老年性急性肠梗阻手术干预及术后治疗的临床效果

Surgical intervention and postoperative treatment for elderly patients with acute intestinal obstruction

目的探讨老年性急性肠梗阻（A10）手术干预及术后治疗的临床效果。方法选择2012年2月至2016年12月期间本院收治的74例老年急性肠梗阻患者，按照数字表法随机分为两组；对照组37例采用非手术保守治疗，观察组37例则采取手术治疗，并比较治疗后两组效果。结果观察组治愈率为56．76％，对照组为5．41％（χ2=22．7741，P〈0．05）；观察组中转再手术为2．70％，对照组为67．57％（χ2=34．1538，P〈0．05）；观察组并发症发生率为32．43％，对照组为83．78％（χ2=20．0405，P〈0．05）；观察组住院时间低于对照组（t=13．8652，P〈0．05）；观察组治疗满意度为97．30％，对照组为78．38％（χ2=11．2913，P〈0．05）。结论对老年性急性肠梗阻患者应该采取正确及时的手术治疗方案，有手术指征的患者进行综合治疗能提高治愈率和患者对治疗的满意度。

Objective To investigate the clinical effect of surgical intervention and postoperative treatment of senile acute intestinal obstruction （AIO）. Methods Seventy-four elderly patients with acute intestinal obstruction admitted into our hospital from February, 2012 to December, 2016 were randomly divided into a control group and an observation group using digital table method. The control group were treated with non-surgical conservative treatment. The observation group were surgically treated. The effects after treatment were compared between the two groups. Results The cured rate of the observation group was significantly higher than that of the control group （56.76% vs. 5.41%,χ2=22.774 1, P〈0.05）. More patients needed re-operation in the control group than in the observation group （2.70% vs 67.57%,χ2=34.153 8, P 〈0.05）. The incidence of complications was lower in the observation group than in the control group （32.43% vs. 83.78%,χ2=20.040 5, P 〈 0.05）. The hospital stay was shorter in the observation group than in the control group （t=13.865 2, P〈0.05）. The satisfaction rate was significantly higher in the observation group than in the control group （97.30% vs. 78.38%,χ2=11.291 3, P〈0.05）. Conclusion Patients with acute acute intestinal obstruction should take the correct treatment timely, in Comprehensive treatment for patients with surgical indications can increase the cures rate and the satisfaction.