不同胃肠减压方式对中度重症急性胰腺炎合并麻痹性肠梗阻患者的作用效果对比  

Comparison of Effects of Different Gastrointestinal Decompression Methods in Patients with Moderate and Severe Acute Pancreatitis Complicated with Paralytic Ileus

作　　者：廖景 徐子涵 陈雪 贾晓玮 LIAO Jing;XU Zihan;CHEN Xue;JIA Xiaowei(Digestive Diagnosis and Treatment Center,Henan Provincial Third People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省直第三人民医院消化病诊疗中心,河南郑州450000

出　　处：《河南医学研究》2024年第4期653-656,共4页Henan Medical Research

摘　　要：目的探讨不同胃肠减压方式在中度重症急性胰腺炎(SAP)合并麻痹性肠梗阻(PI)患者中的应用效果。方法将医院2020年5月至2022年5月收治的96例中度SAP合并PI患者按照随机数字表法分组,对照组(48例)接受传统胃肠减压,观察组(48例)接受改良肠梗阻导管置管技术。观察两组减压效果、胃肠功能恢复、炎症反应程度及不良反应发生情况。结果干预后,观察组腹围减小程度、腹内压降低程度、日平均引流量水平均高于对照组(P<0.05);观察组首次排气、排便、进食及拔管时间均短于对照组(P<0.05);观察组白细胞、红细胞沉降率、C反应蛋白恢复正常水平所需时间均较对照组短(P<0.05);观察组不良反应发生率(6.25%)较对照组(20.83%)低(P<0.05)。结论改良肠梗阻导管置管技术可促进中度SAP合并PI患者胃肠功能恢复,缩短炎症水平恢复正常水平所需时间,提高胃肠减压效果且不良反应少。Objective To investigate the effect of different gastrointestinal decompression methods in patients with moderate severe acute pancreatitis(SAP)complicated with paralytic ileus(PI).Methods From May 2020 to May 2022,96 patients with moderate SAP combined with PI in the hospital were divided according to random number table method,the control group(48 patients)were given traditional gastrointestinal decompression,and the observation group(48 patients)were given improved intestinal obstruction catheter catheterization technology.The effect of decompression,the recovery of gastrointestinal function,the degree of inflammatory reaction and the occurrence of adverse reactions of two groups were observed.Results After intervention,the reduction degree of abdominal circumference,internal abdominal pressure and average daily drainage rate in the observation group were higher than those in the control group(P<0.05).The time of first exhaust,defecation,eating and extubation in the observation group were shorter than those in the control group(P<0.05).The time required for leukocyte,erythrocyte sedimentation rate and C-reactive protein to return to normal level in the observation group was shorter than that in the control group(P<0.05).The incidence of adverse reactions in the observation group(6.25%)was lower than that(20.83%)in the control group(P<0.05).Conclusion The improved intestinal obstruction catheter catheterization technique can promote the recovery of gastrointestinal function in patients with moderate SAP combined with PI,shorten the time required for the inflammation level to return to normal level,improve the effect of gastrointestinal decompression with less adverse reactions.

关 键 词：改良肠梗阻导管置管技术 重症急性胰腺炎 麻痹性肠梗阻 胃肠减压 

分 类 号：R576[医药卫生—消化系统]