摘要
目的:探讨急性单纯性小肠梗阻应用经鼻肠梗阻导管治疗和护理。方法:按随机数字表法将346例急性小肠梗阻患者分为试验组和对照组,2组均给予禁食、清洁灌肠、抗感染、解痉、维持内稳态治疗和护理。对照组用普通胃管行胃肠减压,试验组在胃镜下将经鼻肠梗阻导管置入十二指肠球部以远,注生理盐水15ml于水囊,随着肠蠕动及水囊重力及定期送管使肠梗阻导管到达梗阻部位及以远的肠管。比较2组引流液量、肠梗阻缓解时间、住院时间的差异。结果:试验组引流液显著多于对照组,肠梗阻缓解时间、住院时间短于对照组(P<0.01)。结论:经鼻肠梗阻导管治疗急性单纯性小肠梗阻安全有效。
Objective] To treat acute simple intestinal obstruction by transnasal ileus tube .[Method] 346 patients with acute in-testinal obstruction were randomly divided into two groups .The two groups were given the treatment ofcleaning enema ,fasting , anti-infection ,spasmolysis ,maintaining the homeostasis and nursing care .The gastrointestinal decompression was performed by ordinary nasogastric tube in control group .In experimental group ,the transnasal ileuswas put in the distal duodenum under the endoscopy bygastrointestinal motility ,gravity of aqueous capsule with 15 ml normal saline .Amount of drainage fluid ,relief time of intestinal obstructionand length of staywere compared between the 2 groups .[Result]Volume of drainage fluid in experimental group within 96hours was much more than that in control group .Relief time ,length of stay in experimental group were shorter than that in control group . [Conclusion ] It is safe and effective to performgastrointestinaldecompression with transnasal ileus tube for acute simple intestinal obstruction .
出处
《浙江医学教育》
2015年第4期32-33,3,共3页
Zhejiang Medical Education
基金
义乌市引进人才立项项目(编号:2012-R-04)
关键词
急性肠梗阻
单纯性
小肠
减压
acute ileus
simple
small intestine
decompression
