双套管持续冲洗+负压引流治疗胃肠吻合口瘘的临床探究  

Clinical Research on Double-tube Continuous Irrigation and Negative Pressure Drainage for Gastrointestinal Anastomotic Fistula

作　　者：阮永军[1] 吴培信 关子连 Ruan Yongjun;Wu Peixin;Guan Zilian(Lianjiang People's Hospital,Lianjiang 524400)

机构地区：[1]廉江市人民医院,廉江524400

出　　处：《数理医药学杂志》2022年第1期34-36,共3页Journal of Mathematical Medicine

摘　　要：目的:探究双套管持续冲洗+负压引流治疗胃肠吻合口瘘的效果。方法:选取某院2014年4月~2020年4月期间收治的42例胃肠吻合口瘘患者为研究对象,以不同的引流方式将患者分为对照组和观察组各21例,对照组采用单管负压引流治疗,观察组采用双套管持续冲洗负压引流治疗,分析两组再手术率、复发率、感染发生率、生命各项指征(体温恢复正常、血象恢复正常、拔管时间)变化以及降钙素原(PCT)、C反应蛋白(CRP)下降至正常水平时间与白蛋白(ALB)上升至正常水平的时间。结果:观察组再手术率、复发率、感染发生率均低于对照组;观察组的体温恢复正常、血象恢复正常、拔管时间均短于对照组;观察组PCT、CRP的下降至正常水平时间与ALB上升至正常水平的均短于对照组(P<0.05)。结论:双套管持续冲洗+负压引流治疗胃肠吻合口瘘,可降低再手术率、复发率以及感染发生率,同时还能缩短患者体温恢复正常、血象恢复正常、拔管时间以及炎性反应指标下降正常水平的时间。Objective:To explore the effect of double cannula continuous irrigation and negative pressure drainage in the treatment of gastrointestinal anastomotic fistula.Methods:42 patients with gastrointestinal anastomotic fistula admitted to a hospital from April 2014 to April 2020 were selected as research objects,and the patients were divided into control group and observation group by different drainage methods,with 21 cases in each group.The control group was treated with single tube negative pressure drainage,while the observation group was treated with double-tube continuous irrigation and negative pressure drainage.The reoperation rate,recurrence rate,infection rate,changes of life indicators(body temperature returned to normal,hemogram returned to normal,extubation time)and the time of procalcitonin(PCT)and C-reactive protein(CRP)decreased to normal level and the time of albumin(ALB)increased to normal level were analyzed.Results:The reoperation rate,recurrence rate and infection rate in the observation group were lower than those in the control group.The body temperature returned to normal,hemogram returned to normal and extubation time of the observation group were all shorter than those of the control group.The time of PCT and CRP decreased to normal level and the time of ALB increased to normal level in the observation group were shorter than those in the control group(P<0.05).Conclusion:Double-tube continuous irrigation and negative pressure drainage for gastrointestinal anastomotic fistula can reduce reoperation rate,recurrence rate and infection rate,and can also shorten the time of patients'body temperature returned to normal and hemogram returned to normal,extubation time and the time of inflammatory response indexes decreased to normal level.

关 键 词：双套管持续冲洗 负压引流治疗 胃肠吻合口瘘 单管负压引流 复发率 感染发生率 

分 类 号：R656.6[医药卫生—外科学]