摘要
目的对比急诊手术与择期手术在肠梗阻中的应用价值。方法将2016年1月—2020年1月间收治的100例肠梗阻患者,根据手术方式分组,对照组和观察组各为50例,前者行急诊手术,后者行择期手术。比较2组疾病治疗效果、术后恢复情况、炎症因子水平和并发症发生情况。结果观察组总有效率高于对照组,出现并发症的概率低于对照组,均有统计学差异(P>0.05);观察组肛门排气时间为(57.38±12.45)h,开始进食时间为(60.21±13.54)h,开始下床活动时间为(5.12±0.92)h,短于对照组的(80.12±22.56)h、(83.78±20.16)h和(7.32±1.18)d,均有统计学差异(P<0.05),2组手术前后C反应蛋白、肿瘤坏死因子-α和白细胞介素-6水平对比无明显差异(P>0.05)。结论相比于急诊手术,予以肠梗阻患者择期手术,可提高疾病治疗效果,利于术后恢复,可有效防范并发症。
Objective To compare the application value of emergency operation and selective operation in intestinal obstruction.Methods 100 cases of intestinal obstruction from January 2016 to January 2020 were studied.According to the operation method,50 cases were divided into control group and observation group.The former performed emergency surgery and the latter performed selective surgery to compare the effect of disease treatment,postoperative recovery,inflammatory factor levels and complications.Results The total effective rate of the observation group was higher than that of the control group,the probability of complications was lower than that of the control group,the difference was statistically significant(P>0.05);the anal exhaust time of the observation group was(57.38±12.45)h,the starting time of eating was(60.21±13.54)h,the starting time of getting out of bed was(5.12±0.92)h,which was shorter than that of the control group(80.12±22.56)h,(83.78±20.16)H and(7.32±1.18)d There was significant difference between the two groups(P<0.05);there was no difference in the levels of C-reactive protein,tumor necrosis factor-αand interleukin-6 between the two groups before and after operation(P>0.05).Conclusion Compared with emergency operation,selective operation for patients with intestinal obstruction can improve the treatment effect of disease,help patients recover after operation,effectively prevent complications,and can be popularized.
作者
李晓峰
Li Xiaofeng(The Integrated Traditional Chinese and Western Medicine Hospital of Zhuhai City,Zhuhai,Guangdong 519000)
出处
《基层医学论坛》
2022年第7期34-36,共3页
The Medical Forum
关键词
肠梗阻
急诊手术
择期手术
临床疗效
炎症因子
并发症
Intestinal obstruction
Emergency surgery
Elective surgery
Clinical efficacy
Inflammatory factors
Complications
