摘要
目的探究老年患者术后粘连性肠梗阻应用经鼻肠梗阻导管置入术治疗的效果。方法将2015年5月至2020年6月在本院接受治疗的50例老年术后粘连性肠梗阻患者纳入研究,随机抽取25例进行鼻胃管胃肠减压,归为对照组;另25例行经鼻肠梗阻导管置入术,归为研究组,以临床有效率、治疗效果相关指标、中转开腹率及引流前(引流前1d)、引流后(引流48h后)炎症因子水平完成对治疗效果的评价。结果研究组临床有效率为92.00%,对照组为68.00%,对比差异显著(P<0.05);研究组胃肠减压量多于对照组,且腹部症状及气液平面消失时间、胃肠功能恢复时间、住院时间短于对照组,差异显著(P<0.05);研究组未发生中转开腹情况(0.00%),对照组中转开腹率为8.00%,对比差异显著(P<0.05);引流后,研究组血清降钙素(PCT)、C反应蛋白(CRP)水平低于引流前,且低于对照组,差异显著(P<0.05)。结论老年术后肠粘连性梗阻患者应用经鼻肠梗阻导管置入术治疗能够取得较好的引流、减压效果,减轻机体的炎症反应,促进患者的康复。
Objective To observe the effect of nasal placement with intestinal obstruction catheter on treatment of postoperative adhesive intestinal obstruction.Methods 50 elderly patients with postoperative adhesive intestinal obstruction treated from May 2015 to June 2020 in our hospital were investigated and randomly assigned to two groups.25 cases of taking gastrointestinal decompression with nasogastric tube were included in the control group;25 cases of taking nasal placement with intestinal obstruction catheter were included in the research group.Clinical effective rate,clinical indicators,rate of transferring to laparotomy,and inflammatory factors before drainage (before 1d of drainage) and after drainage (after 48h of drainage) were appraised.Results Clinical effective rate in the research group (92.00%) was significantly higher than control group (68.00%) (P<0.05).Gastrointestinal decompression volume in the research group was larger than control group.Abdominal symptom and air fluid level disappearance time,gastrointestinal function recovery time and hospital stays were shorter than control group (P<0.05).Proportion of patients of transferring to laparotomy in the research group (0.00%) was significantly lower than control group (8.00%) (P<0.05).After drainage,serum procalcitonin (PCT) and C-reactive protein (CRP) levels in the research group were significantly lower than before and control group (P<0.05).Conclusion The nasal placement with intestinal obstruction catheter has better drainage and decompression effects,relieves the inflammatory response,and promotes the fast recovery.
作者
胡献辉
HU Xian-hui(Surgery Department,The Second People's Hospital of Yuancheng District,Heyuan,Guangdong 517025)
出处
《智慧健康》
2021年第8期82-84,共3页
Smart Healthcare
关键词
老年
术后
粘连性肠梗阻
肠梗阻导管
经鼻置入
胃肠减压
气液平面
Elderly
Postoperative
Adhesive intestinal obstruction
intestinal obstruction catheter
Nasal placement
Gastrointestinal decompression
Air fluid level
