摘要
目的观察结肠途径治疗机治疗粪石性肠梗阻的临床疗效。方法将符合诊断标准的305例粪石性肠梗阻患者随机分为保守治疗组(75例)、手术治疗组(75例)与结肠途径治疗机组(155例)。三组均采用禁食、禁水、持续胃肠道减压、纠正水和电解质紊乱及酸碱失衡等对症治疗,手术治疗组在此基础上采用外科手术治疗,结肠途径治疗机组在此基础上采用结肠途径治疗机治疗。三组均治疗6d(1个疗程),治疗1个疗程后观察疗效。结果治愈率保守治疗组为53.33%,手术治疗组为100.00%,结肠途径治疗机组为96.77%。手术治疗组和结肠途径治疗机组的治愈率高于保守治疗组(P<0.05)。手术治疗组与结肠途径治疗机组相比治愈率差异无统计学意义(P>0.05)。并发症发生率保守治疗组为3.23%,手术治疗组为29.33%,结肠途径治疗机组为6.45%。手术治疗组高于结肠途径治疗机组和保守治疗组(P<0.05),结肠途径治疗机组与保守治疗组相比较差异无统计学意义(P>0.05)。结论结肠途径治疗机治疗粪石肠梗阻疗效与外科手术治疗的疗效相当,但结肠途径治疗机组治疗后副作用低,住院时间短。
Objective To observe the elinieal efficacy of colon therapy machine in the treatment of bezoar ileus. Methods Three hundreds and five eases according to diagnostic criteria of bezoar ileus were randomly divided into conservative treatment group （75 eases）, surgical treatment group （75 eases） and colon therapy meehine group （155 eases）. Three groups received fasting, water deprivation, continuous gastrointestinal decompression, correcting water, electrolyte disorders and acid-base balance and other symptomatic treatment. On a basis of above treatment , the surgical treatment group was treated by surgical therapy, the colon therapy machine group was treated by colon therapy machine. Three groups were treated for 6 days （ a course of treatment）. After one course of treatment their therapeutic effect were observed. Results The cure rate of the eonservative treatment group was 53.33%, that of the surgical treatment group was 100. 00%, that of the colon therapy mechine group was 96. 77%. The cure rates in the surgical treatment group, and the colon therapy group were higher than that in the conservative treatment group （ P 〈 0. 05 ）. Between the colon therapy mechine group and surgical treatment group, there was no significant difference in cure rate （P 〉0. 05）. The incidence of eomplicatians in the conservative treatment group was 3.23%, that in the surgical treatment group was 29. 33%, that in the colon therapy mechine group was 6.45%. The incidences of complications in the surgical treatment group were higher than those in the colon therapy mechine group, and the conservative treatment group （ P 〈 0.05 ） ; Between the colon therapy mechine group and the conservative treatment group, There was no significant difference in the incidence of complications （P 〉 0. 05 ）. Conclusion The treatment efficacy of the colon therapy machine and surgical treatment for bezoar ileus is close, but the colon therapy mechine has lower side effects and shorter hospitalization time.
出处
《中国临床新医学》
2010年第4期306-308,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
基金
广西壮族自治区卫生厅自筹经费科研课题(No:Z2007001)
