AIM:To study the therapeutic efficacy of a new transnasal ileus tube advanced endoscopically for adhesive small bowel obstruction.METHODS:A total of 186 patients with adhesive small bowel obstruction treated from Sept...AIM:To study the therapeutic efficacy of a new transnasal ileus tube advanced endoscopically for adhesive small bowel obstruction.METHODS:A total of 186 patients with adhesive small bowel obstruction treated from September 2007 to February 2011 were enrolled into this prospective randomized controlled study.The endoscopically advanced new ileus tube was used for gastrointestinal decompression in 96 patients and ordinary nasogastric tube(NGT) was used in 90 patients.The therapeutic efficacy was compared between the two groups.RESULTS:Compared with the NGT group,the ileus tube group experienced significantly shorter time for relief of clinical symptoms and improvement in the findings of abdominal radiograph(4.1 ± 2.3 d vs 8.5 ± 5.0 d) and laboratory tests(P < 0.01).The overall effectiveness rate was up to 89.6% in the ileus tube group and 46.7% in the NGT group(P < 0.01).And 10.4% of the patients in the ileus tube group and 53.3% of the NGT group underwent surgery.For recurrent adhesive bowel obstruction,ileus tube was also significantly more effective than NGT(95.8% vs 31.6%).In the ileus tube group,the drainage output on the first day and the length of hospital stay were significantly different depending on the treatment success or failure(P < 0.05).The abdominal radiographic improvement was correlated with whether or not the patient underwent surgery.CONCLUSION:Ileus tube can be used for adhesive small bowel obstruction.Endoscopic placement of the ileus tube is convenient and worthy to be promoted despite the potential risks.展开更多
目的呼出气中一氧化氮（nitric oxide，NO）含量是反映上下气道炎性反应程度的指标，为此测定健康成人经口和经鼻呼出气中NO含量，得到相应的参考值并分析其影响因素。方法健康成人80名（男20名，女60名），年龄18～44岁，中位数年龄25...目的呼出气中一氧化氮（nitric oxide，NO）含量是反映上下气道炎性反应程度的指标，为此测定健康成人经口和经鼻呼出气中NO含量，得到相应的参考值并分析其影响因素。方法健康成人80名（男20名，女60名），年龄18～44岁，中位数年龄25岁。采用耐尔斯（NIOX）呼出气NO测定系统，分别测定口呼出气和鼻呼出气中NO含量，进而采用多元线性回归分析法，研究性别、年龄、身高、体质量指数（body mass index，BMI）、测量时间和环境NO含量对检测结果的影响。结果①健康成人口呼出气NO含量为（17±8）×10^-9[95％可信区间：（0．3—33）×10^-9]；鼻呼出气NO含量为（819±211）×10^-9[95％可信区间：（400～1238）×10^-9]。②口呼出气NO含量与受试者身高呈正相关，回归方程：Y（口呼出气NO含量）=-58．524±0．457X（身高，cm），t=-2．985，P〈0．01。受试者的年龄、性别、BMI、测量时间和环境NO含量对口呼出气NO含量无显著影响。③健康成人鼻呼出气NO含量与年龄呈正相关，与性别呈负相关，回归方程：Y（鼻呼出气NO含量）=760．245±9．417X1（年龄）-111．222X2（性别），t=5．188，P〈0．01。患者鼻腔左右侧别、身高和BMI、测量时间和环境NO含量对鼻呼出气NO含量无显著影响。结论口、鼻呼出气中NO含量测定操作简便、灵敏度较高，是一种非侵袭性的临床检测手段，正常参考值可受到受试者性别、身高和年龄等因素的影响。展开更多
文摘AIM:To study the therapeutic efficacy of a new transnasal ileus tube advanced endoscopically for adhesive small bowel obstruction.METHODS:A total of 186 patients with adhesive small bowel obstruction treated from September 2007 to February 2011 were enrolled into this prospective randomized controlled study.The endoscopically advanced new ileus tube was used for gastrointestinal decompression in 96 patients and ordinary nasogastric tube(NGT) was used in 90 patients.The therapeutic efficacy was compared between the two groups.RESULTS:Compared with the NGT group,the ileus tube group experienced significantly shorter time for relief of clinical symptoms and improvement in the findings of abdominal radiograph(4.1 ± 2.3 d vs 8.5 ± 5.0 d) and laboratory tests(P < 0.01).The overall effectiveness rate was up to 89.6% in the ileus tube group and 46.7% in the NGT group(P < 0.01).And 10.4% of the patients in the ileus tube group and 53.3% of the NGT group underwent surgery.For recurrent adhesive bowel obstruction,ileus tube was also significantly more effective than NGT(95.8% vs 31.6%).In the ileus tube group,the drainage output on the first day and the length of hospital stay were significantly different depending on the treatment success or failure(P < 0.05).The abdominal radiographic improvement was correlated with whether or not the patient underwent surgery.CONCLUSION:Ileus tube can be used for adhesive small bowel obstruction.Endoscopic placement of the ileus tube is convenient and worthy to be promoted despite the potential risks.
文摘目的呼出气中一氧化氮（nitric oxide，NO）含量是反映上下气道炎性反应程度的指标，为此测定健康成人经口和经鼻呼出气中NO含量，得到相应的参考值并分析其影响因素。方法健康成人80名（男20名，女60名），年龄18～44岁，中位数年龄25岁。采用耐尔斯（NIOX）呼出气NO测定系统，分别测定口呼出气和鼻呼出气中NO含量，进而采用多元线性回归分析法，研究性别、年龄、身高、体质量指数（body mass index，BMI）、测量时间和环境NO含量对检测结果的影响。结果①健康成人口呼出气NO含量为（17±8）×10^-9[95％可信区间：（0．3—33）×10^-9]；鼻呼出气NO含量为（819±211）×10^-9[95％可信区间：（400～1238）×10^-9]。②口呼出气NO含量与受试者身高呈正相关，回归方程：Y（口呼出气NO含量）=-58．524±0．457X（身高，cm），t=-2．985，P〈0．01。受试者的年龄、性别、BMI、测量时间和环境NO含量对口呼出气NO含量无显著影响。③健康成人鼻呼出气NO含量与年龄呈正相关，与性别呈负相关，回归方程：Y（鼻呼出气NO含量）=760．245±9．417X1（年龄）-111．222X2（性别），t=5．188，P〈0．01。患者鼻腔左右侧别、身高和BMI、测量时间和环境NO含量对鼻呼出气NO含量无显著影响。结论口、鼻呼出气中NO含量测定操作简便、灵敏度较高，是一种非侵袭性的临床检测手段，正常参考值可受到受试者性别、身高和年龄等因素的影响。
