急性肠梗阻患者不同手术时机的效果及并发症的研究

Research on effect and complications of acute intestinal obstruction patients with different operation timing

目的探讨急性肠梗阻患者不同手术时机的效果及并发症。方法 108例急性肠梗阻患者按手术时机分为2组。48 h内进行急诊手术的54例患者为观察组,48 h后进行手术治疗的54例患者为对照组。比较2组患者的并发症发生率、治疗结果及疗效。结果观察组患者术后并发症发生率显著低于对照组(P<0.05);2组患者治愈情况和疗效无显著差异(P>0.05);观察组患者的恢复时间显著短于对照组(P<0.05);患者总死亡率为2.78%,其主要原因为感染性休克、弥漫性腹膜炎等。结论临床医生应根据患者情况选择治疗方案,对于非手术治疗无效的患者应尽早手术。

Objective To explore the effect and complications of acute intestinal obstruction patients with different operation timing. Methods A total of 108 acute intestinal obstruction patients were divided into two groups according to operation timing. Fifty-four patients with emergency surgery within 48 hours were designed as observation group,and 54 patients with surgery after 48 hours were designed as control group. Incidence rate of complications,treatment outcome and efficacy were compared between two groups. Results The incidence rate of postoperative complications in the observation group was significantly lower than that in the control group（ P 0. 05）.There were no significant differences in treatment outcome and efficacy between two groups（ P 0. 05）. The recovery time of the observation group was significantly shorter than that of the control group（ P 0. 05）. Overall mortality was 2. 78% in all the patients,and the main causes were septic shock and diffuse peritonitis. Conclusion Clinical physicians should choose treatment plan based on the conditions of patients,and for patients with fails of non-surgical treatment,the operations should be applied as soon as possible.