两种减压方式对粘连性高位小肠梗阻的临床疗效分析

发布时间：2019-01-14 12:26

【摘要】：[目的]探讨经胃管减压手术方式对粘连性高位小肠梗阻的临床应用价值。[方法]收集该院2011年8月—2014年8月粘连性高位小肠梗阻病人38例,其中肠道切开减压组20例,经胃管减压组18例,比较两组在手术出血、手术时间,术后肛门排气时间、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]手术出血、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(P0.05),在两组手术时间、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(P0.05)。[结论]经胃管减压组与肠道切开减压组相比,具有手术时间短、安全性高、痛苦轻、康复快、并发症少等优点。
[Abstract]:[objective] to evaluate the clinical value of transgastric decompression in the treatment of adherent high small bowel obstruction. [methods] from August 2011 to August 2014, 38 patients with adhesive high small bowel obstruction were collected, including 20 cases in intestinal incision decompression group and 18 cases in gastric tube decompression group. The operative bleeding, operation time and anal exhaust time after operation were compared between the two groups. Anus defecation time, postoperative urinal withdrawal time, postoperative gastric tube withdrawal time, time to get out of bed, use of anti-infective drugs, time to eat and drink, postoperative hospitalization time, anastomotic fistula, incision infection, lung infection, abdominal infection, Differences in urinary tract infections. [results] there was no significant difference in operative bleeding, postoperative time of extubation, anastomotic fistula and urinary tract infection (P0.05). There was no significant difference between the two groups in the time of operation, the time of anal exhaust and defecation, the time of pulling out gastric tube after operation, the time of feeding and drinking, the time of feeding and drinking. There were significant differences in the use of anti-infective drugs incision infection pulmonary infection abdominal infection time of getting out of bed and postoperative hospitalization time (P0.05). [conclusion] compared with the intestinal decompression group, the transgastric tube decompression group has the advantages of shorter operation time, higher safety, less pain, faster recovery and less complications.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R656.7

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