经腹置入肠梗阻导管联合肠内营养对黏连性肠梗阻的效果观察  

Effect observation of transabdominal ileus tube placement combined with enteral nutrition on adhesive ileus

作　　者：陈颖[1] 刘玮[2] 

机构地区：[1]山东省青岛市市立医院东院干保三科 [2]山东省青岛市海慈医院中医肿瘤科,山东青岛266071

出　　处：《实用临床医药杂志》2016年第2期63-65,69,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨术中置入肠梗阻导管行小肠排列术并联合肠内营养治疗粘连性肠梗阻的疗效。方法回顾性分析本院普外科2009年1月—2011年10月术中应用肠梗阻导管进行小肠内排列的23例患者的临床治疗资料及随访结果。结果所有患者均置管成功,平均置管时间(28.2±8.6)min,平均胃肠减压量为(191.8±85.2)m L/d,术后平均(4.4±1.8)d排气、(7.8±3.7)d恢复正常饮食、(16.3±6.8)d拔管,术后均顺利拔管。置管期间并发症发生率8.7%(2/23),在术后6个月内随访中所有患者均未出现腹胀、腹痛、肛门停止排气排便等肠梗阻症状。本组患者治愈率为100%,随访期内无患者再次行手术治疗。结论在肠粘连松解术的基础上,应用肠梗阻导管进行小肠内排列术,操作简单,微创,疗效可靠,联合术后肠内营养的应用可以加速患者康复。Objective To evaluate the effect of intestinal placation by ileus tube placement and enteral nutrition on adhesive intestinal obstruction. Methods Clinical data and follow- up results of 23 patients with intestinal plication treated by ileus tube from January 2009 to October 2011 were retrospectively analyzed. Results All patients were successfully catheterized. The average catheter time was（ 28. 2 ± 8. 6） min,average amount of gastric decompression was（ 191. 8 ±85. 2） m L / d,mean time for flatus was（ 4. 4 ± 1. 8） d,mean time to resume normal diet was（ 7. 8 ±3. 7） d,and extubation time was（ 16. 3 ± 6. 8） d. The complication rate was 8. 7%（ 2 /23） during catheterization. No abdominal distension,abdominal pain,and intestinal obstruction symptoms were observed in patients in 6 months follow- up after surgery. The cure rate was 100% and no patients underwent surgery during follow up. Conclusion Intestinal plication by ileus tube based on enterolysis is simple,minimally invasive,effective and reliable. And application of enteral nutrition can accelerate the recovery of patients.

关 键 词：肠梗阻导管 肠内营养 粘连性肠梗阻 

分 类 号：R473.6[医药卫生—护理学]