讨论研究开腹手术治疗粘连性肠梗阻的临床疗效

Discussion on clinical efficacy of treatment of adhesive intestinal obstruction by laparotomy

目的:研究分析开腹手术用于治疗粘连性肠梗阻的临床效果及价值。方法:将我院普外科100例粘连性肠梗阻患者按照随机分组原则分为常规组和优质组,各50例。分别给予普通药物治疗及常规护理,优质组在此基础上行开腹手术治疗。比较两组患者在治疗效果、恢复时间、并发症等方面的差异。结果:经过不同治疗方式后,优质组显效15例,有效15例,无效2例,总有效率为93%显著高于常规组显效12例,有效15例,无效5例,总有效率为84%,结果具有统计学意义(P<0.05)。恢复时间以及症状缓解时间比较,优质组在常规组治疗基础上进行开腹手术恢复时间为11.63±3.2天,症状缓解时间为7.6±3.4天明显小于常规组恢复时间19.53±4.3天,症状缓解时间10.1±2.6天,结果具有统计学意义(P<0.05)。结论:开腹手术在治疗粘连性肠梗阻的临床疗效上相对于常规药物治疗时间短,疗效快,并能有效减少治疗后的各种并发症,加快患者恢复速度,提高生活质量,效果显著,值得临床推广使用。

Objective： To study and analyze the clinical effect and value of laparotomy on adhesive intestinal obstruction. Methods： 100 cases with adhesive intestinal obstruction in Department of general surgery of our hospital were randomly divided into a routine group and a high-quality group. Patients were respectively given routine treatment and nursing, patients in the high-quality group given open surgery based on routine therapy. The curative effects, recovery duration and complications of the two groups were compared. Results： After different treatment, 15 cases in the high-quality group were markedly effective, 15 cases effective, 2 cases invalid, the total effective rate was 93% which was higher than that of the routine group with 12 cases markedly effective,15 cases effective, 5 cases invalid and the total effective rate of 84% with statistical significance （P〈0.05） . In the aspect of recovery and relief duration, the recovery duration of the high-quality group was 11.63±3.2 days based on the routine treatment,the relief duration was 7.6±3.4 days significantly shorter than the recovery duration 19.53±4.3 days and relief duration 10.1±2.6 days in the routine group with statistical significance （P〈0.05） .Conclusion： Compared to the routine treatment, laparotomy in the treatment of adhesive intestinal obstruction needs shorter time with rapid effect, reduces the complications after treatment and improves the recovery duration and life quality, which is worthy of promotion.