湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
Journal of Hunan Normal University (Medical Science)
2015年
4期
22-24,25
,共4页
张喜荣%黄孝静%陈艳华%阮连国
張喜榮%黃孝靜%陳豔華%阮連國
장희영%황효정%진염화%원련국
生长抑素%肠梗阻%内科治疗%疗效观察
生長抑素%腸梗阻%內科治療%療效觀察
생장억소%장경조%내과치료%료효관찰
somatostatin%intestinal obstruction%internal medicine treatment%curative effect observation
目的：观察和分析生长抑素（SS）治疗肠梗阻的临床疗效。方法：选取100例肠梗阻患者作为研究对象，将其随机分为观察组和对照组，每组各50例。对照组患者给予常规内科治疗，观察组患者在常规内科治疗的基础上加用静脉注射 SS 治疗。对两组患者在治疗期间的腹痛、腹胀、排便、排气等临床体征的变化情况和每日的胃肠道减压量进行观察和比较；对两组的疗效和临床有效率进行评价和比较。结果：观察组患者出现排气、排便、腹痛缓解、腹胀缓解等临床症状改善的比例均显著高于对照组；在治疗第3d、第4d、第5d，观察组的胃肠减压量均显著低于对照组；两组疗效评价结果分布的差异有统计学意义，观察组的疗效优于对照组；观察组和对照组临床有效率分别为96%和80%，两组之间的差异有统计学意义。结论：应用 SS 联合常规内科疗法治疗肠梗阻可显著缓解患者的临床症状、降低胃肠道压力，具有更显著的疗效和更高的临床有效率。
目的：觀察和分析生長抑素（SS）治療腸梗阻的臨床療效。方法：選取100例腸梗阻患者作為研究對象，將其隨機分為觀察組和對照組，每組各50例。對照組患者給予常規內科治療，觀察組患者在常規內科治療的基礎上加用靜脈註射 SS 治療。對兩組患者在治療期間的腹痛、腹脹、排便、排氣等臨床體徵的變化情況和每日的胃腸道減壓量進行觀察和比較；對兩組的療效和臨床有效率進行評價和比較。結果：觀察組患者齣現排氣、排便、腹痛緩解、腹脹緩解等臨床癥狀改善的比例均顯著高于對照組；在治療第3d、第4d、第5d，觀察組的胃腸減壓量均顯著低于對照組；兩組療效評價結果分佈的差異有統計學意義，觀察組的療效優于對照組；觀察組和對照組臨床有效率分彆為96%和80%，兩組之間的差異有統計學意義。結論：應用 SS 聯閤常規內科療法治療腸梗阻可顯著緩解患者的臨床癥狀、降低胃腸道壓力，具有更顯著的療效和更高的臨床有效率。
목적：관찰화분석생장억소（SS）치료장경조적림상료효。방법：선취100례장경조환자작위연구대상，장기수궤분위관찰조화대조조，매조각50례。대조조환자급여상규내과치료，관찰조환자재상규내과치료적기출상가용정맥주사 SS 치료。대량조환자재치료기간적복통、복창、배편、배기등림상체정적변화정황화매일적위장도감압량진행관찰화비교；대량조적료효화림상유효솔진행평개화비교。결과：관찰조환자출현배기、배편、복통완해、복창완해등림상증상개선적비례균현저고우대조조；재치료제3d、제4d、제5d，관찰조적위장감압량균현저저우대조조；량조료효평개결과분포적차이유통계학의의，관찰조적료효우우대조조；관찰조화대조조림상유효솔분별위96%화80%，량조지간적차이유통계학의의。결론：응용 SS 연합상규내과요법치료장경조가현저완해환자적림상증상、강저위장도압력，구유경현저적료효화경고적림상유효솔。
ObjectiveTo observe and analyze the clinical curative effects of somatostatin (SS) in the treatment of intestinal obstruction. Methods100 cases of patients with intestinal obstruction were selected as the research subjects and randomly di-vided into the observation group and the control group. 50 cases were included into each group. The patients in the control group were treated with routine treatment of internal medicine, while the patients in the observation group were treated with combined intravenous injection of SS treatment based on the routine treatment of internal medicine. The changes of the clinical syndromes such as abdominal pain, abdominal distension, defecation, exhausting and the daily gastrointestinal decompression amount of the patients in the two groups were observed and compared; The curative effects and the clinical efficiency of the two groups were evaluated and compared. ResultsThe ratios of the patients with syndrome improvements of exhausting, defecation,abdominal pain relieving, abdominal distension relieving , during the treatment in the observation group were significantly higher than those in the control group; On the 3rd d, 4th d, 5th d of the treatment, the gastric intestinal decompression amounts of patients in the observation group were significantly lower than those in the control group; The difference of the distribution of the curative effect evaluation results between the two groups were statistically significant and the curative effects of the observation group were better than those of the control group; The clinical efficiencies of the observation group and the control group were 96%and 80% respectively, the difference between the two groups was statistically significant. ConclusionThe application of SS combined with the routine internal medicine therapy in the treatment of intestinal obstruction can relieve the clinical symptoms, reduce the gastrointestinal pressure, and leads to the more significant results and the higher clinical efficiency.
