小儿急性粘连性肠梗阻手术时机的选择对治疗效果的影响研究

Effect of surgical timing on the treatment of acute adhesive intestinal obstruction in children

目的分析手术时机选择对小儿急性粘连性肠梗阻临床疗效的影响。方法择取山东省胶州市人民医院2012年6月至2015年9月接收的急性粘连性肠梗阻患儿84例，其中男性56例，女性28例，平均年龄（8．3～11．2）岁，阑尾炎36例，肠套叠19例，肠绞窄7例，肠扭转不良13例，膈疝6例，巨结肠3例。采用随机单盲法将84例患儿均分为试验组和对照组。试验组于发病48 h内接受手术，对照组于发病48 h后接受手术。观察两组疗效，比较死亡率和并发症发生率。结果试验组总有效率为95．24％，明显高于对照组的76．19％（P＜0．05）。试验组并发症发生率和病死率分别为9．52％、0．0％，明显低于对照组的35．71％、7．14％（P＜0．05）。结论对急性粘连性肠梗阻患儿早期实施手术治疗，可降低并发症发生率和病死率，疗效显著。

Objective To analyze the effect of surgical timing on the clinical effect of acute adhesive intestinal obstruction in children. Methods The Jiaozhou Provincial People's Hospital of Shandong city from June 2012 to September 2015 received acute adhesive intestinal obstruction in 84 cases,including 56 cases of male,female 28 cases,average age (8.3 ~11.2 years old),36 cases of acute appendicitis,19 cases of intussusception,7 cases of strangulated intestinal malrotation,13 cases,6 cases of diaphragmatic hernia,3 cases of Hirschsprung's disease.Methods 84 cases were divided into experimental group and control group by random single blind method.The experimental group received surgery within 48 h,and the control group received surgery after 48 h.The efficacy of the two groups was observed,and the incidence of mortality and complications were compared.Results The total effective rate of the experimental group was 95 .24%,which was significantly higher than that of the control group (P<0.05).The complication rate and mortality rate of the experimental group were 9.52% and 0%respectively,which was significantly lower than that of the control group (35.71%,7.14%)(P <0.05 ).Conclusion Early surgical treatment can reduce the incidence of complications and mortality of patients with acute adhesive intestinal obstruction.