不同手术时机对胃穿孔修补术患者术后胃肠功能的影响分析

Influence analysis of different operation time on gastrointestinal function in patients with gastric perforation

目的探讨不同手术时机对胃穿孔修补术患者胃肠功能的影响。方法 122例胃穿孔患者随机分为观察组(n=61)与对照组(n=61),观察组于发病后6 h内给予手术治疗,对照组于发病后6 h后给予手术治疗,对比两组患者术后胃肠功能情况及并发症发生率。结果观察组术后肠鸣音恢复时间、排气时间、排便时间均显著短于对照组(P<0.05);观察组术后并发症发生率为1.64%(1/61),显著低于对照组的14.75%(9/61)(P<0.01)。结论胃穿孔患者尽早给予修补手术可有效促进患者胃肠功能的恢复,减少腹腔感染发生率,降低并发症发生率,值得临床推广。

Objective To discuss the influence of different operation time on gastrointestinal function in patients with gastric perforation.Methods 122 patients with gastric perforation were randomly divdied into the observation group（n=61） and the control group（n=61）, the observation group were treated within 6 hours after the onset, and the control group were treated 6 hours after the onset, then the related index of gastrointestinal function and the incidence of complications were contrasted between the two groups.Results The recovery time of bowel sound, exhaust time, defecation time in the observation group were significantly shorter than the control group（P〈0.05）; the incidence of complications in the observation group was 1.64%（1/61）, significantly higher than 14.75%（ 9/61 ） in the control group （ P 〈0.01 ） .Conclusions Early repair operation can effectively promote the recovery of gastrointestinal function, reduce abdominal infection rate, reduce the incidence of complications in patients with gastric perforation, it＇s worthy of promotion.