陈丹

[摘要] 目的 探析经鼻肠梗阻导管置入术治疗老年患者术后粘连性肠梗阻的临床效果。 方法 入选本院2012年2月～2014年2月收治的术后粘连性肠梗阻老年患者102例，按照入院先后顺序分为两组，对照组50例行常规鼻胃管胃肠减压术治疗，观察组52例行经鼻肠梗阻导管置入术治疗，比较两组的临床效果。 结果 观察组的总有效率为94.2%（49/52），显著高于对照组的78.0%（39/50），且胃肠减压量显著多于对照组，气液平面消失时间、腹部症状缓解时间及恢复排气、排便时间均显著短于对照组（P均<0.05）。 结论 经鼻肠梗阻导管置入术治疗老年患者术后粘连性肠梗阻可全面改善临床症状和各项指标，提高治疗效果。

[关键词] 术后粘连性肠梗阻；老年患者；经鼻肠梗阻导管置入术

[中图分类号] R574.2 [文献标识码] A [文章编号] 1674-4721（2014）08（a）-0037-03

Clinical effect of pernasal intestinal obstruction catheter placement treating adhesive intestinal obstruction in elderly patients after operation

CHEN Dan

Department of Gastrointestinal Surgery，the First Hospital Affiliated to Guangdong Pharmaceutical University，Guangzhou 510080，China

[Abstract] Objective To explore the clinical effect of pernasal intestinal obstruction catheter placement treating adhesive intestinal obstruction in elderly patients after operation. Methods 102 elderly patients with adhesive intestinal obstruction after operation treated in our hospital from February 2012 to February 2014 were selected and they were divided into two groups in accordance with the order of admission.The control group （n=50） was given routine nasogastric decompression therapy， the observation group （n=52） was given pernasal intestinal obstruction catheter placement， the clinical effect was compared between the two groups. Results In the observation group，the total effective rate [94.2% （49/52）] was significantly higher than that in the control group [78% （39/50）]，and gastrointestinal decompression amount was significantly more than that in the control group， the time of gas-liquid plane disappearing，abdominal symptoms remission and average recovery of exhaust and defecate was significantly shorter than those in the control group （P<0.05）. Conclusion Pernasal intestinal obstruction catheter placement treating adhesive intestinal obstruction in elderly patients after operation can comprehensively improve clinical symptoms and indicators to enhance the treatment effect.

[Key words] Adhesive intestinal obstruction after operation；Elderly patients；Pernasal intestinal obstruction catheter placement

肠梗阻是临床常见的消化系统疾病，粘连性肠梗阻是其中的常见类型，且发生率呈逐年上升趋势。粘连性肠梗阻常见于盆腔和腹部手术后，术中肠管机械损伤及血运破坏导致术后肠管粘连[1]。老年患者由于其机体功能均显著下降，发生术后粘连性肠梗阻的概率更高，外科手术治疗的选择直接影响患者的预后。经鼻肠梗阻导管置入术可有效增加胃肠减压深度，迅速减轻肠梗阻情况，改善肠道环境，解除患者的痛苦[2]。本院纳入52例术后粘连性肠梗阻高龄患者，给予其经鼻肠梗阻导管置入术治疗，分析临床效果。

1 资料与方法

1.1 一般资料

选取本院2012年2月～2014年2月收治的102例术后粘连性肠梗阻老年患者。入选标准：有腹部或盆腔手术史，且符合肠梗阻临床表现者[3]；年龄≥60岁者；排除其他原因导致的肠梗阻者；……