传统治疗与肠套叠复位器治疗黏连性和蛔虫性肠梗阻临床效果对比分析  

Curative effect analysis of traditional treatment and intussusception repositor for adhesions or ascaris intestinal obstruction

作　　者：程晓娜[1] 王丹[1] 杨丽[1] 何旭东[1] 

机构地区：[1]湖北医药学院附属东风总医院消化内科,湖北十堰442000

出　　处：《国际消化病杂志》2017年第4期242-245,共4页International Journal of Digestive Diseases

摘　　要：目的分析对黏连性和蛔虫性肠梗阻患者采用传统疗法和肠套叠复位疗法的临床效果。方法选取2015年2月至2016年2月收治的90例黏连性和蛔虫性肠梗阻患者,按数字随机原则分为两组,对照组(n=45)采用传统治疗(左旋咪唑+丁桂散),观察组(n=45)采用肠套叠复位器法治疗,对比两组的疗效、排气恢复时间、住院时间、并发症发生情况等。结果观察组治疗总有效率为97.78%(44例),对照组为81.82%(36例),χ~2=7.200,P=0.007;观察组排气恢复时间为(2.13±0.36)d,对照组为(3.60±0.83)d,t=10.900,P=0.018;观察组住院时间为(5.36±0.62)d,对照组为(7.30±0.75)d,t=13.374,P=0.026;观察组患者并发症发生率为4.44%(2例),对照组为15.56%(7例),χ~2=3.086;P=0.047;上述两组数据之间的差异均有统计学意义。结论对黏连性和蛔虫性肠梗阻患者使用肠套叠复位器治疗的效果显著,恢复时间短,安全性高,值得临床推广应用。Objective This paper intends to analyze the curative effect of traditional treatment and intussusception repositor for adhesions or ascaris intestinal obstruction.Methods Ninety patients with adhesions or ascaris intestinal obstruction treated from Feb.2015 to Feb.2016 were assigned to the control group（n=45）and the observation group.The control group was treated by levamisole ＋Dingguisan,while the observation group（n=45）was treated by intussusception repository.The therapeutic effect,exhaust recovery time,hospitalization time of the two groups were compared.Results The total effective rate of the observation group was 97.78%（44 cases）,whereas that of the control group was 81.82%（36 cases）,χ~2=7.200,P=0.007.The exhaust recovery time of the observation group was（2.13±0.36）d,while that of the control group was（3.60±0.83）d,t=10.900,P=0.018.The hospitalization time of the observation group was（5.36±0.62）d,but that of the control group was（7.30±0.75）d,t=13.374,P =0.026.The complications rate of the observation group was 4.44%（2 cases）,that of the control group,however,was 15.56%（7 cases）,χ~2= 3.086, P = 0.047. There was a significant difference in the data of two groups.Conclusions Intussusception repositor has a remarkable curative effect,a short recovery time,and a high security,which is worth being recommended.

关 键 词：黏连性肠梗阻 蛔虫性肠梗阻 肠套叠复位器 左旋咪唑 丁桂散 

分 类 号：R532.11[医药卫生—内科学]