粘连性肠梗阻的临床治疗效果研究

The Clinical Effect of the Treatment for Adhesive Intestinal Obstruction

目的:探讨粘连性肠梗阻的临床治疗效果。方法:选取我院2000年7月至2012年9月收治的粘连性肠梗阻患者130例为研究对象,随机分为保守治疗组和手术治疗组各65例,保守治疗组在西医常规治疗基础上,结合祖国医学,利用中药胃管注入和保留灌肠、针灸等技术,手术组采用常规开腹手术治疗,观察比较两组的疗效。结果:两组患者在经过一周系统治疗后发现,保守治疗组痊愈31例,好转23例,治疗有效54例,治疗后一周复发7例,临床有效率为83.05%,复发率为10.77%。手术治疗组痊愈20例,好转22例,治疗有效54例,治疗后一周复发24例,临床有效率64.62%,复发率为36.92%。对比两组患者的临床有效率和复发率,保守治疗组的治疗效果优于手术治疗组,且差异具有统计学意义,P<0.05。结论:保守治疗粘连性肠梗阻,临床效果满意,复发率低,值得推广运用。

Objective： To explore the effect of clinical treatment of Method： 130 cases of patients in our hospital from July 2000 to September adhesive intestinal obstruction. 2012 with adhesive intestinal obstruction were selected as the research object, they were randomly divided into treatment group and operation treating group with 65 cases in each group, the conservative treatment group on the basis of routine western medicine, was combined with the medicine,using the technology of nasogastric feeding and retention enema of traditional Chinese Medicine, acupuncture and moxibustion, operation group was used the conventional open operation treatment, the two groups were Observed and compared the effect. Result：The two groups of patients after a week＇ s system treatment can be found that the conservative treatment group 31 cases were cured, 23 cases improved, the number of effective treatment was 54 people. 7 cases were recurrence of a week after treatment, the clinical effective rate was 83.05%, the recurrence rate was 10.77%. Operation treatment group 20 cases were cured, 22 cases were improved, effective number of 54 people, 24 cases of re- currence of a week after treatment, the clinical efficacy was 64.62%, the recurrence rate was 36.92%. Compared the the efficiency and the rate of recurrence on the two groups of patients , the therapeutic effect of the treatment group is better than that of conservative operation treating group and the difference have statistical significance. P〈0.05. Conclusion： Conservative treatment of adhesive intestinal obstruction has the advantages of satisfactory clinical effect and low recurrence rate that was worth to be popularized.