腹腔双套管和临床营养联合治疗肠瘘的临床分析

Clinical Analysis of Abdominal Double Cannula Combined with Clinical Nutrition in the Treatment of Intestinal Fistula

目的探讨我院采用腹腔双套管和临床营养联合治疗方法在临床治疗肠瘘过程中的实际效果,从而为相关领域的其他研究提供一些帮助和支持。方法选取我院2006年1月至2013年6月期间收治的肠瘘患者49例为研究对象进行回顾性分析,将患者分成单纯治疗组24例和联合治疗组25例,比较两组的临床治疗效果以及住院时间和住院费用。结果①联合治疗组的总有效率显著高于单纯治疗组(χ2=7.122,P=0.008)。②联合治疗组的住院时间显著少于单纯治疗组(t=6.048,P=0.000)。③联合治疗组的住院费用显著少于单纯治疗组(t=3.302,P=0.002)。结论在临床治疗肠瘘的过程中,采用腹腔双套管和临床营养联合治疗方法的临床效果显著,是临床针对肠瘘进行治疗的理想选择。

Objective To further explore the actual effect of celiac double cannula combined with clinical nutrition in the treatment of intestinal fistula in our hospital, so as to provide some help and support for other related study. Methods 49 patients with intestinal fistula in our hospital from January 2006 to June 2013 were chosen for retrospective analysis. The patients were divided into the simple treatment group （n = 24） and the combined therapy group （n = 25）. The clinical outcome, length of hospital stay and hospitalized expense of two groups were compared. Results The total effective rate of combined therapy group was significantly higher than that of simple treatment group （χ^2 = 7.122, P =0.008）. The length of hospital stay of combined therapy group was significantly less than that of simple treatment group （t = 6.048, P= 0.000）. The hospitalized expense of combined therapy group was significantly less than that of simple treatment group （t = 3.302, P= 0.002）. Conclusions The clinical effect of celiac double carmula combined with clinical nutrition is significant in the treatment of intestinal fistula. It is an ideal choice for clinical treatment of intestinal fistula.