手术治疗与保守治疗在老年急性肠梗阻治疗中的临床疗效比较

Comparative analysis of clinical effects of surgical treatment and conservative treatment on elderly patients with acute intestinal obstruction

目的 比较手术治疗与保守治疗在老年急性肠梗阻治疗中的临床疗效.方法 选取2011年6月至2014年6月胶州市人民医院收治的100例老年急性肠梗阻患者的临床资料进行回顾性分析,依据治疗方法的不同分为A组（32例,采用保守治疗）、B组（40例,发病48 h内手术）和C组（28例,发病48 h后手术）.比较三组患者的肠坏死率、病死率、恢复时间及治疗有效率.结果 A组肠坏死率及病死率均明显低于B组和C组,差异有统计学意义（P＜0.05）;A组恢复时间明显短于B组和C组,差异有统计学意义（P＜0.05）;B组恢复时间明显短于C组,差异有统计学意义（P＜0.05）.A组治疗有效率（100.0％）与B组（96.7％）、C组（96.4％）比较差异未见统计学意义（P＞0.05）.结论 根据老年患者急性肠梗阻的病情采取不同的治疗方法,对于患者疾病的治愈是行之有效的.

Objective To compare the clinical effects of surgical treatment and conservative treatment on elderly patients with acute intestinal obstruction.Methods A total of 100 elderly patients with acute intestinal obstruction in People＇s Hospital of Jiaozhou from June 2011 to June 2014 were reviewed retrospectively.All patients were divided into 3 groups based on different treatment.Thirty-two patients with acute intestinal obstruction who were treated by conservative treatment were in group A,40 patients with acute intestinal obstruction who were treated by surgical treatment within 48 hours in group B,and 28 cases of patients with acute intestinal obstruction who were treated by surgical treatment beyond 48 hours were in group C.The incidence of intestinal necrosis,fatality,and the recovery time and treatment efficiency of the three groups were compared.Results The incidence of intestinal necrosis and mortality of patients in group A were significantly lower than those in group B and group C,the differences were significant （P 〈 0.05）.The recovery time of patients in group A was significantly shorter than that in group B and group C,the difference was significant （P 〈 0.05）.The recovery time of patients in group B was significantly shorter than that in group C by surgical treatment （P 〈 0.05）.Treatment efficiency of patients in group A,B and C had no significant difference （P 〉 0.05）.Conclusions According to the different disease development of elderly patients with acute intestinal obstruction,it is effective to cure the disease by taking different treatment.