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目的分析不同手术时机治疗急性肠梗阻的临床效果。方法选择2013年6月至2015年1月80例急性肠梗阻患者,按随机数字表法分为对照组与观察组,每组40例。对照组于发病24 h后接受手术治疗,观察组则于24 h内作急诊手术,比较早期、晚期手术对急性肠梗阻患者治疗效果的影响,统计两组术后并发症的发生率。结果观察组显效34例,好转5例,总有效率为97.5%;对照组显效33例,好转4例,总有效率为92.5%,两组比较差异未见统计学意义(P>0.05);观察组术后出血1例,切口感染1例,肠粘连1例,并发症发生率为7.5%,与对照组(32.5%)比较差异有统计学意义(P<0.05);观察组术后恢复时间为(17.9±4.1)d,对照组为(24.5±5.0)d,两组恢复时间比较差异有统计学意义(P<0.05)。结论在急性肠梗阻患者的临床治疗中,应用早期手术方案临床效果好,并发症发生率低,患者术后恢复速度快,值得推广。
Objective To analyze the clinical effect of different operation timing in the treatment of acute intestinal obstruction. Methods From June 2013 to January 2015, 80 patients with acute intestinal obstruction were divided into control group and observation group according to random number table method, 40 cases in each group. The control group received surgery 24 hours after the onset of the disease. The observation group was given emergency surgery within 24 hours. The effects of early and late surgery on the treatment of patients with acute intestinal obstruction were compared. The incidence of postoperative complications was calculated. Results In the observation group, 34 cases were markedly improved and 5 cases improved. The total effective rate was 97.5%. In the control group, 33 cases were markedly improved and 4 cases improved. The total effective rate was 92.5%. There was no significant difference between the two groups (P> 0.05). The postoperative bleeding in observation group was 1 case, incision infection in 1 case and intestinal adhesion in 1 case, the complication rate was 7.5%, which was significantly different from that in control group (32.5%) (P <0.05) The time was (17.9 ± 4.1) days and the control group was (24.5 ± 5.0) days. There was significant difference between the two groups in recovery time (P <0.05). Conclusions In the clinical treatment of patients with acute intestinal obstruction, the clinical effect of early surgical treatment is good, the incidence of complications is low, and the recovery speed of patients after operation is good and worthy of promotion.