急性肠梗阻中不同手术时机的治疗效果分析全世昆.docVIP

精品论文 参考文献 急性肠梗阻中不同手术时机的治疗效果分析全世昆 黑龙江省森工总医院 黑龙江哈尔滨 150040 【摘 要】目的：对比分析不同手术时机治疗急性肠梗阻的临床效果。方法：选取我院2015年2月～2016年2月收治的92例患者资料，按照随机数字表法将其分为观察组和对照组，每组46例。观察组在发病48 h内实施手术，对照组在发病48 h后实施手术，观察比较两组患者的治疗效果、各项效果和时间。结果：经治疗后，观察组的治疗总有效率95.65%，对照组的治疗有效率为91.30%，两组治疗有效率比较差异无统计学意义（Pgt;0.05）。观察组的肠坏死率4.35%和死亡发生率2.17%均明显低于对照组的19.57%和17.39%，差异均有统计学意义（Plt;0.05）。结论：对于急性肠梗阻患者，临床医生可根据患者实际情况选择手术时机。 【关键词】不同手术时机；急性肠梗阻；效果分析 Analysis of therapeutic effect of different operation timing in acute intestinal obstruction Abstract：Objective：To compare and analyze the clinical effect of different operation timing in the treatment of acute intestinal obstruction.Methods：A total of 92 patients were enrolled in our hospital from February，2015 to February，2016.The patients were divided into observation group and control group according to the random number table method.In the observation group，48 hours after the onset of surgery，the control group in the incidence of 48 h after the implementation of surgery to observe the two groups of patients compared the effect of treatment，the effect and time.Results：After treatment，the total effective rate was 95.65% in the observation group and 91.30% in the control group.There was no statistically significant difference between the two groups（Pgt; 0.05）.In the observation group，the rate of intestinal necrosis was 4.3.5% and the mortality rate was 2.17%，which was significantly lower than the control group（19.57% and 17.39%）.The recovery time of operation，gastrointestinal function recovery time and hospitalization time were significantly shorter than the control group Statistical significance（P lt;0.05）.Conclusion：For patients with acute intestinal obstruction，clinicians can choose the timing of surgery according to the actual situation of patients. Keywords：different operation time；acute intestinal obstruction；effect analysis 急性肠梗阻是外科常见病、多发病，其病因复杂，病情多变，在明确诊断后，首要问题是判断是否有肠缺血或肠绞窄的存在。若处理不当，会导致严重并发症，甚至感染中毒性休克死亡，因此对于急性肠梗阻的治疗需重视手术时机的掌握及治疗方法的选择。急性肠梗阻手术时机的临床判断展开较为