肠梗阻导管在腹部术后早期炎性肠梗阻治疗中的应用

Application of ileus tube in early postoperative inflammatory small bowel obstruction

目的探讨经鼻型肠梗阻导管在腹部术后早期炎性肠梗阻治疗中的作用。方法对我院2004年6月至2006年6月期间40例腹部术后早期炎性肠梗阻患者,随机分成经鼻型肠梗阻导管组和鼻胃管组。观察腹胀改善情况(腹围)、胃肠减压量、腹部X线平片、气液平面消失时间等指标,对结果进行分析比较。结果经鼻型肠梗阻导管组患者的胃肠减压量(1021.2±265.4)ml/d较鼻胃管组(642.5±325.4)ml/d明显增多,且腹围(15.2±5.5)cm减少较鼻胃管组的(5.7±3.6)cm更明显,气液平面消失时间(10.3±8.5)d较鼻胃管组的(15.6±11.7)d明显缩短,差异有统计学意义(P<0.05)。结论经鼻型肠梗阻导管能更有效胃肠减压,减轻腹胀,促进肠蠕动,治疗腹部术后早期炎性肠梗阻作用显著。

Objective To explore the application of ileus tube in early postoperative inflammatory small bowel obstruction. Methods From June 2004 to June 2006,40 patients with early postoperative inflammatory small bowel obstruction were randomly divided into two groups：the group with ilues tube （20 cases） and the group with nasogastric tube （20 cases）. Abdominal distension symptom（abdorninal drcumference）, gastrointestinal decompression amounts,abdominal plain film and the disappearing time of liquid and gas were observed and compared. Results The ilues tube had a significant effect on draining digestive juice （1021.2 ± 265.4）ml/d versus tins：gastric tube （642.5 ± 325.4）ml/d, P 〈 0.05. The ilues tube reduced patient＇s atxtominal circumference more rnarkly（ 15.2 ± 5.5）cm versus （ 5.7 ± 3.6 ） cm; The disappearing time of liquid and gas in the small bowel was shorter in the Rues tube group（10.3 ±8.5）d than in the nasagastric tube group（15.6 ± ll.7）d, P 〈0.05,Conclusion The ilues tube can more effectivdy drain digestive juice, relieve intestional dilatation and promote intestional peristalsis. The ilues tube has a notably treatment effect to the patients with early postoperative inflammatory small bowel obstruction.