插入型肠梗阻导管对妊娠期单纯性肠梗阻的疗效及母婴预后影响
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国家自然科学基金(818700396);河北省卫生健康委员会基金(20190583)


The effect and the prognosis of mother and infant of the insertion type intestinal obstruction catheter in treatment of pregnancy simple intestinal obstruction
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    摘要:

    【摘要】 目的 探讨插入型肠梗阻导管对妊娠期单纯性肠梗阻的疗效及母婴预后的影响。 方法 选择2018年2月~2019年8月我院收治的36例妊娠期单纯性肠梗阻患者,按随机数表法分为观察组和对照组,每组各18例。在常规处理基础上,对照组给予常规留置鼻胃管进行胃肠减压,观察组给予插入型肠梗阻导管进行胃肠减压。比较两组治疗24 h临床疗效、临床指标及母婴结局。 结果 两组患者治疗24 h临床疗效差异无统计学意义(P>0.05);观察组置管24 h引流量明显高于对照组,腹痛消失时间、肛门排气时间、排便时间及住院时间均明显比对照组短(均P<0.05);观察组有14例(77.78%)患者治疗康复出院,对照组10例(55.56%)患者治疗康复出院,差异无统计学意义(P>0.05)。 结论 和传统留置鼻胃管相比,插入型肠梗阻导管可更有效缩短妊娠期单纯性肠梗阻患者症状缓解时间及住院时间,提高引流量,但临床上仍需综合考虑患者个体情况,选择最有效的治疗,确保母婴安全。

    Abstract:

    【Abstract】 Objective To study the effect and the prognosis of mother and infant of the insertion type intestinal obstruction catheter in treatment of pregnancy simple intestinal obstruction. Methods 36 patients of pregnancy simple intestinal obstruction received therapy from February 2018 to August 2019 in our hospital were selected as research objects. They were divided into the observation group and the control group by the random number table, each group had 18 cases. On the basis of routine treatment, the control group was given routine indwelling nasogastric tube for gastrointestinal decompression, and the observation group was given inserting intestinal obstruction tube for gastrointestinal decompression. The 24hour clinical efficacy, clinical indicators and maternal and infant outcomes in the two groups were compared. Results The 24hour clinical efficacy of the two groups was 88.89% and 72.22%, respectively. The difference was not statistically significant(P>0.05). The 24hour drainage volume in the observation group was significantly higher than those in the control group. The abdominal pain disappearance time, anal exhaust time, defecation time and hospitalization time were significantly shorter than those in the control group[(578.55±187.30)mL vs(330.71±102.61)mL,(2.64±0.73)d vs(4.04±0.85)d,(1.84±0.49)d vs(2.46±0.61)d,(2.35±0.44)d vs(3.04±0.58)d,(5.31±0.86)d vs(6.60±1.15)d](P<0.05). There was 14 patients (77.78%) were discharged after treatment in the observation group. There was 10 patients (55.56%) were discharged after treatment in the control group. The difference was not statistically significant(P>0.05). Conclusion Compared with the traditional indwelling nasogastric tube, the insertion type intestinal obstruction catheter can effectively shorten the symptom relief time and hospitalization time in patients with simple ileus during pregnancy, and improve the drainage volume. It is still necessary to consider the individual situation of patients and choose the most effective treatment to ensure the safety of mothers and infants.

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  • 在线发布日期: 2021-02-02
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