[1]徐忠友.急性粘连性肠梗阻采用标准化手术时机进行手术治疗的临床效果[J].医学信息,2023,36(03):132-135.[doi:10.3969/j.issn.1006-1959.2023.03.027]
　XU Zhong-you.The Clinical Effect of Standardized Surgical Timing for Surgical Treatment of Acute Adhesive Intestinal Obstruction[J].Journal of Medical Information,2023,36(03):132-135.[doi:10.3969/j.issn.1006-1959.2023.03.027]
点击复制

急性粘连性肠梗阻采用标准化手术时机进行手术治疗的临床效果()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年03期
页码:
132-135
栏目:
临床研究
出版日期:
2023-02-01

文章信息/Info

Title:
The Clinical Effect of Standardized Surgical Timing for Surgical Treatment of Acute Adhesive Intestinal Obstruction
文章编号:
1006-1959（2023）03-0132-04
作者:
徐忠友
（德兴市人民医院外二科，江西 德兴 334200）
Author(s):
XU Zhong-you
(The Second Department of Surgery,Dexing People’s Hospital,Dexing 334200,Jiangxi,China)
关键词:
标准化手术时机; 急性粘连性肠梗阻; 手术治疗
Keywords:
Standardized surgical timing; Acute adhesive intestinal obstruction; Surgical treatment
分类号:
R656.7
DOI:
10.3969/j.issn.1006-1959.2023.03.027
文献标志码:
A
摘要:
目的 研究标准化手术时机选择对急性粘连性肠梗阻患者进行手术治疗的效果。方法 选取2016年3月-2021年7月在我院诊治的72例急性粘连性肠梗阻患者为研究对象，采用随机数字表法分为对照组和观察组，各36例。对照组采用常规手术时机进行手术治疗选择，观察组采用标准化手术时机选择手术治疗。比较两组治疗效果、胃肠功能恢复指标、炎性细胞因子水平、急性生理与慢性健康评分（APACHE-Ⅱ评分）、并发症发生率以及复发率。结果 观察组治疗总有效率为94.44%，高于对照组的80.55%（P＜0.05）；观察组腹痛消失、肠鸣音消失、术后肛门恢复排气、术后排便时间均短于对照组（P＜0.05）；观察组肿瘤坏死因子-α（TNF-α）、白细胞介素-6（IL-6）、C反应蛋白（CRP）水平均低于对照组（P＜0.05）；两组术后APACHE-Ⅱ评分均低于术前，且观察组低于对照组（P＜0.05）；观察组并发症发生率为8.33%，低于对照组的19.44%（P＜0.05）；随访3个月，观察组复发率为5.56%，低于对照组的13.89%（P＜0.05）。结论 标准化手术时机选择对急性粘连性肠梗阻患者进行手术治疗效果确切，可提高治疗总有效率，快速减轻临床症状，抑制炎症反应，且可降低并发症发生率和复发率，具有相对良好的手术治疗效果，值得临床应用。
Abstract:
Objective To study the effect of standardized operation timing on surgical treatment of patients with acute adhesive intestinal obstruction.Methods A total of 72 patients with acute adhesive intestinal obstruction diagnosed and treated in our hospital from March 2016 to July 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 36 cases in each group. The control group was treated with conventional surgical timing for surgical treatment, and the observation group was treated with standardized surgical timing for surgical treatment. The therapeutic effect, gastrointestinal function recovery index, inflammatory cytokine level, acute physiology and chronic health score (APACHE-Ⅱ score), complication rate and recurrence rate were compared between the two groups.Results The total effective rate of treatment in the observation group was 94.44%, which was higher than 80.55% in the control group (P<0.05). The time of abdominal pain disappearance, bowel sound disappearance, postoperative anal exhaust recovery and postoperative defecation in the observation group were shorter than those in the control group (P<0.05). The levels of tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), C-reactive protein (CRP) in the observation group were lower than those in the control group (P<0.05). The APACHE-Ⅱ scores of the two groups were lower than those before operation, and those in the observation group were lower than those in the control group (P<0.05). The incidence of complications in the observation group was 8.33%, which was lower than 19.44% in the control group (P<0.05). After 3 months of follow-up, the recurrence rate of the observation group was 5.56 %, which was lower than 13.89% of the control group (P<0.05).Conclusion Standardized surgical timing is effective in surgical treatment of patients with acute adhesive intestinal obstruction, which can improve the total effective rate of treatment, quickly reduce clinical symptoms, inhibit inflammatory response, and reduce the incidence of complications and recurrence rate. It has a relatively good surgical treatment effect and is worthy of clinical application.

参考文献/References:

[1]徐晓晨.急性粘连性肠梗阻手术时机的选择分析[D].桂林:桂林医学院,2018.[2]顾宏.不同手术时机对黏连性小肠梗阻患者术后并发症的影响[J].实用临床医药杂志,2016,20(13):119-120.[3]孙红伟.急性肠梗阻的手术治疗时机及临床疗效探讨[D].大连:大连医科大学,2017.[4]侯树峰.不同手术时机对急性肠梗阻临床疗效和并发症的影响[J].黑龙江医药,2018,31(5):1100-1101.[5]佟鑫.不同手术时机对结肠癌致急性肠梗阻患者疗效观察[J].锦州医科大学学报,2018,39(4):46-48.[6]黑志刚.不同手术时机对急性肠梗阻患者治疗效果的影响[J].临床医学,2018,38(11):51-53.[7]陈秀杰,刘炳荣.小儿急性粘连性肠梗阻手术时机的选择对治疗效果的影响研究[J].中华卫生应急电子杂志,2016,2(3):179-181.[8]徐群,付宇,沃扣洪.腹腔镜下粘连性肠梗阻手术的时机选择[J].徐州医学院学报,2016,36(3):163-164.[9]谢海明.粘连性小肠梗阻手术时机选择及效果分析[J].现代诊断与治疗,2017,28(12):2288-2290.[10]何铂玲,林新山.老年急性肠梗阻病因及手术时机对术后并发症的影响[J].临床普外科电子杂志,2016,4(4):15-18.[11]张健.小儿急性粘连性肠梗阻不同手术时机治疗的效果比较[J].深圳中西医结合杂志,2016,26(15):147-149.[12]向东,陈翰博,张力,等.不同手术时机治疗老年急性肠梗阻疗效观察及对胃肠功能的影响[J].中国地方病防治杂志,2016,31(3):304-305.[13]陈文,吴雄辉,黄锦远.急性粘连性肠梗阻最佳手术时机[J].包头医学院学报,2016,15(1):30-33.[14]付靖楠,周黎,马熙.小肠内排列术对急性广泛粘连性肠梗阻的临床疗效及其对血清DAO、MDA的影响[J].解放军医药杂志,2017,29(5):68-71.[15]Arslan -Carlon V,Tan KS,Dalbagni G,et al.Goal -directedversus Standard Fluid Therapy to Decrease Ileus after Open Radical Cystectomy: A Prospective Randomized Controlled Trial [J].Anesthesiology,2020,32(2):1146-1149.[16]曹羽,龚航军,韩刚,等.不同腹腔镜手术时机对结肠镜下支架置入术后择期腹腔镜治疗结直肠癌合并肠梗阻患者疗效的影响[J].临床和实验医学杂志,2019,18(24):2676-2678.[17]尚献会,刘远梅,马洪,等.小儿急性粘连性肠梗阻不同手术时机治疗的效果比较[J].深圳中西医结合杂志,2016,26(15):91-92.[18]王晖,苏晓丽,戴维.急性肠梗阻患者不同手术治疗时机对疗效及预后的影响[J].陕西医学杂志,2017,46(5):609-611.[19]常斌.不同手术时机对小儿急性肠套叠预后的影响比较[J].罕少疾病杂志,2021,28(4):82-83.[20]陈洪刚,杨国春,王其霞.不同手术时机治疗老年急性肠梗阻疗效观察及对胃肠功能的影响[J].湖南中医药大学学报,2018,39(1):683-683.[21]田国松.不同手术时机治疗急性肠梗阻临床效果对比分析[J].河南医学研究,2016(9):34-35.[22]李平.不同手术时机治疗急性肠梗阻临床效果观察[J].白求恩医学杂志,2016(4):428-429.

更新日期/Last Update: 1900-01-01