经胃肠道肿瘤术后复发与肠粘连引起的肠梗阻的临床治疗方法与疗效

Clinical treatment methods and efficacy of intestinal obstruction caused by gastrointestinal tumor recurrence and intestinal adhesion

目的探究经胃肠道肿瘤术后复发与肠粘连引起肠梗阻的临床治疗方法与疗效。方法选取我院2011年1月至2016年1月收治的肠梗阻患者30例进行本次研究。随机将其分为观察组和对照组,每组15例。对照组患者采用常规方法进行治疗,观察组患者则在对照组患者的治疗基础上采用奥曲肽进行治疗。治疗结束后(1个月),对比两组患者的治疗总有效率、肠胃功能恢复时间、手术时间、术中出血量及并发症发生率(肠萎、伤口感染、腹膜炎)。结果观察组患者治疗的总有效率明显高于对照组患者(93.33%vs.60.00%),差异具有统计学意义(P<0.05);观察组的并发症发生率明显低于对照组的并发症发生率(6.67%vs.40.00%),差异有统计学意义(P<0.05),并且观察组患者的手术时间、术中出血量及肠胃功能恢复时间均优于对照组患者(P<0.05)。结论在常规治疗的基础上采用奥曲肽为肠梗阻患者进行治疗,效果较为显著,值得在临床中借鉴和推广。

Objective To investigate the clinical treatment methods and efficacy of intestinal obstruction caused by gastrointestinal tumor recurrence and intestinal adhesion. Methods Thirty cases of patients with intestinal obstruction admitted and treated in our hospital from January 2011 to January 2016 were included in this study. The patients were randomly divided into observation group and control group, with 15 patients in each group. The patients in the control group were treated with conventional therapy, while the patients in the observation group were treated with conventional therapy combined with octreotide. After the treatment （one month）, the overall response rate, recovery time of gastrointestinal function, operation time, intraoperative blood loss and incidence of complications （anenterotrophy, wound infection and peritonitis） of the two groups were compared. Results The overall response rate of the observation group was significantly higher than that of the control group （93.33% vs. 60.00%） （P〈0.05）, while the complication rate of the observation group was significantly lower than that of the control group （6.67% vs. 40.00%） （P〈0.05）. In addition, the operation time, intraoperative blood loss and recovery time of gastrointestinal function of the observation group were significantly superior to those of the control group （P〈0.05）. Conclusion Conventional therapy combined with octreotide on intestinal obstruction have significant effect, which is worth of reference and popularization.