中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
18期
42-43
,共2页
急性肠梗阻%手术治疗%保守治疗%临床疗效
急性腸梗阻%手術治療%保守治療%臨床療效
급성장경조%수술치료%보수치료%림상료효
Acute intestinal obstruction%Surgical treatment%Conservative treatment%Clinical efficacy
目的 比较手术治疗与保守治疗在老年急性肠梗阻治疗中的临床疗效.方法 选取2011年6月至2014年6月胶州市人民医院收治的100例老年急性肠梗阻患者的临床资料进行回顾性分析,依据治疗方法的不同分为A组(32例,采用保守治疗)、B组(40例,发病48 h内手术)和C组(28例,发病48 h后手术).比较三组患者的肠坏死率、病死率、恢复时间及治疗有效率.结果 A组肠坏死率及病死率均明显低于B组和C组,差异有统计学意义(P＜0.05);A组恢复时间明显短于B组和C组,差异有统计学意义(P＜0.05);B组恢复时间明显短于C组,差异有统计学意义(P＜0.05).A组治疗有效率(100.0％)与B组(96.7％)、C组(96.4％)比较差异未见统计学意义(P＞0.05).结论 根据老年患者急性肠梗阻的病情采取不同的治疗方法,对于患者疾病的治愈是行之有效的.
目的 比較手術治療與保守治療在老年急性腸梗阻治療中的臨床療效.方法 選取2011年6月至2014年6月膠州市人民醫院收治的100例老年急性腸梗阻患者的臨床資料進行迴顧性分析,依據治療方法的不同分為A組(32例,採用保守治療)、B組(40例,髮病48 h內手術)和C組(28例,髮病48 h後手術).比較三組患者的腸壞死率、病死率、恢複時間及治療有效率.結果 A組腸壞死率及病死率均明顯低于B組和C組,差異有統計學意義(P＜0.05);A組恢複時間明顯短于B組和C組,差異有統計學意義(P＜0.05);B組恢複時間明顯短于C組,差異有統計學意義(P＜0.05).A組治療有效率(100.0％)與B組(96.7％)、C組(96.4％)比較差異未見統計學意義(P＞0.05).結論 根據老年患者急性腸梗阻的病情採取不同的治療方法,對于患者疾病的治愈是行之有效的.
목적 비교수술치료여보수치료재노년급성장경조치료중적림상료효.방법 선취2011년6월지2014년6월효주시인민의원수치적100례노년급성장경조환자적림상자료진행회고성분석,의거치료방법적불동분위A조(32례,채용보수치료)、B조(40례,발병48 h내수술)화C조(28례,발병48 h후수술).비교삼조환자적장배사솔、병사솔、회복시간급치료유효솔.결과 A조장배사솔급병사솔균명현저우B조화C조,차이유통계학의의(P＜0.05);A조회복시간명현단우B조화C조,차이유통계학의의(P＜0.05);B조회복시간명현단우C조,차이유통계학의의(P＜0.05).A조치료유효솔(100.0％)여B조(96.7％)、C조(96.4％)비교차이미견통계학의의(P＞0.05).결론 근거노년환자급성장경조적병정채취불동적치료방법,대우환자질병적치유시행지유효적.
Objective To compare the clinical effects of surgical treatment and conservative treatment on elderly patients with acute intestinal obstruction.Methods A total of 100 elderly patients with acute intestinal obstruction in People's Hospital of Jiaozhou from June 2011 to June 2014 were reviewed retrospectively.All patients were divided into 3 groups based on different treatment.Thirty-two patients with acute intestinal obstruction who were treated by conservative treatment were in group A,40 patients with acute intestinal obstruction who were treated by surgical treatment within 48 hours in group B,and 28 cases of patients with acute intestinal obstruction who were treated by surgical treatment beyond 48 hours were in group C.The incidence of intestinal necrosis,fatality,and the recovery time and treatment efficiency of the three groups were compared.Results The incidence of intestinal necrosis and mortality of patients in group A were significantly lower than those in group B and group C,the differences were significant (P ＜ 0.05).The recovery time of patients in group A was significantly shorter than that in group B and group C,the difference was significant (P ＜ 0.05).The recovery time of patients in group B was significantly shorter than that in group C by surgical treatment (P ＜ 0.05).Treatment efficiency of patients in group A,B and C had no significant difference (P ＞ 0.05).Conclusions According to the different disease development of elderly patients with acute intestinal obstruction,it is effective to cure the disease by taking different treatment.
