摘要
目的探讨插入型肠梗阻导管对妊娠期单纯性肠梗阻的疗效及母婴预后的影响。方法选择2018年2月~2019年8月我院收治的36例妊娠期单纯性肠梗阻患者,按随机数表法分为观察组和对照组,每组各18例。在常规处理基础上,对照组给予常规留置鼻胃管进行胃肠减压,观察组给予插入型肠梗阻导管进行胃肠减压。比较两组治疗24 h临床疗效、临床指标及母婴结局。结果两组患者治疗24 h临床疗效差异无统计学意义(P>0.05);观察组置管24 h引流量明显高于对照组,腹痛消失时间、肛门排气时间、排便时间及住院时间均明显比对照组短(均P<0.05);观察组有14例(77.78%)患者治疗康复出院,对照组10例(55.56%)患者治疗康复出院,差异无统计学意义(P>0.05)。结论和传统留置鼻胃管相比,插入型肠梗阻导管可更有效缩短妊娠期单纯性肠梗阻患者症状缓解时间及住院时间,提高引流量,但临床上仍需综合考虑患者个体情况,选择最有效的治疗,确保母婴安全。
Objective To study the effect and the prognosis of mother and infant of the insertion type intestinal obstruction catheter in treatment of pregnancy simple intestinal obstruction.Methods 36 patients of pregnancy simple intestinal obstruction received therapy from February 2018 to August 2019 in our hospital were selected as research objects.They were divided into the observation group and the control group by the random number table,each group had 18 cases.On the basis of routine treatment,the control group was given routine indwelling nasogastric tube for gastrointestinal decompression,and the observation group was given inserting intestinal obstruction tube for gastrointestinal decompression.The 24-hour clinical efficacy,clinical indicators and maternal and infant outcomes in the two groups were compared.Results The 24-hour clinical efficacy of the two groups was 88.89%and 72.22%,respectively.The difference was not statistically significant(P>0.05).The 24-hour drainage volume in the observation group was significantly higher than those in the control group.The abdominal pain disappearance time,anal exhaust time,defecation time and hospitalization time were significantly shorter than those in the control group[(578.55±187.30)mL vs(330.71±102.61)mL,(2.64±0.73)d vs(4.04±0.85)d,(1.84±0.49)d vs(2.46±0.61)d,(2.35±0.44)d vs(3.04±0.58)d,(5.31±0.86)d vs(6.60±1.15)d](P<0.05).There was 14 patients(77.78%)were discharged after treatment in the observation group.There was 10 patients(55.56%)were discharged after treatment in the control group.The difference was not statistically significant(P>0.05).Conclusion Compared with the traditional indwelling nasogastric tube,the insertion type intestinal obstruction catheter can effectively shorten the symptom relief time and hospitalization time in patients with simple ileus during pregnancy,and improve the drainage volume.It is still necessary to consider the individual situation of patients and choose the most effective treatment to ensure the safety of mothers and infa
作者
高飞
李景
张少君
乔秋阁
王文耀
GAO Fei;LI Jing;ZHANG Shaojun;QIAO Qiuge;WANG Wenyao(Department of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China)
出处
《西部医学》
2021年第1期58-61,共4页
Medical Journal of West China
基金
国家自然科学基金(818700396)
河北省卫生健康委员会基金(20190583)。
关键词
妊娠期单纯性肠梗阻
鼻胃管
插入型肠梗阻导管
母婴预后
安全性
Pregnancy simple intestinal obstruction
Nasogastric tube
Insertion type intestinal obstruction catheter
Prognosis of mother and infant
Safety
