照組採用常規抗感染、瘺口引流、營養支持方式實施治療；治療組採用外科手術方式實施治療。結果對照組下床活動時間（9.54±2.31）d，腸功能複常時間（13.47±2.02）d，住院治療總時間（19.06±2.25）d；治療組下床活動時間（5.02±1.36）d，腸功能複常時間（8.95±2.16）d，住院治療總時間（14.63±2.64）d；2組患者腸道功能恢複正常時間、下床活動時間、住院治療總時間比較差異有統計學意義。對照組腸瘺治療總有效率為65.7%，治療組腸瘺治療總有效率率為91.4%，治療組治療總有效率顯著高于對照組。對照組不良反應髮生率為22.9%，對治療的滿意度為77.1%，治療組不良反應髮生率為2.9%，對治療的滿意度為97.1%，2組指標差異均顯著。結論應用外科手術方式對接受腹部手術後齣現腸瘺癥狀的患者實施治療的臨床效果非常明顯。
목적대응용외과수술방식대접수복부수술후출현장루증상（비고위장루）적환자실시치료적림상효과진행연구。방법추취서금시인민의원외이과70례접수복부수술후출현장루증상적환자，수궤균분위대조조화치료조（n=35）。대조조채용상규항감염、루구인류、영양지지방식실시치료；치료조채용외과수술방식실시치료。결과대조조하상활동시간（9.54±2.31）d，장공능복상시간（13.47±2.02）d，주원치료총시간（19.06±2.25）d；치료조하상활동시간（5.02±1.36）d，장공능복상시간（8.95±2.16）d，주원치료총시간（14.63±2.64）d；2조환자장도공능회복정상시간、하상활동시간、주원치료총시간비교차이유통계학의의。대조조장루치료총유효솔위65.7%，치료조장루치료총유효솔솔위91.4%，치료조치료총유효솔현저고우대조조。대조조불량반응발생솔위22.9%，대치료적만의도위77.1%，치료조불량반응발생솔위2.9%，대치료적만의도위97.1%，2조지표차이균현저。결론응용외과수술방식대접수복부수술후출현장루증상적환자실시치료적림상효과비상명현。
Objective To application of surgical operation on an abdominal operation after intestinal symptoms (non intestinal ifstula) with the clinical effect of treatment for research. Methods 70 patients undergoing abdominal operation after intestinal ifstula patients, randomly divided into the treatment group and the control group (n=35). The control group was treated with conventional anti infection, ifstula drainage, nutritional support Therapy;treatment group was treated with surgical operation mode for the implementation. Results In the control group, time to ambulation (9.54 ± 2.31) d, intestinal function recovery time (13.47 ± 2.02)d, hospitalization time (19.06 ± 2.25)d; treatment of ambulation (5.02 ± 1.36)d, intestinal function recovery time (8.95 ± 2.16)d, hospitalization time (14.63 ± 2.64)d;Two groups of patients with intestinal function recovery time, hospitalization time difference between the treatment bed activity time, with statistical signiifcance. The control group the total effective rate was 65.7%in treatment of intestinal ifstula, intestinal ifstula treatment in treatment group total effective rate was 91.4%in treatment group, the total efifciency was signiifcantly higher than that of control group. The control group the incidence of adverse reaction was 22.9%, the treatment satisfaction was 77.1%, incidence of adverse reaction of treatment group was 2.9%, treatment satisfaction was 97.1%, two indicators were signiifcantly difference between the two groups. Conclusion The application of surgical operation on intestinal symptoms after abdominal operation with the clinical treatment effect is very obvious.
