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手术后早期炎性肠梗阻34例临床观察探析 被引量:1

Clinical Observation of 34 Cases of Early Inflammatory Intestinal Obstruction after Operation
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摘要 目的:针对早期炎性肠梗阻患者的病情改善进行临床分析,探究手术后的治疗策略,提升有效性。方法:实验选取了2017年1月~2018年12月在某院就诊的患者为对象,均确诊为早期炎性肠梗阻,并实施手术治疗,入选的患者共34例,根据患者入院手术的先后分为对照组和观察组,对照组采用常规治疗措施,观察组实施活动指导、饮食指导、疼痛度指导等,并分析患者病情的改善程度,积极的指导患者正确的面对疾病,做好护理治疗工作。结果:观察组患者治疗时间短于对照组,疗程、住院时间、肠鸣音恢复时间、腹胀消失时间,组间对比差异较为显著,具有统计学意义(P<0.05);其中,观察组住院时间为(13.25±5.25)d,对照组则为(20.10±7.55)d。在相关并发症的对比上,观察组发生率更低,为5.9%(1/17),对照组为17.6%(3/17),其安全性观察组更优;在治疗的有效率分析上,观察组的总有效率为94.1%,对照组则为82.4%,组间对比差异显著,具有统计学意义。结论:对于腹腔手术患者实施科学的治疗措施,有利于促使早期炎性肠梗阻的早日康复,有利于提升治疗效率,患者满意度高,值得推广应用。 Objective:To analyze the improvement of patients with early inflammatory intestinal obstruction,explore the treatment strategy after operation,and improve the effectiveness.Methods:A total of 34 patients diagnosed with early inflammatory intestinal obstruction treated in a hospital from January to February 2018 in 2017 were selected and divided into two groups according to the patient's admission surgery.The control group adopted routine treatment measures,the observation group carried out activity guidance,diet guidance,pain degree guidance,and analyzed the improvement degree of the patient's condition,actively directed the patient to face the disease correctly,and did a good job of nursing treatment.Results:The treatment time in the observation group was shorter than that in the control group.There was significant difference in hospital stay,recovery time of the bowel sounds and the disappearance time of the abdominal distension between the two groups,which was statistically significant(P<0.05).Among them,the hospital stay in the observation group was(13.25±5.25)d,and that in the control group was(20.10±7.55)d.In addition,the incidence of complications in the observation group was lower than that in the control group[5.9%(1/17)vs 17.6%(3/17)],and the safety was better in the observation group.Finally,the total effective rate of the observation group was 94.1%,which was higher than that of the control group(82.4%).The difference between the two groups was statistically significant.Conclusion:The implementation of scientific treatment measures for patients undergoing abdominal surgery is conducive to the early recovery of early inflammatory bowel obstruction,and improving treatment efficiency,with high patients satisfaction,which is worthy of promotion and application.
作者 景琴 张春霞 贾瑞瑞 冯溪 马君 Jing Qin;Zhang Chunxia;Jia Ruirui;Feng Xi;Ma Jun(Department of General Surgery,Children's Hospital Affiliated to Zhengzhou University,Henan Children's Hospital,Zhengzhou 450000)
出处 《数理医药学杂志》 2020年第9期1410-1412,共3页 Journal of Mathematical Medicine
关键词 手术 早期炎性肠梗阻 并发症 安全性 surgery early inflammatory intestinal obstruction complications safety
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