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目的:对小儿急性粘连性肠梗阻不同手术时机进行分析和探讨,比较治疗的效果。方法:选取2013年11月—2015年11月在遵义医学院附属医院进行治疗的40例小儿急性粘连性肠梗阻患者的资料回顾性分析,根据手术开展的不同时间分为观察组和对照组,每组20例。其中对于观察组,手术的安排时间均于病发5 d内,对照组患者的手术安排均于病发5 d后,术后对两组患者的疗效比较,比较的指标:术后并发症以及术后恢复时间。结果:通过治疗后,对照组的治疗总有效率为65%(13/20),观察组的治疗总有效率为95%(19/20),组间比较,差异具有统计学意义(P<0.05)。术后肠坏死率、死亡率观察组和对照组分别为:5.0%、0%和20.0%、10.0%。观察组患者术后恢复时间(16.89±2.36)h,对照组(19.56±2.32)h,观察组的恢复时间明显小于对照组,差异具有统计学意义(P<0.05)。结论:不同手术时机对于治疗小儿急性粘连性肠梗阻的影响不同,时间小于5 d的患者在治疗后总有效率较高,术后恢复快,并发症较少,患者的病死率较低,提高了患者的生存率,治疗效果较好。
Objective: To analyze and discuss different operation timing of acute adhesive intestinal obstruction in children and compare the effect of treatment. Methods: A retrospective analysis of 40 pediatric patients with acute adhesive intestinal obstruction treated in the Affiliated Hospital of Zunyi Medical College from November 2013 to November 2015 was conducted. The data were divided into observation group and control group according to the time of operation. 20 cases in each group. For the observation group, the operation time was within 5 days after the onset of disease. The operation of the control group was performed 5 days after the onset of disease. The curative effect was compared between the two groups after operation. Comparisons were made between postoperative complications and Postoperative recovery time. Results: After treatment, the total effective rate of the control group was 65% (13/20), and the total effective rate of the observation group was 95% (19/20). There was significant difference between the two groups (P < 0.05). Postoperative intestinal necrosis rate, mortality were observed in the observation group and the control group were: 5.0%, 0% and 20.0%, 10.0%. The recovery time of the observation group was 16.89 ± 2.36 h, and that of the control group was 19.56 ± 2.32 h. The recovery time of the observation group was significantly less than that of the control group (P <0.05). CONCLUSIONS: The timing of different operations has different effects on the treatment of acute adhesive intestinal obstruction in children. Patients who were less than 5 days had a higher total effective rate after treatment, faster recovery and fewer complications, with a lower mortality rate and increased mortality The survival rate of patients, the treatment effect is better.