摘要
目的:对比一次性气管插管在末端回肠自闭式造口术与传统造口术的应用效果。方法:回顾性选取30例一次性气管插管进行末端回肠自闭式肠造口术治疗的结直肠手术患者,将其纳入观察组;同期选取接受传统结直肠造口术治疗的28例结直肠手术患者纳入对照组。对比两组患者结直肠造口时间、手术情况、术后并发症及生活质量。结果:两组结直肠造口时间、切口感染发生率比较无统计学差异;观察组术后肠道蠕动时间、造口排便时间、肠道再通时间及住院时间均短于对照组,住院费用少于对照组,差异有统计学意义(t=3.330,t=4.226,t=50.930,t=7.926,t=9.382;P<0.05);观察组吻合口瘘、肠梗阻及造口旁疝发生率均低于对照组,差异有统计学意义(x2=5.046,x2=4.041,x2=5.046;P<0.05)。出院后6个月,观察组生活质量6项指标优于对照组,其差异有统计学意义(t=2.017,t=2.416,t=2.221,t=2.322,t=2.033,t=3.521;P<0.05)。结论:结直肠手术中应用一次性气管插管自闭式肠造口可减少患者术后并发症发生,缩短住院时间,加速术后身体恢复,并可显著改善患者生活质量。
Objective: To compare the application effects of spontaneously closed enterostomy of terminal ileum with disposable tracheal intubation and traditional enterostomy. Methods: 30 patients with colorectal surgery received spontaneously closed enterostomy of terminal ileum with disposable tracheal intubation were retrospectively selected and were divided into observation group. At the same time, 28 patients with colorectal surgery received traditional colorectal enterostomy were divided into control group. And then, the time of colorectal ostomy, surgical situation, postoperative complications and quality of life between the two groups were compared. Results: There were no statistical differences in the time of colorectal enterostomy and the incidence rate of infection of incision wound between the two groups. The postoperative time of intestinal tract movement, defecating time after enterostomy, intestinal recanalization time, hospital stays of observation group were significantly shorter than those of control group, and the expense of hospitalization of observation group was less than that of control group (t=3.330, t=4.226, t=50.930, t=7.926, t=9.382, P<0.05). And the incidence rate of anastomotic fistula, intestinal obstruction and parastomal hernia of observation group were significantly lower than those of control group (x^2=5.046, x^2=4.041, x^2=5.046, P<0.05). After 6 months of discharge, the 6 indicators of quality of life of observation group were significantly better than those of control group (t=2.017, t=2.416, t=2.221, t=2.322, t=2.033, t=3.521, P<0.05). Conclusion: The application of spontaneously closed enterostomy with disposable tracheal intubation in colorectal surgery can reduce postoperative complications of patients, shorten their hospital stays, accelerate postoperative recovery of them and significantly improve quality of life of patients.
作者
孙兴华
杨世平
钱斌
陈浩
朱金理
SUN Xing-hua;YANG Shi-ping;QIAN Bin(Department of General Surgery,The People's Hospital of Quanjiao County of Anhui,Chuzhou 239500,China)
出处
《中国医学装备》
2019年第4期91-94,共4页
China Medical Equipment
关键词
末端回肠自闭式肠造口术
气管插管
一次性
并发症
Spontaneously closed enterostomy of terminal ileum
Tracheal intubation
One-time
Complication
