不同手术时机对黏连性小肠梗阻患者术后并发症影响.docVIP

不同手术时机对黏连性小肠梗阻患者术后并发症的影响 　　【摘 要】目的：探究黏连性小肠梗阻患者不用手术时机对其术后并发症的影响。方法：选取本院2014年7月～2016年8月收治的黏连性小肠梗阻患者154例，根据入院到手术时间的不同，将其分为三组，甲组47例患者为入院到手术时间低于1.5天，乙组67例患者为入院到手术时间在1.5～3天内，丙组40例患者为入院到手术时间超过3天。并对比三组患者治疗后死亡、局部感染与全身感染情况。结果：甲组患者治疗有效率95.74%，乙组患者治疗有效率95.52%，丙组患者治疗有效率95%，三组患者治疗有效率的对比（P0.05）；甲组患者死亡率2.13%，乙组患者死亡率2.99%，丙组患者死亡率2.50%，三组患者死亡率的对比（P0.05）；甲组患者局部感染率6.38%，乙组患者局部感染率25.37%；丙组患者11例局部感染率22.50%，与甲组相比，乙组与丙组的局部感染率较高，（P0.05）。结论：对黏连性小肠梗阻患者及早进行手术治疗，可降低患者术后并发症发生率。 　　【关键词】手术时机；黏连性小肠梗阻患者；术后并发症；影响 　　Abstract Objective： To investigate the adhesive small bowel obstruction in patients without affecting the timing of surgery on postoperative complications. Methods in our hospital from July 2014 ～2016 in August admitted to the adhesive small bowel obstruction in 154 patients， according to admission to operation time is different， it can be divided into three groups， 47 cases in group a patients for admission to operation time less than 1.5 days， group B 67 patients for admission to operation time in 1.5～3 days， 40 cases in group C patients for more than 3 days for the admission to operation time. Death and comparison of three groups of patients after treatment， local infection and systemic infection. Results： treatment efficiency of 95.7 4%， the effective rate of group B patients 95.52%， the effective rate of treatment in 95% patients of group C were compared， the efficiency of the three groups （P0.05）； the group of patients with a mortality rate of 2.13%， with a mortality rate of 2.99% in group B， group C， with a mortality rate of 2.50%， compared three groups of patients with mortality （P0.05）； the group of patients with local infection rate was 6.38%. Group B patients with local infection rate of 25.37%； group C 11 cases of patients with local infection rate of 22.50%， with a higher rate of local infection compared to group B and group C， group A （P0.05）. Conclusion early surgical treatment for patients with adhesive small bowel obstruction can reduce the incidence of postoperative c