摘要
目的探究不同手术时机对急性肠梗阻患者的影响.方法选取天津市中西医结合医院·南开医院2022年4月-2023年4月期间收治的98例急性肠梗阻患者,根据患者手术时机将其分为两组,分别为对照组(49例)以及观察组(49例).对照组患者在发病后48h后接受手术治疗,观察组患者在发病后48h内接受手术治疗,比较两组患者以下指标:手术指标与术后恢复指标、并发症发生情况、炎性因子水平、急性生理与慢性健康评分(APACHE-Ⅱ评分)、治疗效果.结果对比两组患者手术指标与术后恢复指标,观察组卧床时间与住院时间明显较短(P<0.05).对比两组患者并发症发生率,观察组明显较低(P<0.05).对比两组患者炎性因子水平,术后观察组明显较低(P<0.05).对比两组患者APACHE-Ⅱ评分,术后观察组明显较低(P<0.05).对比两组患者治疗总有效率,差异不显著(P>0.05).结论于发病后48h内为急性肠梗阻患者实行手术治疗,能改善患者术后恢复效果,减少患者并发症发生情况,改善患者炎性因子水平,降低患者APACHE-Ⅱ评分,效果较佳,故具有较高临床推广及应用价值.
Objective To explore the effect of different surgical time in patients with acute intestinal obstruction.Methods 98 patients with acute intestinal obstruction admitted during April 2022 to April 2023 were selected,and the patients were divided into two groups according to the control group(49 patients)and observation group(49 patients).Patients in the control group received surgical treatment 48h after onset,and patients in the observation group received surgical treatment within 48h after onset,and the following indicators were compared between the two groups:surgical index and postoperative recovery index,complication occurrence,inflammatory factor level,acute physiology and chronic health score(APACHE-Ⅱ score),and treatment effect.Results Comparing the surgical index and postoperative recovery index in the two groups,the bed stay time and hospital stay in the observation group were significantly shorter(P<0.05).Comparing the complication rate of the two groups,the observation group was significantly lower(P<0.05).Comparing the inflammatory factor levels of the two groups,the postoperative observation group was significantly lower(P<0.05).Comparing the APACHE-Ⅱ scores of the two groups,the postoperative observation group was significantly lower(P<0.05).Comparing the total response rate of the two groups,the difference was not significant(P>0.05).Conclusion Surgical treatment for patients with acute intestinal obstruction within 48h after the onset can improve the postoperative recovery effect,reduce the complications,improve the inflammatory factor level of patients,and reduce the APACHE-Ⅱ score of patients,and the effect is better,so it has high clinical promotion and application value.
作者
安然
马波
An Ran;Ma Bo(Tianjin Integrated Traditional Chinese and Western Medicine Hospital-Nankai Hospital,Tianjin 300000,China)
出处
《首都食品与医药》
2024年第18期14-16,共3页
Capital Food Medicine
关键词
急性肠梗阻
手术治疗
手术时机
Acute intestinal obstruction
surgical treatment
timing of surgery
