急性弥漫性腹膜炎术后早期应用体表胃肠起搏器的临床观察

Early application of surface gastrointestinal pacemaker in the post - surgical patients with acute diffuse peritonitis

目的探讨体表胃肠起搏器在急性弥漫性腹膜炎术后患者的早期应用价值。方法将我院2008年1月至2009年6月收治的50例急性弥漫性腹膜炎术后患者随机分成治疗组和对照组（各25例），治疗组术后6h起予以体表胃肠起搏器治疗，对照组予以常规治疗，比较两组的术后肠鸣音恢复时间（h）、肛门排气时间（h）、术后腹腔内压（amH2O）、术后症状积分等指标。结果治疗组和对照组的术后肠呜音恢复时间、肛门排气时间、术后腹腔内压、术后症状积分分别是（39．7±6．6）h与（52．4±8．7）h、（53．2±8．1）h与（76．6±7．5）h、（4．7±2．1）cmH2O与（7．4±1．8）emH2O、（10．3±5．2）分与（19．1±6．2）分，两组各项之间的比较差异有统计学意义（P〈0．05）。结论急性弥漫性腹膜炎术后早期应用体表胃肠起搏器可能有效促进患者胃肠动力的恢复。

Objective To explore the early application of surface gastrointestinal pacemaker in the post - surgical patients with acute diffuse peritonitis. Methods Clinical data about 50 patients with acute diffuse peritonitis who were admitted to our hospital from Jan. 2008 to Jun. 2009 were retrospectively analyzed. The patients were randomly divided into two groups： group T （25 patients） and group C （25 patients）. In the patients of group T, the surface gastrointestinal pacemaker was implanted 6 h after the operation. In the group C, the patients were given routine therapy. The indicators including the intestinal peristaltic sound recovery time （ PSRT）, anal exsufflation time （ AET ）, intra - abdominal pressure （IAP）, score of symptoms （SS） were compared between the two groups. Results PSRT, AET, IAP and SS in the group T and group C were （39.7 ±6.6） h and （52.4 ±8.7） h,（53.2 ±8.1） h and （76.6 ± 7.5） h,（4.7 ±2.1） cmH20 and （7.4±1.8） cmH20,（10.3 ±5.2） and （19. 1 ±6.2）,respectively. The differences in these indicators between two groups was statistically significant （ P 〈 0.05 for each）. Conclusion Early application of surface gastrointestinal pacemaker in the post - surgical patients with acute diffuse peritonitis can promote the recovery of gastrointestinal motility effectively.