Objective To evaluate the clinical efficacy of comprehensive therapy in the treatment of early inflammatory intestinal obstruction after acute abdominal surgery. Methods Eighty-two patients with early inflammatory intestinal obstruction who were treated in our hospital from February 2016 to June 2018 were randomly divided into control group and observation group, 41 cases in each group. The patients in the control group were treated with traditional surgery, while the patients in the observation group were treated with comprehensive therapy. The clinical effects and clinical indicators ( anal exhaust time, abdominal distension disappearance time, and bowel sounds recovery time) were compared between the two groups. Results After treatment, the procalcitonin ( PCT) and c-reactive protein ( CRP) levels in the observation group were significantly higher than those in the control group ( P ＜ 0. 05); the anal exhaust time, abdominal distension disappearance time, and bowel sounds recovery time in the observation group were shorter than those in the control group ( P ＜ 0. 05); in addition, the total effective rate in the observation group was higher than that in the control group ( P ＜ 0. 05). Conclusion Compared with traditional operation, comprehensive therapy can improve the treatment efficiency, clinical symptoms and immune function of patients with early inflammatory intestinal obstruction, which deserves clinical promotion.%目的 观察综合疗法治疗急腹症手术后早期炎性肠梗阻患者的临床疗效.方法 选取于2016年2月—2018年6月期间接受治疗的82例早期炎性肠梗阻患者,将其随机分为对照组和观察组,每组各41例.其中对照组患者采用传统手术疗法,而观察组患者采用综合疗法进行治疗.对比两组的临床效果、临床指标(肛门排气时间、腹胀消失时间以及肠鸣音恢复时间).结果 两组患者接受治疗后,观察组降钙素原(PCT)水平、C反应蛋白(CRP)水平显著高于对照组(P ＜0.05);观察组的肛门排气时间、腹胀消失时间以及肠鸣音恢复时间均短于对照组(P ＜0.05);此外,观察组的治疗总有效率高于对照组(P ＜0.05).结论 相比传统手术,对早期炎性肠梗阻患者而言,采用综合疗法更能提高治疗效率,能够有效改善其临床症状,另外还可提高其免疫功能,具有临床推广的意义.
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