CAJ | 학술논문

目的探讨经胃减压方式对粘连性小肠梗阻的临床应用价值。方法收集该院2011年8月~2014年8月粘连性小肠梗阻130例，其中肠道切开减压组68例，经胃减压组62例，比较两组术后在肛门排气时间、肛门排便时间、术后拔尿管时间、术后拔胃管时间、下床活动时间、抗感染药物使用情况、进食进饮时间、术后住院时间、吻合口瘘、切口感染、肺部感染、腹腔感染、尿路感染的差异。结果术后拔尿管时间、吻合口瘘、尿路感染方面差异无统计学意义(>0.05)，在两组术后肛门排气排便时间、术后拔胃管时间、进食进饮时间、抗感染药物使用情况、切口感染、肺部感染、腹腔感染、下床活动时间、术后住院时间方面差异有统计学意义(<0.05)。结论经胃减压组与肠道切开减压组相比，具有安全性高、痛苦轻、康复快、并发症少等优点。
목적탐토경위감압방식대점련성소장경조적림상응용개치。방법수집해원2011년8월~2014년8월점련성소장경조130례，기중장도절개감압조68례，경위감압조62례，비교량조술후재항문배기시간、항문배편시간、술후발뇨관시간、술후발위관시간、하상활동시간、항감염약물사용정황、진식진음시간、술후주원시간、문합구루、절구감염、폐부감염、복강감염、뇨로감염적차이。결과술후발뇨관시간、문합구루、뇨로감염방면차이무통계학의의(>0.05)，재량조술후항문배기배편시간、술후발위관시간、진식진음시간、항감염약물사용정황、절구감염、폐부감염、복강감염、하상활동시간、술후주원시간방면차이유통계학의의(<0.05)。결론경위감압조여장도절개감압조상비，구유안전성고、통고경、강복쾌、병발증소등우점。
Objective To discusses the clinical value of decompression through the stomach for the adhesive smal bowel obstruction.Methods Col ecting 130 patients of adhesive smal bowel obstruction from August 2011 to August 2014 in the hospital,and to divided into intestinal incision decompression group (68cases)and decompression through the stomach group (62 cases). Finding the dif erences by comparing the two groups of Flatus time, defecation time,indwel ing catheter time,gristic tube indwel ing time,get ing out of bed time, using of anti infective drugs time,eat ing and drinking time,the hospitalization time after operation, Anastomoticleakage,wound infection,abdominal infection,lung infection,urinary tract infection.Results Two groups of indwel ing catheter time, Anastomoticleakage,urinary tract infection have no obvious dif erence ( >0.05).Two groups of Flatus time, defecation time,gristic tube indwel ing time, get ing out of bed time, using of anti infective drugs time,eat ing and drinking time,the hospitalization time after operation,wound infection, wound dehiscence, abdominal infection, lung infection have obvious dif erence ( <0.05).Conclusion decompression through the stomach group compared to the intestinal incision Decompression group has high security,lightpain,quicker ecovery,less complications advantages.