肠梗阻导管治疗肠梗阻——附36例报告

Clinical Application of Silicon lleus Tube

目的:探讨肠梗阻导管治疗肠梗阻临床疗效。方法:选择36例肠梗阻患者,按入院时间分为对照组和导管组。对照组给予常规中西医结合治疗,导管组在此基础上应用肠梗阻导管治疗。结果:导管组48h腹痛和腹胀的缓解率为89%,对照组为61%(P<0.05),导管组48h肛门恢复排气、排便比率为100%,对照组为77.8%(P<0.05),导管组中转手术率为5.6%,对照组为22.2%(P<0.05)。结论:在中西医结合治疗各种类型肠梗阻时,配合应用肠梗阻导管,可明显改善临床症状,降低手术率。

Objective To investigate the effects of Silicone Ileus Tube on treatment of intestinal obstruction Methods Thirty-six patients suffering from intestinal obstruction were divided into control group and stilamin group. Patients in the control group were treated with routine Chinese and Western medical therapy including gastroenteral decompresion, intravenous replacement of fluid and electrolyte, total parenteral nutrition, antibiotics and traditional Chinese medicine or acupuncture. Patients in the treatment group received Silicone ileus tube for gastrointestinal decompresion in addition to similar therapy in control group. The clinical symptoms,the decompresive amount ,the changess of serum electrolyte levels after 48 h and the rate of being transferred tosurgery were observed and compared between the two groups. Results The alleviation of pain and distension of the abdominal in the treatment group and the control group was 89%, 78% respectively (P< 0.05); The ratio in restoration of passing gas and defecation after 48 h in the two groups were 100% and 83.3% respectively (P<0.05).The clinical symptoms were more significantly improved in the treatment group than control. The rate of being transferred to operation in treatment group(5.6%)was significantly lower than that in the control group (22.2%)(P<0.05). Conclusion The therapy of siliconileay combined with routine treatment is the effective method to treat intestinal obstruction including early postoperative inflammatory smell bowel obstruction, adhensive bowel obstruction, pseudo-colon obstruction and maligant bowel obstruction.