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目的探讨结肠镜联合大黄灌注治疗急性假性结肠梗阻的临床疗效。方法 60例急性假性结肠梗阻患者随机分为2组,治疗组与对照组各30例。对照组给予常规治疗,包括禁食、胃肠减压、灌肠、抑酸护胃、静脉补液等,研究组在常规治疗的基础上应用结肠镜联合大黄肠腔内灌注治疗,对比两组患者的治疗效果。结果研究组患者肠鸣音恢复时间、肛门排气时间、腹胀缓解时间、住院时间均明显小于对照组,差异有统计学意义;总体有效率也明显高于对照组,差异有统计学意义。结论结肠镜联合大黄肠腔内灌注治疗急性假性结肠梗阻疗效确切,安全性高,值得推广。
Objective To investigate the clinical efficacy of colonoscopy combined with Rhubarb infusion in the treatment of acute pseudobiliary obstruction. Methods Sixty patients with acute pseudobiliary obstruction were randomly divided into two groups, the treatment group and the control group, 30 cases each. The control group were given routine treatment, including fasting, gastrointestinal decompression, enema, acid suppository, intravenous rehydration, the study group based on conventional treatment of colonoscopy combined with rhubarb intestinal perfusion therapy, compared with two groups of patients treatment effect. Results The recovery time of bowel sounds, anal exhaust time, abdominal distension time and hospitalization time in the study group were significantly less than those in the control group, the difference was statistically significant; the overall effective rate was also significantly higher than that of the control group, the difference was statistically significant. Conclusion Colonoscopy combined rhubarb intestinal perfusion for the treatment of acute pseudo-colon obstruction is effective, safe and worthy of promotion.