应用内置管肠排列术在临床严重粘连的肠梗阻中的的疗效与价值

Efficacy and Value of the Application of Internal Tube Intestinal Arrangement in the Treatment of Severe Intestinal Obstruction

目的:探讨应用内置管肠排列术在临床严重粘连的肠梗阻中的疗效与价值。方法:选取某院2012年12月~2016年6月严重粘连性肠梗阻患者84例,按照随机数字表法将所有患者随机分为内置管组和固定组,内置管组采用内置管肠排列术,固定组采用传统的外固定排列术治疗,比较两组患者术后肛门排气时间、肠鸣音恢复时间、住院时间、总有效率及术后感染的发生情况。结果:内置管组在肛门排气时间、肠鸣音恢复时间、住院时间均显著短于固定组,P<0.05;总有效率(95.24%)显著高于固定组(66.67%),P<0.05;术后感染率(4.76%)显著低于固定组(33.33%),P<0.05。结论:临床上对严重粘连的肠梗阻患者应用内置管肠排列术疗效确切,具有较高的安全性等优势,可在临床推广使用。

Objective： To investigate the effect and value of application in clinical built-in tube intestinal arrangement for severe adhesion intestinal obstruction. Methods： 84 Cases in a hospital from December 2012 to June 2016 with severe adhesion intestinal obstruction were selected. According to random number table method, all patients were randomly divided into two groups, the built-in tube group and fixed group. The group with built-in tube adopted the built-in tube intestinal arrangement and the fixed group used external tube intestinal arrangement. Anal exhaust time, recovery time of bowel sound, hospitalization time, and the total efficiency of infection after operation were compared between two groups. Results： The anal exhaust time, recovery time of bowel sound, live hospital time of the built-in tube group were significantly shorter than the fixed group, P〈0.05; the total efficiency （95.24%） was significantly higher than that of the fixed group （66.67%）, P 〈0.05; postoperative infection rate （4.76%） was significantly lower than that of the fixed group （33.33%）, P〈0.05. Conclusion： Patients with severe adhesion intestinal obstruction should adopt the built-in tube intestinal arrangement, which can be more secure and have other advantages. Therefore, it can be widely used in clinic.