经鼻肠梗阻导管治疗粘连性肠梗阻的临床疗效

目的 探讨经鼻肠梗阻导管介入治疗粘连性肠梗阻在临床上的治疗效果。方法 选取2012年1月1日至2014年1月1日于我院消化内科治疗的粘连性肠梗阻患者200例,设为对照组和试验组,每组各100例。对照组采用传统单纯消化内科治疗方法(鼻胃管胃肠减压术),试验组采用介入结合消化内科治疗方法(经鼻插管介入)。比较两组肠梗阻缓解的时间(具体比较前3天的平均引流量、排气时间、腹胀腹痛减轻时间),临床治疗效果以及并发症情况(穿孔、出血、狭窄、中转手术)。结果 治疗期间试验组引流量、排气时间、腹胀腹痛减轻时间均优于对照组(P<0.01);试验组临床缓解率明显高于对照组(89.0% vs 58.0%,P＜0.05);试验组并发症的发生率明显小于对照组(9.0% vs 21.0%,P＜0.05)。结论 经鼻肠梗阻导管介入治疗对于粘连性肠梗阻有明显的临床效果,症状缓解快,治愈率高,并发症少,在临床可以广泛推广。

Clinical effect of pernasal catheter in adhesive intestinal obstruction

Objective To explore clinical effect of pernasal intubation intervention in adhesive intestinal obstruction.Methods A total of 200 patients with adhesion intestinal obstruction were selected from our hospital, and the patients were divided into two groups: control group and experimental group, 100 patients in a group. The patients of control group underwent conventional treatment (nasogastric tube gastrointestinal decompression), those of experimental group got intervention combined with conventional treatment. Comparison was made in the drainage flow in three days after treatment, exhaust time, remission time of abdominal distension and pain, the clinical therapeutic effect and complications (perforation, bleeding, narrow, transit operation) between two groups.Results The drainage flow and exhaust time, abdominal distension, abdominal pain relief time in treatment group were better than those in control group (P<0.05).The clinical cure rate of experimental group was significantly higher than that of control group (89% vs 58%,P<0.05).The incidence of complications in experimental group were less than those of control group (9% vs 21%,P<0.05).Conclusion Pernasal intubation intervention for adhesive intestinal obstruction showed obvious clinical effect, quick remission of symptoms, higher cure rate,but fewer complications, so the method may be used widely in clinic.