松解手术时机差异对小肠梗阻手术预后影响比较.docVIP

精品论文 参考文献 松解手术时机差异对小肠梗阻手术预后影响比较 袁智勇 王磊 　　（四川省中江县人民医院 四川中江 618100） 　　【摘要】目的:探讨分析发病不同时间进行的松解手术对小肠梗阻手术预后恢复的影响比较。方法:选择从2013年5月到2015年5月入住我院接受治疗的84例小肠梗阻患者做为本次研究的探讨对象，随机分成实验组和对照组，以48小时为临界时间，实验组42例，发病确诊48h内立即行松解手术进行治疗;对照组42例，先对其进行保守治疗，若无效，48小时后对其进行松解手术。将这两组患者治疗前后的有效率、胃肠功能恢复时间和住院时间进行统计学分析。结果:经过治疗后，两组有效率的比较差异具有统计学意义（Plt;0.05)。与对照组相比胃肠功能恢复时间和住院时间显著缩短，差异均有统计学意义（Plt;0.05)。结沦:把握最佳时机对小肠梗阻患者进行松解手术，可使治疗的有效率明显提高，显著缩短胃肠功能恢复时间和住院时间。 　　【关键词】小肠梗阻；预后；手术时机；有效率 　　【中图分类号】R615 【文献标识码】A 【文章编号】1007-8231（2015）12-0089-02 　　【Abstract】Objective To study the analysis of occurring at different times to release the surgical effect on the prognosis of small intestinal obstruction surgery recovery. Methods From May 2013to May 2015 in our hospital treated 84 cases of small intestinal obstruction patients as the study object of the present study randomly divided into experimental group and control group, in 48 hours, for the critical time, the experimental group, 42 cases confirmed disease within 48 h immediately release the surgery treatment; The control group, 42 cases, first carries on the conservative treatment, if invalid, 48 hours to release after surgery. The effectiveness of the two groups of patients before and after treatment, gastrointestinal function recovery time and hospital stay for statistical analysis. Results After treatment, the comparison of two groups of efficient statistically significant difference (p lt; 0.05). Compared with the control group in gastrointestinal function recovery time and hospital stay was significantly shortened, differences were statistically significant (p lt; 0.05). Knot theory Grasp the best time to release the surgery in patients with small intestinal obstruction, can obviously improve the efficient of treatment, significantly shorten the gastrointestinal function recovery time and hospital stay. 　　引言：肠梗阻的定义为肠内容物不能顺利地通过肠道，尤易在小肠发生。小肠梗阻起病迅速，病情复杂多变，需要早期作出诊断、处理[1]。关于松解手术时机对小肠梗阻手术预后影响的判断临床上目前没有统一结论。本次研究选择从2013年5月到2015年5月入