奥曲肽治疗术后粘连性肠梗阻疗效分析.docVIP

论　　著 Lunzhu　　《中外医学研究》第12 卷 第4 期（总第228 期）2014 年2 月 奥曲肽治疗术后粘连性肠梗阻的疗效分析 　　 唐冰①　雷春梅①　胡承光① 　　【摘要】　目的：观察分析奥曲肽治疗术后粘连性肠梗阻的临床疗效。方法：对笔者所在医院2012 年3 月-2013 年2 月收治的64 例早期术后粘连性肠梗阻患者的临床资料进行回顾性分析，并按随机数字表法将其分成对照组与试验组，各32 例。对照组进行常规处理，试验组在常规处理的基础上加入奥曲肽治疗，比较两组患者的治疗效果。结果：两组患者治疗总有效率比较，差异有统计学意义(P0.05)。结论：采用奥曲肽治疗的患者效果明显高于进行常规治疗的患者，在临床上值得广泛应用。 【关键词】　术后粘连性肠梗阻；　奥曲肽；　疗效 中图分类号　R574.2 文献标识码　A 文章编号　1674-6805(2014)4-0008-02 Curative Effect Analysis of Octreotide in the Treatment of Adhesive Intestinal Obstruction after Operation/TANG Bing，LEI Chun-mei，HU Cheng-guang.//Chinese and Foreign Medical Research，2014，12(4)：8-9 　　【Abstract】　Objective：To observe and analyze the clinical effect of octreotide in the treatment of adhesive intestinal obstruction after operation. Method：The clinical data of 64 cases with early postoperative adhesive intestinal obstruction in our hospital from March 2012 to February 2013 were analyzed retrospectively， and all patients were divided into the control group and the experimental group by the random number table， and there were 32 cases in each group. The control group was given the routine treatment， and the experimental group were given octreotide treatment on the basis of the conventional treatment.The clinical effects of the two groups were compared.Result：The total effective rate of the two groups was compared， and the difference was statistically significant(P0.05). Conclusion：The effects of patients treated with octreotide were obviously higher than that of patients treated with the conventional treatment， and it is worthy of applying widely in the clinical. 【Key words】　Postoperative adhesive intestinal obstruction；　Octreotide；　Curative effect 肠梗阻指肠道内的容物不能正常运行或通过受阻，是急腹 症中常见的一种疾病[1]。其临床症状表现为腹痛、恶心呕吐、 腹胀、肛门停止排气排便等，情况严重者肠壁血供不足，从而 导致肠坏死，可致死亡。据文献[2] 报道，肠梗阻的发生率大概 为5.0%。其发生的原因有肠外因素( 包括因粘连导致肠扭转或 折叠、内疝或嵌顿性外疝、压迫腹块、肠外发生肿瘤、腹膜炎 症或肠道发生病变等) 及肠内因素( 肠内存在着寄生虫、胆石、 肠石等异物、肠套叠、肠内有堵塞物、先天性的肠异常)。选取 笔者所在医院2012 年3 月-2013 年2 月收治的64