新生儿坏死性小肠结肠炎采用肠内置管外引流术的临床价值

Clinical value of intestinal catheterization and external drainage in the treatment of neonatal necrotizing enterocolitis

目的:探究肠内置管外引流术治疗新生儿坏死性小肠结肠炎的效果。方法:2018年4月-2020年2月收治坏死性小肠结肠炎新生儿74例,双盲法分为两组,各37例。观察组采用肠内置管外引流术治疗;对照组采用常规手术治疗。比较两组治疗效果。结果:观察组手术时长、并发症发生率及死亡率均低于对照组,治愈率高于对照组,差异有统计学意义(P<0.05)。结论:肠内置管外引流术治疗新生儿坏死性小肠结肠炎,与传统的临床手术治疗方法相比,具有明显优势。

Objective:To explore the effect of intestinal catheterization and external drainage in the treatment of neonatal necrotizing enterocolitis.Methods:From April 2018 to February 2020,74 cases of neonates with necrotizing enterocolitis were enrolled,they were divided into two groups according to double blind method,with 37 cases in each group.The observation group was treated by intestinal catheterization and external drainage.The control group was treated by routine operation.The therapeutic effects between the two groups was compared.Results:The operative time,incidence of complication and rate of mortality in the observation group were lower than those in the control group,and the cure rate was higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Compared with the traditional surgical treatment,intestinal catheterization and external drainage in the treatment of neonatal necrotizing enterocolitis has obvious advantages.