中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
2期
26-27
,共2页
经肛型肠梗阻减压导管%急性低位结直肠梗阻%手术方式
經肛型腸梗阻減壓導管%急性低位結直腸梗阻%手術方式
경항형장경조감압도관%급성저위결직장경조%수술방식
Transanal ileus decompression tube%Acute colorectal obstruction%Operation mode
目的：探讨经肛型肠梗阻减压导管治疗急性低位结直肠梗阻的临床应用效果。方法：2010年1月-2014年1月收治急性低位结直肠梗阻患者60例，随机分为观察组和对照组，各30例，对照组采用常规手术治疗，观察组采用经肛型肠梗阻减压导管进行治疗，比较两组患者临床手术治疗效果。结果：观察组腹痛、腹胀症状消失时间和自主排气时间都明显短于对照组，差异具有统计学意义(P＜0.05)，观察组胃肠减压量也明显大于对照组，差异具有统计学意义(P＜0.05)，观察组住院时间也明显短于对照组，差异具有统计学意义(P＜0.05)。对照组并发症发生率14.08%，观察组并发症发生率4.23%。观察组的并发症发生率明显低于对照组，差异具有统计学意义(P＜0.05)。结论：采用经肛型肠梗阻减压导管进行急性低位结直肠梗阻的治疗，能有效改善患者临床情况，减轻患者痛苦，提高治疗效果，安全、有效，值得临床推广应用。
目的：探討經肛型腸梗阻減壓導管治療急性低位結直腸梗阻的臨床應用效果。方法：2010年1月-2014年1月收治急性低位結直腸梗阻患者60例，隨機分為觀察組和對照組，各30例，對照組採用常規手術治療，觀察組採用經肛型腸梗阻減壓導管進行治療，比較兩組患者臨床手術治療效果。結果：觀察組腹痛、腹脹癥狀消失時間和自主排氣時間都明顯短于對照組，差異具有統計學意義(P＜0.05)，觀察組胃腸減壓量也明顯大于對照組，差異具有統計學意義(P＜0.05)，觀察組住院時間也明顯短于對照組，差異具有統計學意義(P＜0.05)。對照組併髮癥髮生率14.08%，觀察組併髮癥髮生率4.23%。觀察組的併髮癥髮生率明顯低于對照組，差異具有統計學意義(P＜0.05)。結論：採用經肛型腸梗阻減壓導管進行急性低位結直腸梗阻的治療，能有效改善患者臨床情況，減輕患者痛苦，提高治療效果，安全、有效，值得臨床推廣應用。
목적：탐토경항형장경조감압도관치료급성저위결직장경조적림상응용효과。방법：2010년1월-2014년1월수치급성저위결직장경조환자60례，수궤분위관찰조화대조조，각30례，대조조채용상규수술치료，관찰조채용경항형장경조감압도관진행치료，비교량조환자림상수술치료효과。결과：관찰조복통、복창증상소실시간화자주배기시간도명현단우대조조，차이구유통계학의의(P＜0.05)，관찰조위장감압량야명현대우대조조，차이구유통계학의의(P＜0.05)，관찰조주원시간야명현단우대조조，차이구유통계학의의(P＜0.05)。대조조병발증발생솔14.08%，관찰조병발증발생솔4.23%。관찰조적병발증발생솔명현저우대조조，차이구유통계학의의(P＜0.05)。결론：채용경항형장경조감압도관진행급성저위결직장경조적치료，능유효개선환자림상정황，감경환자통고，제고치료효과，안전、유효，치득림상추엄응용。
Objective:To investigate the clinical application effect of transanal ileus decompression tube in the treatment of acute colorectal obstruction.Methods:60 patients with acute colorectal obstruction were selected from January 2010 to January 2014. They were randomly divided into the observation group and the control group with 30 cases in each.The control group was treated with routine operation therapy,and the observation group were treated by transanal ileus decompression tube.We compared clinical operation effect of the two groups.Results:The abdominal pain and distension symptoms disappeared time and independent exhaust time of the patients in the observation group were significantly shorter than those of the control group,and with statistical significance(P<0.05).The gastrointestinal decompression amount of the observation group patients was significantly higher than that of the control group,and with statistical significance(P<0.05).The patients hospitalization time of the observation group was shorter than that of the control group,and with statistical significance(P<0.05).The incidence of complications of the control group was 14.08%,and the incidence of complications of the observation group was 4.23%.So the incidence of complications of the observation group was significantly lower than that of the control group, with statistical significance(P<0.05).Conclusion:Transanal ileus decompression tube in the treatment of the acute low colorectal obstruction can improve the clinical condition of patients effectively,reduce the suffering of patients,and improve the therapeutic effect.It is safety and effective,so it is worthy of clinical application.
