临床外科杂志 ›› 2021, Vol. 29 ›› Issue (2): 151-153.doi: 10.3969/j.issn.1005-6483.2021.02.016

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复方泛影葡胺在机械性肠梗阻诊治中的应用体会——附415例临床分析

  

  1. 湖北省中西医结合医院普外科
  • 出版日期:2021-02-20 发布日期:2021-02-20

The application of compound PanPrayglucamine in diagnosis and treatment of intestinal obstruction

  • Online:2021-02-20 Published:2021-02-20

摘要: 目的:探讨复方泛影葡胺在机械性肠梗阻诊疗中的应用效果。方法:2011年6月~2020年6月我院普外科收治的肠梗阻病人415例,根据治疗方法分为两组,对照组207例,采用常规治疗;观察组208例,在常规治疗基础上加用76%泛影葡胺100ml口服或胃管注入。比较两组肠梗阻完全缓解时间、胃肠减压时间、胃肠减压引流量、总住院时间、中转手术率等指标。结果:观察组和对照组肠梗阻完全缓解时间分别为(21.2±8.6)小时和(48.2±6.5)小时,胃肠减压时间分别为(36.2±6.3)小时和(96.2±12.3)小时,胃肠减压引流量分别为(867±123)ml和(1800±126)ml,总住院时间分别为(6.3±2.3)天和(14.3±3.2)天,中转手术率分别为10.1%和21.7%,两组比较差异有统计学意义(P均<0.05)。结论:泛影葡胺在机械性肠梗阻诊疗中的应用安全、方便、经济、有效。

关键词: 复方泛影葡胺, 机械性肠梗阻

Abstract: Objective:To investigate the application effect of compound panimage dextramine in the diagnosis and treatment of intestinal obstruction.Methods:Retrospective analysis of 415 cases of intestinal obstruction admitted in general surgery of Hubei Provincial Integrated Chinese and Western Medicine Hospital from June 2011 to June 2020.207 cases receiving routine treatment were treated as control groups.The observation group included 208 cases, on the basis of conventional treatment combined with 76% generic shadow meglumine 100ml of oral or stomach tube injection. The time to complete remission of intestinal obstruction, the time to gastrointestinal decompression, the flow of gastrointestinal decompression, the total length of hospital stay and the rate of conversion to surgery were compared between the two groups.Results:The complete remission time of intestinal obstruction in the observation group was(21.2±8.6)h,significantly lower than that in the control group(48.2±6.5)h.The time of gastrointestinal decompression was(36.2±6.3)h,significantly lower than that of the control group(96.2±12.3)h,The Gastrointestinal decompression drainage was(867±123)ml,was significantly lower than that of that of the control group(1 800±126),Total length of stay was(6.3±2.3)d,was significantly lower than the control group(14.3±3.2)d,The transit surgery rate of 10.1%,also significantly lower than the control group 21.7%,the difference between the two groups was statistically significant(all P<0.05).Conclusion:The compound panimage dextramine is safe,convenient,economical and effective to the diagnosis and treatment of intestinal obstruction.

Key words: compound meglumine diatrizoate, intestinal obstruction

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