老年急性肠梗阻保守治疗与手术治疗对比  

Comparison of Conservative Treatment and Surgical Treatment for Acute Intestinal Obstruction of the Elderly

作　　者：梁力华 LIANG Lihua(Fangshan Hospital,Beijing University of Chinese Medicine,Beijing 102400)

机构地区：[1]北京中医药大学房山医院,北京102400

出　　处：《智慧健康》2023年第3期108-111,共4页Smart Healthcare

摘　　要：目的探讨急性老年肠梗阻患者在临床中采取保守治疗与手术治疗的效果差异。方法选择2020年3月-2021年9月在本院接受住院治疗的急性肠梗阻老年患者72例进行研究分析。应用不同治疗方式分为两组,每组各36例。常规组采取保守治疗,实验组采取手术治疗,每组各36例。对比病情好转有效率、肠坏死发生率以及恢复时间指标。结果实验组患者的干预有效率明显高于常规组(P<0.05);实验组死亡率与肠坏死率均明显低于常规组(P<0.05)。实验组患者的恢复时间指标明显优于常规组(P<0.05)。结论保守治疗与手术治疗对老年急性肠梗阻的治疗均有一定效果,相比之下手术治疗效果更加明显,患者恢复效率更快且对于疾病症状与预后均有较为理想的支持,可以有效缩短卧床时间与胃肠道恢复时间,值得推广。Objective To explore difference between conservative treatment and surgical treatment in clinical treatment of acute elderly intestinal obstruction.Methods The paper chose 72 elderly patients with acute intestinal obstruction hospitalized in our hospital from March 2020 to September 2021 for study and analysis,and divided them into two groups by different treatment methods.Routine group was treated conservative scheme,and experimental group with surgical scheme.Effective rate of improvement,incidence of intestinal necrosis and index of recovery time was compared.Results Effective rate of intervention in experimental group was significantly higher than routine group(P<0.05);mortality and intestinal necrosis rate of experimental group were significantly lower than routine group(P<0.05).Recovery time of experimental group was significantly better than routine group(P<0.05).Conclusion Both conservative treatment and surgical treatment have some certain effect in treatment of acute intestinal obstruction of the elderly.Surgical treatment can achieve more obvious effect,with faster recovery efficiency,it has relatively ideal support for disease symptoms and prognosis,can shorten bed rest time and gastrointestinal recovery effectively,which is worthy of promotion.

关 键 词：急性肠梗阻 保守治疗 手术治疗 效果对比 

分 类 号：R656.7[医药卫生—外科学]