经鼻型肠梗阻导管应用于腹部术后早期粘连性肠梗阻胃肠减压的临床研究  

Clinical Study of Nasal Intestinal Obstruction Catheter in Early Postoperative Adhesive Intestinal Obstruction Gastrointestinal Decompression

作　　者：刘汉建 王明星[1] 刘瑞林[1] 黄永生 LIU Han-jian;WANG Ming-xing;LIU Rui-lin;HUANG Yong-sheng(Department of General Surgery,Xingguo People's Hospital,Xingguo 342400,Jiangxi,China)

机构地区：[1]兴国县人民医院普外科,江西兴国342400

出　　处：《医学信息》2021年第21期88-90,共3页Journal of Medical Information

基　　金：赣州市指导性科技计划项目(编号:GZ2020ZSF646)。

摘　　要：目的研究经鼻型肠梗阻导管应用于腹部术后早期粘连性肠梗阻胃肠减压的临床疗效。方法选取2020年5月-2021年8月在我院诊治的60例腹部术后早期粘连性肠梗阻患者为研究对象,采用随机数字表法分为对照组和观察组,各30例。对照组采用传统鼻胃管置入进行胃肠减压进行治疗,观察组采用经鼻型肠梗阻导管进行胃肠减压治疗,比较两组治疗效果、临床指标(液气平面消失时间、24h内腹围缩小量、24h胃肠减压量)、临床症状(腹痛、腹胀)缓解时间、胃肠功能恢指标(肠鸣音恢复时间、进食时间、拔管时间)以及不良反应发生情况。结果观察组治疗总有效率为93.33%,高于对照组的80.00%(P<0.05);治疗后,观察组24h内腹围缩小量、24h胃肠减压量均大于对照组,液气平面消失时间小于对照组(P<0.05);观察组腹痛、腹胀缓解时间均小于对照组(P<0.05);观察组肠鸣音恢复时间、进食时间、拔管时间均短于对照组(P<0.05);观察组不良反应发生率为6.67%,低于对照组的16.67%(P<0.05)。结论采用经鼻型肠梗阻导管对腹部术后早期粘连性肠梗阻患者机械能胃肠减压治疗效果确切,总有效率较高,可降低不良反应发生率,缩短临床症状改善时间,促进胃肠减压效果,提高胃肠减压量,进而促进胃肠功能早期恢复,具有重要的临床应用价值。Objective To study the clinical effect of nasal ileus tube in early postoperative abdominal adhesive intestinal obstruction gastrointestinal decompression.Methods A total of 60 patients with early adhesive intestinal obstruction after abdominal surgery in our hospital from May 2020 to August 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 30 cases in each group.The control group was treated with traditional nasogastric tube placement for gastrointestinal decompression,and the observation group was treated with nasal intestinal obstruction catheter for gastrointestinal decompression.The therapeutic effect,clinical indexes(disappearance time of liquid gas plane,reduction of abdominal circumference within 24 hours,and gastrointestinal decompression within 24 hours),clinical symptoms(abdominal pain,abdominal distension)remission time,gastrointestinal function recovery indexes(recovery time of bowel sounds,eating time,extubation time)and adverse reactions were compared between the two groups.Results The total effective rate of treatment in the observation group was 93.33%,which was higher than 80.00%in the control group(P<0.05).After treatment,the reduction of abdominal circumference and the amount of gastrointestinal decompression within 24 hours in the observation group were greater than those in the control group,and the disappearance time of liquid-gas plane was less than that in the control group(P<0.05).The relief time of abdominal pain and abdominal distension in the observation group was less than that in the control group(P<0.05).The recovery time of bowel sounds,eating time and extubation time in the observation group were shorter than those in the control group(P<0.05).The incidence of adverse reactions in the observation group was 6.67%,which was lower than 16.67%in the control group(P<0.05).Conclusion Conclusion Transnasal intestinal obstruction catheter is effective in the treatment of mechanical gastrointestinal dec

关 键 词：经鼻型肠梗阻导管 腹部手术 早期粘连 肠梗阻 胃肠减压 

分 类 号：R574.2[医药卫生—消化系统]