CAJ | 학술논문

目的：评价经鼻插入型肠梗阻导管间歇负压吸引与持续负压吸引两种方法的效果。方法将121例采用经鼻插入型肠梗阻导管治疗的患者作为研究对象。将患者按入院时间随机分为试验组（61例）和对照组（60例）。对照组采用持续负压吸引，试验组采用间歇负压吸引，对两组患者的疗效进行比较。结果试验组有58例患者48 h腹痛腹胀消失或减轻，总有效率为95．08％，对照组有50例患者腹痛腹胀消失或减轻，总有效率为83．33％，差异有统计学意义（χ2＝4．354， P＜0．05）。试验组48 h患者肛门排气排便恢复，总有效率为96．72％，对照组总有效率为85．00％，差异有统计学意义（χ2＝5．028，P＜0．05）。试验组患者术前腹围（95．04±4．23） cm，5 d后腹围缩小到（80．27±3．56） cm。对照组患者术前腹围（94．60±4．26）cm，5 d后腹围缩小到（81．20±2．84）cm，治疗前和治疗5 d后比较，两组差异无统计学意义（ t 值分别为0．569，-1．587；P ＞0．05）。试验组治疗后5 d 每日引流量为（2．58±0．57）L，高于对照组的（1．90±0．41）L，差异有统计学意义（t＝7．473，P＜0．05）。结论间歇负压吸引比持续负压吸引治疗各种类型肠梗阻更能及时引流出肠道内的积液和积气，更能明显改善临床症状，减少并发症，但腹围变化差异不明显。
목적：평개경비삽입형장경조도관간헐부압흡인여지속부압흡인량충방법적효과。방법장121례채용경비삽입형장경조도관치료적환자작위연구대상。장환자안입원시간수궤분위시험조（61례）화대조조（60례）。대조조채용지속부압흡인，시험조채용간헐부압흡인，대량조환자적료효진행비교。결과시험조유58례환자48 h복통복창소실혹감경，총유효솔위95．08％，대조조유50례환자복통복창소실혹감경，총유효솔위83．33％，차이유통계학의의（χ2＝4．354， P＜0．05）。시험조48 h환자항문배기배편회복，총유효솔위96．72％，대조조총유효솔위85．00％，차이유통계학의의（χ2＝5．028，P＜0．05）。시험조환자술전복위（95．04±4．23） cm，5 d후복위축소도（80．27±3．56） cm。대조조환자술전복위（94．60±4．26）cm，5 d후복위축소도（81．20±2．84）cm，치료전화치료5 d후비교，량조차이무통계학의의（ t 치분별위0．569，-1．587；P ＞0．05）。시험조치료후5 d 매일인류량위（2．58±0．57）L，고우대조조적（1．90±0．41）L，차이유통계학의의（t＝7．473，P＜0．05）。결론간헐부압흡인비지속부압흡인치료각충류형장경조경능급시인류출장도내적적액화적기，경능명현개선림상증상，감소병발증，단복위변화차이불명현。
Objective To evaluate the effect of the intermittent and continuous negative pressure suction for intestinal obstruction catheter .Methods One hundred and twenty-one patients with transnasal intestinal obstruction catheter insertion were chosen and were randomly divided into the control group ( n=60 ) and the experimental group ( n=61 ) according to admission time .The control group received the continuous negative pressure suction , and the experimental group received the intermittent negative pressure suction .The curative effect was compared between two groups .Results The cases of patients whose abdominal pain or abdominal distension were disappeared or relieved 48 h after the treatment were 58 cases in the experimental group, and the total effective rate was 95.08%; the cases were 50 cases in the control group , and the total effective rate was 83.33%, and the difference was statistically significant (χ2 =4.354, P<0.05).The total effective rate of restoration of anal flatus and defecation 48 h after the treatment in the experimental group was 96.72%, and was 85.00%in the control group, and the difference was statistically significant (χ2 =5.028, P<0.05).The abdominal circumference in the experimental group was ( 95.04 ±4.23 ) cm before the treatment, and was (80.27 ±3.56) cm 5 days after the treatment; the abdominal circumference in the control group was (94.60 ±4.26) cm before the treatment, and was (81.20 ±2.84) cm 5 days after the treatment;and the differences were not found in the abdominal circumference before and 5 days after the treatment between two groups (t=0.569, -1.587, respectively;P>0.05).The amount of drainage 5 days after the treatment was (2.58 ±0.57)L in the experimental group on daily, and was higher than (1.90 ±0.41) in the control group, and the difference was statistically significant (t=7.473,P<0.05).Conclusions Compared with the continuous negative pressure suction , the intermittent negative pressure suction can accelerate the drainage of intestinal fluid and gas in the various types of intestinal obstruction , and improve the clinical symptoms , and reduce the complications , but can not cause the change of abdominal circumference .