复方泛影葡胺在机械性肠梗阻诊治中的应用体会——附415例临床分析  

The application of compound Pan-Pray-glucamine in diagnosis and treatment of intestinal obstruction

作　　者：沈阳 李瑜[2] 章由贤 高晓慧 张政 刘放 王正华 朱以祥 吕仁更 SHEN Yang;LI Yu;ZHANG Youxian(Depatment of General Surgery,Hubei Provinical Hospital of Integrated Chinese and Western Medcine,Wuhan 430015,China)

机构地区：[1]湖北省中西医结合医院普外科,武汉430015 [2]武汉血液中心检验科

出　　处：《临床外科杂志》2021年第2期151-153,共3页Journal of Clinical Surgery

摘　　要：目的探讨复方泛影葡胺在机械性肠梗阻诊疗中的应用效果。方法 2011年6月~2020年6月我院普外科收治的肠梗阻病人415例,根据治疗方法分为两组,对照组207例,采用常规治疗;观察组208例,在常规治疗基础上加用76%泛影葡胺100 ml口服或胃管注入。比较两组肠梗阻完全缓解时间、胃肠减压时间、胃肠减压引流量、总住院时间、中转手术率等指标。结果观察组和对照组肠梗阻完全缓解时间分别为(21.2±8.6)小时和(48.2±6.5)小时,胃肠减压时间分别为(36.2±6.3)小时和(96.2±12.3)小时,胃肠减压引流量分别为(867±123)ml和(1 800±126)ml,总住院时间分别为(6.3±2.3)天和(14.3±3.2)天,中转手术率分别为10.1%和21.7%,两组比较差异有统计学意义(P均<0.05)。结论泛影葡胺在机械性肠梗阻诊疗中的应用安全、方便、经济、有效。Objective To investigate the application effect of compound pan-image dextramine in the diagnosis and treatment of intestinal obstruction.Methods Retrospective analysis of 415 cases of intestinal obstruction admitted in general surgery of Hubei Provincial Integrated Chinese and Western Medicine Hospital from June 2011 to June 2020.207 cases receiving routine treatment were treated as control groups.The observation group included 208 cases, on the basis of conventional treatment combined with 76% generic shadow meglumine 100 ml of oral or stomach tube injection. The time to complete remission of intestinal obstruction, the time to gastrointestinal decompression, the flow of gastrointestinal decompression, the total length of hospital stay and the rate of conversion to surgery were compared between the two groups.Results The complete remission time of intestinal obstruction in the observation group was(21.2±8.6)h, significantly lower than that in the control group(48.2±6.5)h.The time of gastrointestinal decompression was(36.2±6.3)h, significantly lower than that of the control group(96.2±12.3)h, The Gastrointestinal decompression drainage was(867±123)ml, was significantly lower than that of that of the control group(1 800±126),Total length of stay was(6.3±2.3)d, was significantly lower than the control group(14.3±3.2)d, The transit surgery rate of 10.1%,also significantly lower than the control group 21.7%,the difference between the two groups was statistically significant(all P<0.05).Conclusion The compound pan-image dextramine is safe, convenient, economical and effective to the diagnosis and treatment of intestinal obstruction.

关 键 词：复方泛影葡胺 机械性肠梗阻 

分 类 号：R656.7[医药卫生—外科学]