咀嚼口香糖联合经鼻型肠梗阻导管治疗粘连性小肠梗阻的效果

Effect of chewing gum combined with nasogastric tube in the treatment of adhesive small bowel obstruction

目的探讨咀嚼口香糖联合经鼻型肠梗阻导管(NGT)治疗粘连性小肠梗阻(ASBO)的效果。方法回顾性选取2019年7月至2021年12月赣州市人民医院消化内科收治的87例ASBO患者为研究对象,按照干预措施不同将其分为对照组(35例)与研究组(52例)。对照组采用NGT治疗,研究组采用咀嚼口香糖联合NGT治疗。比较两组患者临床疗效、排气时间、排便时间、腹痛缓解时间、住院时间、白细胞计数(WBC)复常时间、C反应蛋白(CRP)复常时间、外科手术率、咽喉不适评分及腹内压水平。结果研究组患者治疗总有效率高于对照组,差异有统计学意义(P<0.05)。研究组患者排气时间、排便时间、腹痛缓解时间均短于对照组,咽喉不适评分、外科手术率均低于对照组,差异有统计学意义(P<0.05)。两组患者住院时间、WBC复常时间、CRP复常时间比较,差异无统计学意义(P>0.05)。治疗前,两组患者腹内压比较,差异无统计学意义(P>0.05);治疗3 d,两组患者腹内压均低于本组治疗前,且研究组患者腹内压低于对照组,差异有统计学意义(P<0.05)。结论咀嚼口香糖联合NGT治疗ASBO疗效优于单纯NGT治疗,可改善NGT治疗的咽喉不适。

Objective To investigate the effect of chewing gum combined with nasogastric tube(NGT)in the treatment of adhesive small bowel obstruction(ASBO).Methods A total of 87 patients with ASBO admitted to the Department of Gastroenterology,Ganzhou People's Hospital from July 2019 to December 2021 were retrospectively selected as the research objects,and divided into control group(35 cases)and study group(52 cases)according to different intervention measures.The control group was treated with NGT,and the study group was treated with chewing gum combined with NGT.The clinical efficacy,exhaust time,defecation time,abdominal pain relief time,hospital stay,white blood cell count(WBC)recovery time,C-reactive protein(CRP)recovery time,surgical rate,throat discomfort score and abdominal pressure level were compared between the two groups.Results The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The exhaust time,defecation time and abdominal pain relief time in the study group were shorter than those in the control group,and the throat discomfort score and surgical operation rate were lower than those in the control group,with statistical significances(P<0.05).There were no significant differences in hospitalization time,WBC normalizing time and CRP normalizing time between two groups(P>0.05).Before treatment,there was no significant difference in intra-abdominal pressure between two groups(P>0.05).After 3 days of treatment,the intra-abdominal pressure in both groups was lower than that before treatment,and the intra-abdominal pressure in the study group was lower than that in the control group,with statistical significances(P<0.05).Conclusion The effect of chewing gum combined with NGT in the treatment of ASBO is better than that of NGT alone,and can improve the throat discomfort caused by NGT.