粘连性肠梗阻手术时机选择对患者预后的影响分析

Analysis of the effect of surgical timing of adhesive intestinal obstruction on the prognosis of patients

目的分析粘连性肠根阻(AIO)手术时机选择对患者预后的影响。方法 110例粘连性肠根阻患者,根据患者入院时间分为研究组(58例)和对照组(52例)。对照组患者行晚期手术治疗,研究组患者行早期手术治疗,对比两组患者的预后效果。结果研究组的肠切除率3.4%和复发粘连性肠梗阻率8.6%均低于对照组的15.4%和23.1%,差异具有统计学意义(P<0.05)。研究组的临床总有效率93.1%高于对照组的75.0%,差异具有统计学意义(P<0.05)。研究组的并发症发生率5.1%显著低于对照组的17.3%,差异具有统计学意义(P<0.05)。结论粘连性肠梗阻患者手术时机早,能降低术后并发症的发生率,预后效果更佳。

Objective To analyze the effect of surgical timing of adhesive intestinal obstruction（AIO）on the prognosis of patients.Methods A total of 110 patients with adhesive intestinal obstruction were divided by admission order into research group（58 cases）and control group（52 cases）.The control group received late surgery,and the research group received early surgery.The prognosis effect in two groups was compared.Results The research group had lower intestinal resection rate as 3.4% and recurrent adhesion intestinal obstruction rate as 8.6% than 15.4% and 23.1% in the control group,and their difference was statistically significant（P〈0.05）.The research group had higher clinical total effective rate as 93.1% than 75.0% in the control group,and the difference was statistically significant（P〈0.05）.The research group had obviously lower incidence of complications as 5.1% than 17.3% in the control group,and the difference was statistically significant（P〈0.05）.Conclusion For patients with adhesive intestinal obstruction,early surgery shows better prognosis effect and it can reduce the incidence of postoperative complications.