摘要
目的观察保守治疗与手术治疗对直肠癌术后近期下消化道急性大出血的临床效果。方法选择术后并发下消化道大出血的70例直肠癌患者作为研究对象,随机分为手术治疗组(观察组)38例和保守治疗组(对照组)32例,观察大出血相关指标及应激相关指标。结果观察组治疗后的引流量为(114.8±15.28)ml,再次发生出血者3例,腹痛腹胀持续时间(2.89±0.41)d,肛门排气时间(2.27±0.36)d,均明显低于对照组(P<0.05);血糖和胰岛素水平在治疗后2天开始恢复,早于对照组。结论手术治疗能迅速达到止血目的,缓解应激反应,具有积极的临床应用价值。
Objective To study the effects of conservative and operation treatment on postoperative acute massive bleeding in rectal cancer. Methods Rectal cancer patients（70 cases） with acute massive bleeding were randomly divided into observation group （38 cases）treated with operation and control group （32 cases）treated with conservative methods. Then hemorrhage related index and stress related index were observed. Results Observation group a drainage（l14.8＋ 15.28）ml, recurrence hemorrhage cases（3 cases） , anus exhaust time （2.89＋0. 41） d, abdominal pain distension of sus- tained time （2.27 ＋0. 36） d were significantly lower than control group （P＇〈O. 05） glucose and insulin levels of observa- tion group recovered from 2nd day which were earlier than control group. Conclusion operation treatment has positive clinical value for it can improve the hemostatic effect and reduce the stress response.
出处
《西部医学》
2013年第9期1337-1338,1341,共3页
Medical Journal of West China
关键词
直肠癌
消化道大出血
保守治疗
手术治疗
Rectal carcinoma
Massive hemorrhage o~ digestive tract
Conservative treatment
Operation treat-ment
