CAJ | 학술논문

目的：探讨三腔胃肠管辅助治疗内镜操作后上消化道穿孔的疗效。方法采用前瞻性对照研究，对112例内镜操作后出现上消化道穿孔的患者进行保守治疗，对实验组（留置三腔胃肠管及肠内应用雷贝拉唑片剂）与对照组（留置传统胃管及静脉使用奥美拉唑针剂）之间腹痛、腹胀的缓解率、胃液pH值、创面愈合时间、住院时间及保守治疗成功率等情况进行比较。结果实验组6 h内腹痛缓解率61．3％、12 h腹痛缓解率83．2％，均明显高于对照组（P＜0．05）。实验组住院时间、钛夹未夹闭创面病例的创面愈合时间，均明显短于对照组（P＜0．05）。2组的胃液pH值及保守治疗成功率差异无统计学意义（P＞0．05）。结论三腔胃肠管辅助治疗内镜术后消化道穿孔的效果理想。
목적：탐토삼강위장관보조치료내경조작후상소화도천공적료효。방법채용전첨성대조연구，대112례내경조작후출현상소화도천공적환자진행보수치료，대실험조（류치삼강위장관급장내응용뢰패랍서편제）여대조조（류치전통위관급정맥사용오미랍서침제）지간복통、복창적완해솔、위액pH치、창면유합시간、주원시간급보수치료성공솔등정황진행비교。결과실험조6 h내복통완해솔61．3％、12 h복통완해솔83．2％，균명현고우대조조（P＜0．05）。실험조주원시간、태협미협폐창면병례적창면유합시간，균명현단우대조조（P＜0．05）。2조적위액pH치급보수치료성공솔차이무통계학의의（P＞0．05）。결론삼강위장관보조치료내경술후소화도천공적효과이상。
Objective To explore the curative effect of triple lumen feeding tube on upper gastroin-testinal tract perforation after endoscopic operation.Methods A total of 1 12 patients with upper gastrointes-tinal perforation after endoscopic operation were involved in this prospective control test.The remission rate of abdominal pain and abdominal distension,gastric pH,lesion healing time,length of stay and the success rate of conservative treatment were compared between the control group (indwelling traditional gastric tube and intravenous use of omeprazole injection)and the experimental group (intestinal administration of PPI through triple lumen feeding tube).Results The remission rate of abdominal pain of the experimental group was 61. 3% at 6 hours,and 83. 2% at 12 h,which were significantly higher than those of the control group (P<0. 05 ).The lesion healing time(of cases where lesions were not clipped)and length of hospitalization of the experimental group were significantly shorter than those of the control group(P<0. 05 ).The gastric pH and success rate of conservative treatment of the two groups had no significant difference(P>0. 05 ).Con-clusion The curative effect of triple lumen feeding tube on upper gastrointestinal tract perforation after endo-scopic operation is ideal.