摘要
目的非手术综合疗法治疗急腹症术后炎性肠梗阻的临床疗效。方法选取于2016年2月至2018年6月期间在佛山市第一人民医院接受治疗的82例早期炎性肠梗阻患者,依照随机数字表法将其分为对照组和观察组,每组各41例。其中对照组患者采用传统手术疗法,而观察组患者采用综合疗法进行治疗。对比两组的临床效果、临床指标(肛门排气时间、腹胀消失时间以及肠鸣音恢复时间)。结果两组患者均接受治疗后,观察组降钙素原(procalcitonin, PCT)水平、C-反应蛋白(c-reactive protein, CRP)水平显著高于对照组(P<0.05);观察组的肛门排气时间、腹胀消失时间以及肠鸣音恢复时间均短于对照组(P<0.05);此外,观察组的治疗总有效率高于对照组(P<0.05)。结论相比传统手术,对早期炎性肠梗阻患者而言,采用综合疗法更能提高治疗效率,能够有效改善临床症状,另外还可提高免疫功能,具有临床推广的意义。
Objective Non-operative comprehensive therapy for acute abdominal inflammation postoperative intestinal obstruction clinical effi cacy.Methods Eighty-two patients with early infl ammatory ileus who received treatment in foshan first people's hospital from February 2016 to June 2018 were selected and divided into the control group and the observation group according to the random number table method[the whole paper was unifi ed],with 41 cases in each group.Patients in the control group received traditional surgical treatment,while those in the observation group received comprehensive treatment.The clinical effects and clinical indicators(anal exhaust time,abdominal distension disappearance time and intestinal rumbling recovery time)of the two groups were compared.Results After treatment,the levels of procalcitonin(PCT)and CRP in the observation group were signifi cantly higher than those in the control group(P<0.05).The time of anal exhaust,disappearance of abdominal distension and recovery of intestinal sounds in the observation group were shorter than those in the control group(P<0.05).In addition,the total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).Conclusion Compared with traditional surgery,for patients with early infl ammatory ileus,comprehensive therapy can improve the treatment efficiency,effectively improve clinical symptoms,and improve the immune function,which is of clinical signifi cance.
作者
李泳
LI Yong(Department of Gastroenterology,Foshan First People's Hospital,Foshan,Guangdong,528000)
出处
《临床普外科电子杂志》
2019年第1期22-24,55,共4页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
综合疗法
早期炎性肠梗阻
降钙素原
C反应蛋白
疗效
Comprehensive therapy
Early infl ammatory ileus
Procalcitonin
C-reactive protein
The curative effect
