摘要
目的探讨生长抑素在治疗术后粘连性肠梗阻中的临床疗效。方法将有腹部手术史的粘连性肠梗阻患者42例,随机分为治疗组22例和对照组20例。对照组采用传统治疗方式,包括禁饮食、有效的胃肠减压、静脉补液、纠正电解质紊乱、肠外营养支持、抗生素和灌肠等。治疗组采用在传统治疗方式的基础上加用生长抑素。比较两组患者临床症状的改善、住院天数、平均每日胃肠减压量、中转开腹率。结果治疗组的临床有效率(90.9%)优于对照组(80.0%)(P【0.05);治疗组患者的临床症状的改善时间、平均每日胃肠减压量和住院时间少于对照组(P【0.05)。结论在传统治疗方式上加用生长抑素治疗腹部手术后的粘连性肠梗阻,能明显改善临床症状,降低手术开腹率,并尽快恢复肠道功能。
Objective To investigate clinical efficacy of somatostatin in adhesive intestinal obstruction .Methods42 patients suffering form adhesive intestinal obstruction were divided into experimental group( 22 patients) and control group( 20 patients) . Patients in the control group were treated with traditional therapy including effective gastroenteral decompression ,intravenous fluids to correct electrolyte imbalance,parenteral nutritional support ,antibiotics and bowel lavage. Patients in the experimental group were treated with traditional therapy plus somatostatin therapy. The outcomes of the two groups were compared. Results Compared with efficiency rate ( 80.0%) of the control group,the experimental group has better efficiency rate( 90. 9%) ( P <0.05) . The average volume of gastroenteral decompression,hospital stay time and Improvement of clinical symptoms time in the experimental group was lower than that in the the control group( P < 0. 05) . Conclusion In traditional therapy plus somatostatin cure adhesive intestinal obstruction can significantly improve the clinical symptoms ,reduce surgical laparotomy rate ,and as soon as possible to restore bowel function.
出处
《中国保健营养（下半月）》
2013年第4期693-694,共2页
China Health Care & Nutrition
关键词
粘连性肠梗阻
生长抑素
临床疗效
Adhesive intestinal obstruction
Somatostatin
Clinical efficacy
