经鼻型肠梗阻导管在急性肠梗阻治疗中的应用研究

发布时间：2018-02-01 21:06

本文关键词： 急性肠梗阻经鼻型肠梗阻导管疗效　出处：《中国普外基础与临床杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨经鼻型肠梗阻导管对急性肠梗阻的疗效。方法回顾性收集2013年6月至2015年6月期间笔者所在医院收治的87例急性肠梗阻患者的临床资料,根据治疗分为观察组44例(采用经鼻型肠梗阻导管治疗)和对照组43例(采用普通鼻胃管治疗),比较2组患者的疗效以评判经鼻型肠梗阻导管在急性肠梗阻治疗中的应用价值。结果总体而言,观察组的疗效优于对照组(P=0.04)。观察组的腹痛腹胀缓解时间、肛门排气排便缓解时间及腹部X线平片示肠梗阻缓解时间均短于对照组(P0.05),且48 h内腹痛腹胀缓解率、置管第1天引流量、24 h腹围缩小量及24 h内胃肠减压量均高于对照组(P0.05)。结论经鼻型肠梗阻导管可有效引流肠内容物,较早缓解腹痛、腹胀等症状,为进一步的手术治疗创造了良好的条件,具有重要的推广应用价值。
[Abstract]:Objective to investigate the effect of transnasal intestinal obstruction catheter on acute intestinal obstruction. Methods the clinical data of 87 patients with acute intestinal obstruction were collected retrospectively from June 2013 to June 2015 in our hospital. . According to the treatment, 44 cases were divided into two groups: the observation group (44 cases) and the control group (43 cases). To evaluate the value of transnasal intestinal obstruction catheter in the treatment of acute intestinal obstruction. The curative effect of the observation group was better than that of the control group (P < 0.04). The time of abdominal distension relief in the observation group was better than that in the control group. The relief time of anal exhaust and defecation and abdominal X-ray showed that the remission time of intestinal obstruction was shorter than that of the control group (P 0.05), and the relief rate of abdominal pain and abdominal distention within 48 hours, and the drainage flow on the 1st day of tube placement. The reduction of abdominal circumference at 24 h and the amount of gastrointestinal decompression in 24 h were higher than those in control group (P 0.05). Conclusion Transnasal intestinal obstruction catheter can effectively drain intestinal contents and relieve abdominal pain and distention earlier. For further surgical treatment to create a good condition, has an important value of popularization and application.
【作者单位】：北京市延庆区医院普外科;
【分类号】：R656.7
【正文快照】： 任何原因引起的肠内容物通过障碍统称为肠梗阻(intestinal obstruction),其是常见的外科急腹症之一[1],粘连性肠梗阻是肠梗阻中最常见的类型,约占60%[2]。目前肠梗阻的死亡率一般为5%~10%,有绞窄性肠梗阻者为10%~20%[3]。肠梗阻发病大多急剧,且诊断较为困难,其治疗方法需根据

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