中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
32期
35-36
,共2页
持续静脉泵入%奥曲肽%肠梗阻%回顾性分析
持續靜脈泵入%奧麯肽%腸梗阻%迴顧性分析
지속정맥빙입%오곡태%장경조%회고성분석
Continuous intravenous pumping%Octreotide%Intestinal obstruction%A retrospective analysis
目的：探讨持续性静脉泵入奥曲肽治疗肠梗阻的临床效果。方法：2011年10月-2013年10月收治手术治疗肠梗阻患者120例，对其临床资料进行回顾性分析，并根据治疗方法的不同分成对照组和观察组，将奥曲肽皮下注射法治疗的患者归入对照组，每组60例；将采用持续性静脉泵入奥曲肽法治疗的患者纳入观察组，共60例，对比两组的治疗效果。结果：观察组治愈率93.33%，显著高于对照组的83.33%，且差异具有统计学意义(P＜0.05)。观察组临床症状缓解率90%，肛门排气时间(3.05±1.17)d，显著优于对照组的73.33%和(5.1±2.21)d，差异均具有统计学意义(P＜0.05)。两组均无显著的不良反应和肝肾功能损伤，差异不具有统计学意义(P＞0.05)。结论：对肠梗阻患者采用持续性静脉泵入奥曲肽的方法进行可以有效缓解患者的临床症状，提高治愈率，促进患者康复，具有显著的治疗效果。
目的：探討持續性靜脈泵入奧麯肽治療腸梗阻的臨床效果。方法：2011年10月-2013年10月收治手術治療腸梗阻患者120例，對其臨床資料進行迴顧性分析，併根據治療方法的不同分成對照組和觀察組，將奧麯肽皮下註射法治療的患者歸入對照組，每組60例；將採用持續性靜脈泵入奧麯肽法治療的患者納入觀察組，共60例，對比兩組的治療效果。結果：觀察組治愈率93.33%，顯著高于對照組的83.33%，且差異具有統計學意義(P＜0.05)。觀察組臨床癥狀緩解率90%，肛門排氣時間(3.05±1.17)d，顯著優于對照組的73.33%和(5.1±2.21)d，差異均具有統計學意義(P＜0.05)。兩組均無顯著的不良反應和肝腎功能損傷，差異不具有統計學意義(P＞0.05)。結論：對腸梗阻患者採用持續性靜脈泵入奧麯肽的方法進行可以有效緩解患者的臨床癥狀，提高治愈率，促進患者康複，具有顯著的治療效果。
목적：탐토지속성정맥빙입오곡태치료장경조적림상효과。방법：2011년10월-2013년10월수치수술치료장경조환자120례，대기림상자료진행회고성분석，병근거치료방법적불동분성대조조화관찰조，장오곡태피하주사법치료적환자귀입대조조，매조60례；장채용지속성정맥빙입오곡태법치료적환자납입관찰조，공60례，대비량조적치료효과。결과：관찰조치유솔93.33%，현저고우대조조적83.33%，차차이구유통계학의의(P＜0.05)。관찰조림상증상완해솔90%，항문배기시간(3.05±1.17)d，현저우우대조조적73.33%화(5.1±2.21)d，차이균구유통계학의의(P＜0.05)。량조균무현저적불량반응화간신공능손상，차이불구유통계학의의(P＞0.05)。결론：대장경조환자채용지속성정맥빙입오곡태적방법진행가이유효완해환자적림상증상，제고치유솔，촉진환자강복，구유현저적치료효과。
Objective:To investigate the clinical effect of continuous intravenous infusion of octreotide in the treatment of intestinal obstruction.Methods:120 patients with intestinal obstruction who was taken operation treatment were selected from October 2011 to October 2013.We retrospectively analyzed their clinical data.They were divided into the control group and observation group according to the different treatment.Patients who taken the subcutaneous octreotide injection therapy as the control group,and a total of 60 cases in this group.Patients who received continuous intravenous infusion of octreotide therapy as the observation group with 60 cases in it.Then we compared the treatment effect of two groups.Results:The cure rate of the observation group was 93.33% ,significantly higher than 83.33% of the control group,and the difference was statistically significant(P<0.05).The clinical symptom relief rate of the observation group was 90%,and anal exhaust time was(3.05±1.17)d, significantly better than the control group with 73.33% and(5.1 ± 2.21)d respecativily,and the differences were statistically significant (P<0.05).There were no significant adverse reactions and the function of liver and kidney damage in two groups,and the differences were statistically significant(P>0.05).Conclusion:Continuous intravenous infusion of octreotide in the treatment of patients with intestinal obstruction can effectively relieve the clinical symptoms,and it also can improve the cure rate and promote the rehabilitation of patients,so we can summarized that it has an obvious curative effect on intestinal obstruction.
