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目的探讨小儿急性粘连性肠梗阻手术时机的选择对临床疗效的影响。方法 88例手术治疗的急性粘连性肠梗阻患儿,按手术时间不同分为观察组和对照组,各44例。观察组48 h内接受手术,对照组48 h后进行手术。比较两组手术情况与疗效。结果观察组治疗总有效率为95.45%,高于对照组的81.82%,差异有统计学意义(P<0.05)。观察组肠绞窄发生率与术后并发症发生率分别为4.55%、6.82%,明显低于对照组的18.18%、22.73%,差异有统计学意义(P<0.05)。观察组恢复时间为(10.26±2.87)d明显短于对照组的(15.23±3.27)d,差异有统计学意义(P<0.01)。结论密切观察急性粘连性肠梗阻患儿病情变化,选择合适的手术时机,宁早勿迟,可缓解病情发展,减少术后并发症,改善预后。
Objective To investigate the effect of the timing of operation on acute intestinal adhesive obstruction in children. Methods 88 cases of surgical treatment of acute adhesive intestinal obstruction in children were divided into observation group and control group according to the different operation time, 44 cases in each group. The observation group received surgery within 48 hours and the control group received surgery 48 hours later. Compare the two groups of operation conditions and curative effect. Results The total effective rate of observation group was 95.45%, which was higher than that of control group (81.82%), the difference was statistically significant (P <0.05). The incidence of intestinal strangulation and postoperative complications in the observation group were 4.55% and 6.82%, respectively, which were significantly lower than those in the control group (18.18% and 22.73%, respectively) (P <0.05). The recovery time of the observation group was (10.26 ± 2.87) d, which was significantly shorter than that of the control group (15.23 ± 3.27) d, the difference was statistically significant (P <0.01). Conclusions Close observation of the changes in children with acute adhesive intestinal obstruction, select the appropriate timing of surgery, rather sooner rather than later, can alleviate the progression of the disease, reduce postoperative complications and improve prognosis.