摘要
目的：比较小肠内排列术与传统肠梗阻手术治疗广泛粘连性肠梗阻的疗效.方法：收集我院自2015年6月～2017年8月收治的广泛粘连性肠梗阻患者66例,按随机数字表法分为观察组与对照组,每组各33例.对照组给予传统手术治疗,观察组则给予小肠内排列术治疗,观察并对比2组手术一般情况,测定2组治疗前后血清二胺氧化酶（DAO）及丙二醛（MDA）水平变化情况,统计2组并发症发生情况.结果：观察组术中出血量、术后首次排气时间、腹胀缓解时间、胃肠功能恢复时间以及住院时间均明显短于对照组（P〈0.05）.2组术前血清DAO与MDA水平对比差异均无统计学意义（P〉0.05）,术后1天,2组血清DAO与MDA水平均明显上升,但观察组的明显低于同时期的对照组（P〈0.05）;术后3天,2组血清DAO与MDA水平均明显回调,且观察组的明显低于对照组（P〈0.05）,基本恢复至正常水平.观察组术后并发症发生率显著低于对照组（P〈0.05）.结论：针对广泛粘连性肠梗阻患者,给予小肠内排列术治疗疗效确切,不仅对患者创伤小,术后并发症少,且能够显著下调血清DAO、MDA水平,促进康复,具有较高的推广价值.
Objectiv： To compare the curative effect of small intestine surgery and the traditional arrangement of intestinal obstruction in treatment of extensive adhesion intestinal obstruction. Methods： 66 patients with adhesive intestinal obstruction in our hospital were collected from June 2015 - 2017 year in August were randomly divided into experimental group and control group two groups, 33 cases in each group the control group was given conventional surgical treatment, the experimental group was treated with the small intestine are observed and compared between the two groups in general surgery, were measured before and after treatment in two groups of two serum monoamine oxidase （ DAO ） and malondialdehyde （ MDA ） levels, two sets of statistics and complications. Results： the experimental group The amount of bleeding, postoperative first exhaust time, Moating relief time, gastrointestinal function recovery time and hospitalization time were significantly shorter than the control group （ P 〈 0.05 ）. The two groups preoperative differences between the serum levels of DAO and MDA levels were not statistically significant （P 〉0.05）, 1D after operation, two groups of serum DAO and MDA levels were significantly increased. But the experimental group was significantly lower than the control group at the same time period （P 〈 0.05 ） ; 3 D after operation, two groups of serum DAO and MDA levels were significantly callback, and the experimental group was significantly lower than the control group （ P 〈 0.05 ）, restored to the normal level of complications after surgery in the experimental group. The rate was significantly lower than the control group （ P 〈 0.05 ）. Conclusion： the extensive adhesion intestinal obstruction were given intestinal plication for curative effect, not only for patients with small trauma, less postoperative complications, and could significantly reduce serum DAO, MDA levels, and promote rehabilitation, had higher application value.
作者
薛以华
XUE Yi - hua(The Second People＇s Hospital of Yingkou Economic and Technological Development Zone, Yingkou Liaoning 115214)
出处
《中国伤残医学》
2018年第4期5-7,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
小肠内排列术
传统肠梗阻手术
广泛粘连性肠梗阻
Small bowel arrangement
Traditional intestinal obstruction surgery
Extensive adhesive intestinal obstruction
