老年患者急性肠梗阻手术治疗与保守治疗的临床效果比较.docVIP

精品论文 参考文献 老年患者急性肠梗阻手术治疗与保守治疗的临床效果比较 江苏省泰州市永安洲医院外科 江苏泰州 225300 【摘 要】目的 比较在老年急性肠梗阻治疗中手术治疗与保守治疗的临床疗效。方法 回顾性分析2009年5月-2014年4月收治的83例老年急性肠梗阻的治疗。依据治疗方法不同，分为采用保守治疗记为A组（24例）、发病48h内手术记为B组（30例），发病48h后手术记为C组（29例）。比较3组患者的肠坏死率、死亡率、恢复时间及治疗有效率。结果（1）A组患者的肠坏死率及死亡率明显低于B和C组，差异有统计学意义（Plt;0.05）；A组患者的恢复时间均短于B和C组（P＜0.05），手术治疗患者中，B组患者的恢复时间均短于C组，差异有统计学意义（Plt;0.05）。（2）A组患者的治疗有效率与B组患者的治疗有效率、C组患者的治疗有效率相比，差异无统计学意义（Pgt;0.05）。结论 根据老年患者急性肠梗阻的病情发展不同，采取不同的治疗方法对于患者疾病的治愈是行之有效的。 【关键词】急性肠梗阻；手术治疗；保守治疗 Comparative clinical effect of surgical treatment andconservative treatment on elderly patients with acute intestinal obstruction Abstract：Objective To comparative clinical effect of surgical treatment and conservative treatment on elderly patients with acute intestinal obstruction. Methods 83 cases ofelderly patients with acute intestinal obstruction in our hospital from May 2009 to April 2014 were reviewed retrospectively. They were divided into 3 groups based ondifferent treatment. 24 cases of patients who were cured by conservative treatment were in A group，30 cases of patients who were treated by surgical treatment within 48 hours in B group，and 29 cases of patients who were treated by surgical treatment beyond 48 hours. Compare the difference of the rate of intestinal necrosis，mortality，the recovery time andefficiency of 3 groups. Results（1）A group was lower than the B and C group in the rate of intestinal necrosis and mortality（Plt;0.05）. The recovery time in A group was shorter thanB and C group（Plt;0.05）. And B group was shorter than C group（Plt;0.05）in the surgical treatment.（2）Efficiency of A group，B group and C group were no significant difference（Pgt;0.05）. Conclusion According to the different disease development of elderly patients with acute intestinal obstruction，it is effective to cure the disease by taking different treatment. Key words：acute intestinal obstruction；surgical treatment；conservative treatment 急性肠梗阻老年人急腹症的的一种常见疾病，对其生命健康有着严重的影响[1-2]。老年人本身的生理特点具有其特殊性，一旦发生急性肠梗阻，如果