不同时期缺血性肠炎的临床诊治对比分析

Comparison of the Clinical Diagnosis and Treatment in Different Periods of Ischemic Colitis

目的研究不同时期缺血性肠炎的临床诊治效果。方法选取我院2013年8月至2015年8月期间收治的缺血性肠炎患者96例,平均分成两组。其中前期组为2013年8月至2014年8月期间收治,后期组为2014年9月至2015年8月期间收治。观察两组患者的临床确诊率、确诊方式以及治疗情况。结果后期组的确诊率为91.67%,明显高于前期组的72.92%(P<0.05)。后期组的总有效率为97.92%,明显高于前期组的83.33%(P<0.05)。后期组的并发症发生率为4.17%,明显低于前期组的16.67%(P<0.05)。结论电子肠镜结合组织学病理检查可有效提高缺血性肠炎的诊断率,血塞通治疗效果显著,并发症少,值得临床应用及推广。

Objective To study the clinical diagnosis and treatment effect of different periods of ischemic colitis. Methods 96 casesof patients with ischemic colitis admitted to our hospital from August 2013 to August 2015 were selected and equally divided into twogroups. The patients in early group were admitted from August 2013 to August 2014, while patients in late group were admitted fromSeptember 2014 to August 2015. The clinical diagnosis rate, diagnosis way and treatment condition of patients in two groups were observed.Results The diagnosis rate of late group was 91.67%, significantly higher than 72.92% of early group （P 〈0.05）. The total effective rate oflate group was 97.92%, significantly higher than 83.33% of early group （P〈0.05）. The incidence of complications of late group was 4.17%,significantly lower than 16.67% of early group （P 〈0.05）. Conclusions Electronic eolonoscopy combined with histological pathologicalexamination can effectively improve the diagnosis rate of ischemic colitis; Xuesaitong has significant effect and fewer complications for thetreatment of ischemic colitis, which is worthy of clinical application and promotion.