糖尿病患者腹部手术后前期肠梗阻临床疗效研究

Clinical Efficacy of Early Intestinal Obstruction after Abdominal Operation in Diabetic Patients

目的探讨和分析糖尿病患者腹部手术后前期肠梗阻的临床治疗效果。方法选取该院在2015年6月—2017年4月救治的62例腹部手术后前期肠梗阻糖尿病患者,对于其中的56例患者选择了非手术策略,6例患者选择了非手术而治疗无效后,在考虑患者本身的状况后,实施相关手术,然后按标准观察患者治疗效果。结果通过非手术治疗的56例患者,全部完全治愈;患者于7～32 d之间恢复了本身肠道功能,平均是(16.1±0.9)d。6例患者选择手术策略得以全部治愈,平均治疗时长为(15.3±0.7)d。结论术后前期肠梗阻有着显著的特征,在糖尿病患者里面往往易被发觉,且病史较长,在围手术期观察与调节血糖属于整个救治的关键点。

Objective To investigate and analyze the clinical therapeutic effect of early intestinal obstruction after abdominal operation in diabetic patients. Methods 62 patients with pre-intestinal obstruction and diabetes mellitus who underwent abdominal surgery in our hospital from June 2015 to April 2017 were selected. Among them, 56 patients were selected for non-surgical strategy, and 6 patients were selected for non-surgical treatment. After considering the condition of the patient themselves, the relevant surgery is performed, and then the patient’s treatment effect is observed according to the standard.Results All 56 patients who underwent non-surgical treatment were completely cured. The patients recovered their intestinal function between 7 and 32 days, with an average of(16.1±0.9)days. 6 patients were cured with a surgical strategy, with an average duration of treatment(15.3± 0.7)d. Conclusion Early postoperative intestinal obstruction has significant features.It is often found in diabetic patients and has a long illness history. It is a key point in the whole treatment to observe and regulate blood glucose during perioperative period.