肠梗阻导管胃肠减压对肠梗阻患者临床症状及肠道淋巴细胞亚群分布的影响

Influence of Gastrointestinal Decompression with Ileus Tube on Clinical Symptoms and Lymphocyte Subsets in Patients with Intestinal Obstruction

为探讨不同胃肠减压方式对肠梗阻患者临床症状及肠道淋巴细胞亚群分布的影响，将急性肠梗阻患者75例分为对照组（37例）和观察组（38例）。对照组使用常规鼻胃管进行胃肠减压，观察组使用肠梗阻导管行胃肠减压，比较两组患者临床疗效和肠道淋巴细胞亚群分布的变化。结果显示，观察组患者胃肠减压日均引流量高于对照组，肛门通气通便及液气平面消失时间少于对照组，CD3^＋和CD8^＋的浓度低于对照组，而CD4^＋。的浓度高于对照组，其差异均有统计学意义（P〈0．05）。结果表明，与常规鼻胃管胃肠减压比较，肠梗阻导管胃肠减压可以提高肠梗阻患者临床效果，保护肠道免疫功能，是一种更好的胃肠减压方式。。

In order to observe the influence of different gastrointestinal decompression methods on clinical symptoms and lymphocte subsets in patients with intestinal obstruction 75 cases of acute intestinal obstruc- tion were divided into control group （n = 37）and observation group（ n = 38）. Conventional nasogastric tube was used for gastrointestinal decompression in control group, and ileus tube in observation group. Both groups were compared for clinical efficacy and distrbution change of lymphocyte subsets. The results showed that the average daily drainage volume in observation group was higher than that in control group; the time for recovery of bowel movement and disappearance time of liquid-gas levels were shorter in obser- vation group than in the control group; the concetration of CD3＋ and CD8＋ was lower but that of CD4＋ was higher in observation group than in the control group,which showed significant difference（ P〈0. 05）. It is concluded that compared with conventional nasogastric tube,ileus tube can improve clinical efficacy, protect intestinal immune function,and is a better method for gastrointestinal decompression.