术后早期炎性肠梗阻的多方位集束治疗  

Multimordality of cluster treatment strategy for early postoperative inflammatory small bowel obstruction

作　　者：王大广[1] 张洋[1] 何亮[1] 陈岩[1] 于金海[1] 孙璇[1] 王立新[2] 所剑[1] 

机构地区：[1]吉林大学白求恩第一医院胃结直肠外科,长春130021 [2]吉林省公主岭市中心医院普通外科

出　　处：《中华胃肠外科杂志》2013年第9期885-888,共4页Chinese Journal of Gastrointestinal Surgery

摘　　要：目的 探讨多方位集束治疗策略在术后早期炎性肠梗阻的临床应用.方法 回顾性分析吉林大学第一医院胃结直肠外科2007年7月至2011年7月间收治的31例术后早期炎性肠梗阻患者的临床资料.其中采用多方位集束治疗者13 例（治疗组）,采用其他非手术方法治疗者18例（对照组）,比较两组患者的治疗效果.结果 治疗组和对照组患者治疗后4d好转率分别为76.9％（10/13）和44.4％（8/18）,7d治愈率分别92.3％（12/13）和77.8％ （14/18）,差异均有统计学意义（均P＜0.05）.治疗组比对照组治疗后肠鸣音恢复时间[（2.3±1.5）d比（4.7±1.9）d]、肛门排气时间[（2.9±2.4）d比（5.1±3.7）d]、排粪时间[（3.5±2.7）d比（6.2±2.8）d]、腹胀消失时间[（4.6±2.3）d比 （9.1±3.4）d]、开始经口进食时间[（5.9±1.8）d比（10.2±2.7）d]、腹部CT肠管改善时间[（6.6±3.5）d比 （11.4±9.6）d]以及从治疗开始至出院时间[（7.3±2.9）d比（14.8±11.2）d]均缩短,差异均有统计学意义（P＜0.05）.结论 多方位集束治疗策略可有效缩短术后早期炎性肠梗阻治愈时间,具有良好的应用前景.Objective To explore the application of multimordality of cluster treatment strategy in early postoperative inflammatory small bowel obstruction.Methods Clinical data of 31 cases of early postoperative inflammatory small bowel obstruction in our department from July 2007 to July 2011 were analyzed retrospectively.Multimordality of cluster treatment strategy was used in 13 cases （treatment group）,and other non-surgical treatment was applied in 18 cases（control group）.Efficacy and prognosis were compared between the two groups.Results Four-day improvement rate was 76.9% （10/13） and 44.4%（8/18）,and 7-day cure rate was 92.3%（12/13） and 77.8%（14/18） in the treatment group and the control group,respectively.The differences were statistically significant（both P〈0.05）.The recovery time of bowel sounds and flatus,defecation time,bloating-free time,oral intake time,abdominal CT intestine improvement time,and hospital stay were all significantly shorter in the treatment group as compared to the control group （all P〈0.05）.Conclusion Multimordality of cluster treatment strategy can effectively shorten the healing time of early postoperative inflammatory small bowel obstruction,which possesses a good clinical application prospect.

关 键 词：炎性肠梗阻 术后早期 多方位集束治疗 治疗效果 

分 类 号：R656.7[医药卫生—外科学]