不同手术时机治疗急性肠梗阻的临床随机对照研究

Clinical Randomized Controlled Study on the Treatment of Acute Intestinal Obstruction With Different Operation Time

目的探讨不同手术时机治疗急性肠梗阻对患者预后的影响。方法本研究对象选取2013年6月~2015年7月95例急性肠梗阻患者,根据手术时机分组。分为甲组（48 h内）和乙组（48 h后）。比较干预效果。结果甲组患者在疗效、肠坏死率、死亡率、术后恢复时间、住院时间和住院费用方面均优于乙组（P〈0.05）。两组患者并发症发生率相似（P〉0.05）。结论发病48 h内接受手术对急性肠梗阻患者预后有益。

Objective To investigate the effect of different surgical timing on the prognosis of patients with acute intestinal obstruction. Methods From June 2013 to July 2015, 95 patients with acute intestinal obstruction were selected, according to the operation time, they were divided into group A（within 48 h） and group B（after 48 h）. Results Curative effect, intestinal necrosis rate, mortality rate, postoperative recovery time, hospitalization time and cost of hospitalization in group A were significantly better than that of group B（P〈0. 05）. The incidence rate of complications was similar in the two groups（P〈0. 05）. Conclusion The prognosis of patients with acute intestinal obstruction caused by 48 h is good.