小儿急性黏连性肠梗阻手术时机的选择对治疗效果的影响研究

Research on The Timing of Operation Intestinal Obstruction in Children with Acute Adhesive Selection of Treatment Effect

目的探讨小儿急性粘连性肠梗阻手术时机的选择对治疗效果的影响。方法将84例小儿急性粘连性肠梗阻患者按照时机分为A、B两组,各为42例。A组在发病48 h内进行手术治疗,B组在发病48 h后进行手术治疗。比较两组治疗效果、相关指标变化情况及并发症发生情况。结果 B组临床总有效率为92.86%,显著高于A组(73.81%)(P<0.05);B组患者胃肠减压量、肛门排气时间及术后恢复时间分别为(402.33±82.11)m/d、(5.02±0.16)d及(10.37±3.44)d,A组分别为(277.27±55.86)m/d、(7.89±0.27)d及(16.29±5.01)d,两组上述指标差异均具有统计学意义(P<0.05);B组肠坏死、死亡、出血、腹腔感染及切口感染率分别为11.90%、9.52%、9.52%、14.29%及7.14%,均显著高于A组(分别为4.76%、238%、2.38%、4.76%及2.38%)(P<0.05)。结论在小儿急性粘连性肠梗阻发作早期及时进行手术治疗,可有效提高手术疗效、降低并发症发生率,对患者的预后具有十分重要的意义与临床价值。

Objective To explore the effect of operation timing of acute adhesive intestinal obstruction on the choice of treatment effect.Methods 84 cases of children with acute adhesive intestinal obstruction patients according to time is divided into A,B two groups,42 cases in each.A group of operation treatment in 48 h,B groups were treated after operation in 48 h.The occurrence of treatment,compared two groups of related indicators of changes and complications.Results In B group,the total clinical effective rate was 92.86%,significantly higher than those in A group（73.81%）（P〈0.05）;anal exhaust time and postoperative B patients after gastrointestinal decompression amount,recovery time was（402.33±82.11）ml/d,（5.02±0.16）d and（10.37±3.44）d,A group were（277.27±55.86）ml/d,（7.89±0.27）d and（16.29±5.01）d,the index difference between the two groups were statistically significant（P〈0.05）;B group of intestinal necrosis,hemorrhage,death,abdominal cavity infection and incision infection rates were 11.90%,9.52%,9.52%,14.29%and 7.14%,were significantly higher than those in A Group（4.76%,2.38%,respectively 2.38%,4.76% and 2.38%）（P〈0.05）.Conclusions In children with acute adhesive intestinal obstruction attack early operation treatment in time,can effectively improve the operation effect,reduce the incidence of complications,and clinical value has very important significance to the prognosis of patients.