腹腔镜结直肠癌根治手术治疗老年结直肠癌患者对临床效果、胃肠功能产生的影响.docxVIP

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腹腔镜结直肠癌根治手术治疗老年结直肠癌患者对临床效果、胃肠功能产生的影响

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（甘肃省武威市民勤县人民医院外二科甘肃武威733399）

【摘要】目的：探析老年结直肠癌患者采取腹腔镜结直肠癌根治术治疗后对其临床疗效及胃肠功能的影响。方法：将2015年2月—2016年2月期间我院诊断确诊为老年结直肠癌患者80例纳为参研的样本，遵循双盲法分组标准均分成A组（开放手术）与B组（腹腔镜根治术）。对两组临床效果和胃肠功能恢复情况进行统计学分析比较。结果：B组手术指标与胃肠功能指标优于A组，术后并发症低于A组，P＜0.05，有统计学意义；两组疾病复发和转移率比较差异性小，P＞0.05，无统计学意义。结论：对老年结直肠癌患者行腹腔镜根治手术能够优化手术指标，促进胃肠功能尽快恢复，减少并发症，提高远期疗效。

【关键词】胃肠功能；结直肠癌；腹腔镜根治术；远期疗效

【中图分类号】R730.5【文献标识码】A【文章编号】2095-1752（2018）21-0062-02

Clinicalefficacyofrhubarb,mirabiliteandMagnesiumSulfateinthetreatmentofsevereacutepancreatitiscomplicatedwithparalyticileus

LuJing.LeshanPeoplesHospital,Sichuan,Leshan614000,China

【Abstract】ObjectiveToexploretheclinicalefficacyofrhubarb,mirabiliteandMagnesiumSulfateinthetreatmentofsevereacutepancreatitiscomplicatedwithparalyticileus.Methods86casesofacuteseverepancreatitiswithparalyticileuswerepidedintotwogroups:43casesinthecontrolgroupand43casesinthecontrolgroupinNovember17,2016—2018.Theobservationgroupwastreatedwithconventionaltherapy;43casesintheobservationgroupweretreatedwithsmallyellowmirabiliteandMagnesiumSulfate,andthetreatmenteffectofthetwogroupswascompared.ResultsTheclinicalsymptomremissiontime(3.17±2.14)d,therecoverytimeofthebowelsound(4.31±2.04)d,thefirstdefecationtime(4.48±0.95)d,thebloodamylaserecoverytime(7.57±2.41)d,thetimeoffasting(7.97±1.12)d,andthehospitalizationtime(17.36±2.53).Inthecontrolgroup,theclinicalsymptomremissiontime(5.03±2.24)d,therecoverytimeofthebowelsound(7.68±3.07)d,thefirstdefecationtime(8.76±1.32)d,thetimeofthebloodamylaserecovery(10.56±4.17)d,thetimeoffasting(12.48±2.39)d,thetimeofhospitalization(26.14±3.53),death5cases(11.63%),andthecasesoftransoperation(P0.05).ConclusionInthetreatmentofacuteseverepancreatitiswithparalyticileus,thecombinedapplicationofrhubarbandMagnesiumSulfatehasidealeffectandhighsurvivalrate,whichisworthpopularizing.

【Keywords】Severeacutepancreatitis;Paralyticileus;Rhubarbandmirabilite;MagnesiumSulfate;Clinicalefficacy

在胰腺炎患者中，有20%～30%的患者为急性重症胰腺炎[1]，