许菊萍



急性肠梗阻治疗中不同手术时间的临床效果观察

许菊萍

【摘要】目的 观察急性肠梗阻治疗中不同手术时间的临床效果。方法 将我院收治的94例急性肠梗阻患者作为对象进行研究，根据其进行手术时间进行分组，各47例。观察组为发病48 h内进行手术治疗，常规组为发病48 h后进行手术治疗。统计两组患者临床效果、并发症发生情况及住院时间。结果 常规组患者临床效果低于观察组，并发症发生率高于观察组，住院时间高于观察组，两组差异有统计学意义（P＜0.05）。结论 根据肠梗阻患者的病情及时实施手术治疗，可有效提高其临床效果，降低并发症发生率，并减少其住院时间。

【关键词】急性肠梗阻；不同手术时间；临床效果

Objective To observe the clinical effect of different operation time in the treatment of acute intestinal obstruction. Methods Our hospital admitted 94 patients with acute intestinal obstruction in patients as research objects，grouping according to the operation time，47 cases in each group. The observation group was treated with surgical treatment in 48 h，the routine group was treated after 48 h on the onset of the disease. The clinical effect，complications and hospitalization time of the two groups were statistically analyzed. Results The clinical effect of the routine group was lower than the observation group，the complication rate was higher than the observation group，the hospitalization time was higher than the observation group，the difference between the two groups was significant（P＜0.05）. Conclusion The implementation of surgical treatment of intestinal obstruction in time according to the patient's condition，which can effectively improve the clinical effect，reduce the incidence of complications，and reduce the hospitalization time.

【Key words】 Acute intestinal obstruction，Different operation time，Clinical effect

肠梗阻为肠功能障碍疾病，多由肠道内脏血运障碍、机械运动及神经失调导致，是临床外科常见急腹症，严重者可引起生理代谢紊乱及全身器官功能性疾病，危及患者生命安全［1］。目前，急性肠梗阻仍是医学治疗的难题［2］。临床治疗急性肠梗阻多采用手术治疗［3］。有研究指出［4］，并非所有手术治疗急性肠梗阻患者都可达到预期效果，部分患者仍出现临床症状无改善、反复发作或肠坏死等。本研究对急性肠梗阻患者进行不同手术时机治疗，对比分析其临床效果，结果如下。

1　资料与方法

1.1一般资料

将我院2014年4月～2015年3月收治的94例急性肠梗阻患者作为对象进行研究，其中男45例，女49例，平均年龄（45.28±7.53）岁。其中肠扭转所致肠梗阻3例，嵌顿疝肠梗阻10例，粘性肠梗阻56例，结肠肿瘤所致肠梗阻25例，根据其进行手术时间进行分组，各47例。……