术后早期炎性肠梗阻治疗中糖皮质激素的应用  

The Effect of Glucocorticoid on the Treatment of the Early Postoperative Inflammatory Small Bowel Obstruction

作　　者：肖明华[1] 胡建平[1] 曹勇[1] 

机构地区：[1]南京医科大学附属江宁医院普外二科,江苏南京211100

出　　处：《河北医学》2011年第11期1507-1509,共3页Hebei Medicine

摘　　要：目的:探讨糖皮质激素治疗术后早期炎性肠梗阻(early postoperative inflammatory smallbowel obstruction,EPISBO)的可行性及其临床疗效。方法:回顾性分析江宁医院普外科2006年5月至2008年5月收治的39例EPISBO患者的临床资料,其中糖皮质激素治疗组20例,非糖皮质激素治疗组19例,分析比较两组病例并发症发生情况及各临床疗效指标。结果:糖皮质激素治疗组同非糖皮质激素治疗组相比,在出现应激性溃疡、切口感染或不愈、肠坏死、急性腹膜炎等并发症两者差别不显著(P>0.05);而糖皮质激素治疗组在腹胀、腹痛、便秘、呕吐等临床症状缓解上明显比非糖皮质激素治疗组迅速。结论:糖皮质激素治疗EPISBO安全可靠,其临床疗效优于非糖皮质激素治疗。Objective： To investiage the feasibility and the curative effect of glucocorticoid on the treatment of the early postoperative inflammatory small bowel obstruction（EPISBO）. Method： The data of 39 cases EPISBO who were treaded in department of general surgery of Jiangning Hospital from May,2006 to May,2008 were analyzed,They were divided to two groups： 20 patients within glucocorticoid treatment group,19 patients within non-glucocorticoid treatment group,several indexes of curative effect were observed. Result： There was no shock,intestinal necrosis,peritonitis was found in each group,but some symptom in Glucocorticoid Trade Group such as abdominal pain、nausea、vomiting、diarrhea were alleviated more quickly than Non-Glucocorticoid Trade Group. Conclusion： Glucocorticoid on the treatment of EPISBO is safety,The curative effect is superior to non-glucocorticoid treatment.

关 键 词：糖皮质激素 术后早期炎性肠梗阻 

分 类 号：R656.7[医药卫生—外科学]