摘要
目的:探讨生长抑素联合经肛肠梗阻导管治疗急性结肠恶性梗阻性疾病的临床效果。方法:选取2018年1月-2019年9月笔者所在医院收治的79例急性结肠恶性梗阻性疾病患者。采用随机数字表法将其分为观察组(n=39)和对照组(n=40)。对照组采用经肛肠梗阻导管治疗,观察组采用生长抑素联合经肛肠梗阻导管治疗。结合患者实际恢复情况,择期行直肠癌Ⅰ期清除吻合手术。比较两组临床指标、住院时间及治疗费用。结果:治疗前两组腰围、近端肠管最大横径、胃管引流量、腹内压、导管引流量比较差异均无统计学意义(P>0.05);治疗后两组腰围、近端肠管最大横径、胃管引流量、腹内压、导管引流量均显著降低(P<0.05),且观察组治疗后腰围、胃管引流量、腹内压均小于对照组,差异有统计学意义(P<0.05)。观察组住院时间短于对照组,差异有统计学意义(P<0.05)。两组治疗费用比较差异无统计学意义(P>0.05)。结论:生长抑素联合经肛肠梗阻导管治疗急性结肠恶性梗阻性疾病可有效改善患者临床症状,促进患者及早康复。
Objective:To investigate the clinical effect of somatostatin combined with transanal intestinal obstruction catheter in the treatment of acute colonic malignant obstructive disease.Method:A total of 79 patients with acute colonic malignant obstructive disease admitted in our hospital from January 2018 to September 2019 were selected.They were divided into the observation group(n=39)and the control group(n=40)by random number table method.The control group was treated with transanal intestinal obstruction catheter,and the observation group was treated with somatostatin combined with transanal intestinal obstruction catheter.According to the actual recovery of patients,Ⅰstage resection and anastomosis of rectal cancer was performed.The clinical indicators,hospitalization time and treatment cost of the two groups were compared.Result:Before treatment,there were no statistically significant differences in waist circumference,maximum transverse diameter of proximal intestine,gastric tube discharge volume,intra-abdominal pressure and catheter discharge volume between the two groups(P>0.05).After treatment,waist circumference,maximum transverse diameter of proximal intestine,gastric tube drainage volume,intra-abdominal pressure,and catheter drainage volume were significantly reduced in the both groups(P<0.05).After treatment,waist circumference,gastric tube drainage volume,and intra-abdominal pressure in the observation group were all smaller than those in the control group,and the differences were statistically significant(P<0.05).The hospitalization time in the observation group was shorter than that in the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the treatment cost between the two groups(P>0.05).Conclusion:Somatostatin combined with transanal intestinal obstruction catheter in the treatment of acute colonic malignant obstructive disease can effectively improve the clinical symptoms of patients and promote early recovery of patients.
作者
朱景法
ZHU Jingfa(Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou 362000,China)
出处
《中外医学研究》
2020年第21期53-55,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
生长抑素
经肛肠梗阻导管
急性结肠恶性梗阻性疾病
临床研究
Somatostatin
Transanal intestinal obstruction catheter
Acute colonic malignant obstructive disease
Clinical research
