老年急性肠梗阻的病因及手术时机分析

The etiology of elderly acute intestinal obstruction and the operation time analysis

目的分析老年人急性肠梗阻的病因并探讨手术治疗的最佳时期。方法回顾性分析我院于2009年7月～2011年7月间收治的85例老年急性肠梗阻患者的临床资料,其中接受手术治疗32例,接受保守治疗53例。行手术治疗的32例患者中,将7d内进行手术治疗的记为实验组,≥7d进行手术治疗的记为对照组,分别对各组患者并发症发生率和病死率并进行比较。结果 32例手术治疗的患者,治愈28例,治愈率87.5%,死亡3例,病死率12.5%,保守治疗的53例患者中,治愈34例,治愈率64.15%,死亡19例,病死率35.85%。实验组病死率以及术后的并发症的发生低于对照组,差异有统计学意义(P<0.05)。结论老年急性肠梗阻如果能够尽早进行手术治疗可以减低其病死率以及术后的并发症的发生。

Objective Analyse the cause of aged patients with acute intestinal obstruction and explore the surgical treat- ment of the best period. Methods Retrospective analysis from July 2009 to July 2011 were between 85 elderly patients with acute intestinal obstruction of the clinical material, have the surgery patients 32 cases, received conservative treatment of patients in 53. Do the surgical treatment of 32 patients, surgical time than the 7 d notes for the experimental group, remember the 7 d quartile as control group, the patients were statistics of complications and death rates and compared. Results 32 patients after surgery to treat, cure, 28 cases, cure rate was 87.5% and death in 3, a fatality rate of 12. 5%, not after surgical treatment of 53 patients, 34 cases were cured, cure rate was 64. 15% and death （ 19 cases）, a fatality rate of 35. 85%. Besides line the surgical treatment of 32 cases of elderly acute intestinal obstruction in the patients, and the mortality and postoperative complications lower than those of the control group, the difference was statistically significant （P 〈 0. 05）. Conclusion If elderly acute intestinal obstruction as soon as possible in the surgical treatment can reduce the mortality and postoperative complications, the clinical elderly acute intes- tinal obstruction for patients should according to its illness has come to take active operative method.