Objective To investigate the effect of via-nasal ileus tube combined with somatostatin in the treatment of early postoperative inflammatory small bowel obstruction (EPISBO) . Methods Total 42 patients of EPISBO were randomly divided into treatment group (n =21) and control group (n =21). Abdominal circumference, gastrointestinal decompression amounts, the vomiting stopped time and the passage time of flatus and the disappearing time of air fluid level were observed and compared. Results Abdominal circumference reduction was more marklyin treatment group than that in control group [ (17.6 ±4. 1) cm vs (5.7 ±3.1) cm]. Gastrointestinal decompression amounts increased obviously in treatment group than that in control group [ (1082. 6 ±264. 8) ml/d vs (625. 3 ±312. 5) ml/d ] . The vomiting stopped time and the passage time of flatus, bowel recovery time and the disappearing time of air fluid level shortened obviously in treatment group than those in control group (P <0. 05) . Conclusion The flues tube has a notably treatment effect on the patients with EPISBO.%目的 探讨经鼻肠梗阻导管联合生长抑素在术后早期炎性肠梗阻(EPISBO)治疗中的作用.方法 将42例EPISBO患者随机分成治疗组和对照组,治疗组采用经鼻肠梗阻导管减压联合生长抑素治疗,对照组采用普通鼻胃管减压及常规治疗,分别观察腹围缩小量、胃肠减压量、呕吐停止时间、排气排便恢复时间、气液平面消失时间,并对结果进行分析比较.结果 治疗组的腹围缩小(17.6±4.1)cm,较对照组(5.7±3.1)cm更明显,胃肠减压量(1082.6±264.8)ml/d,较对照组(625.3±312.5)ml/d明显增多,呕吐停止时间(2.1±1.6)d、排气恢复时间(1.7±1.2)d、排便恢复时间(4.3±2.4)d和气液平面消失时间(8.7±6.2)d均较对照组明显缩短,差异有统计学意义(P<0.05).结论 经鼻肠梗阻导管联合生长抑素在EPISBO的治疗中更有意义.
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