急性肠梗阻患者不同手术治疗时机对疗效及预后的影响

Impact on the clinical efficacy and prognosis of different timing of surgical treatment for patients with acute intestinal obstruction

目的:探讨不同手术治疗时机对急性肠梗阻患者疗效及预后的影响。方法:将150例急性肠梗阻患者随机分为两组,对照组75例在发病48h后进行手术治疗,观察组75例在发病后48h内进行手术治疗。比较两组患者临床疗效、术后恢复时间、肠胃功能恢复时间、住院时间和并发症发生情况。结果:治疗后,观察组患者临床有效率为93.33%,对照组临床有效率为74.67%,对照组明显低于观察组(P<0.05)。观察组患者术后恢复时间、肠胃功能恢复时间、住院时间和并发症发生率分别为(11.24±2.21)d,(12.87±2.71)d,(14.04±2.34)d和8%;对照组患者术后恢复时间、肠胃功能恢复时间、住院时间和并发症发生率分别为(18.37±3.29)d,(21.25±3.54)d,(23.42±3.52)d和34.67%,观察组均显著低于对照组,差异具有统计学意义(P<0.05)。结论:对需要手术治疗患者尽早进行手术治疗,可显著提高临床疗效,减少住院时间,改善预后。

Objective：To study the clinical efficacy and prognosis of different timing of surgical treatment for patients with acute intestinal obstruction.Methods：150patients with acute intestinal obstruction disease were randomly divided into control group and observation group,75 cases in each group.The control group was given surgery after 48 hwhile observation group was given given emergency surgery within 48 h.The clinical efficacy,postoperative recovery time,recovery time of gastrointestinal function,hospital stays and occurrence of complications.Results：The total effective rate of clinical treatment in the observation group and control group was 93.33% and 74.67%respectively,the difference was statistically significant（P〈0.05）.Postoperative recovery time,recovery time of gastrointestinal function,hospital stays,and occurrence of complications in observation group were（11.24±2.21）d、（12.87±2.71）d,（14.04±2.34）d,and 8%（6/75）,those in control group were（18.37±3.29）d,（21.25±3.54）d,（23.42±3.52）d,and 34.67%（26/75）,the datas in observation group better than that in control group,the difference was statistically significant（P〈0.05）.Conclusion：Early timing of surgery for patients with acute intestinal obstruction can improve clinical efficacy,reduces hospital stays and improve the prognosis.