经鼻型肠梗阻导管治疗急性肠梗阻临床效果的临床研究

经鼻型肠梗阻导管治疗急性肠梗阻临床

效果的临床研究

[摘要] 目的探讨经鼻型肠梗阻导管治疗急性肠梗阻的临床疗效，总结经鼻型肠梗阻治疗各类肠梗阻的优势。方法回顾性2017年7月—2019年7月该院普外科室收治的162例急性肠梗阻患者临床资料，参照数字对比法将162例患者分为观察组和对照组，对照组采取传统的鼻胃管减压治疗，观察组直接行经鼻型肠梗阻导管胃肠减压治疗，记录观察两组临床症状恢复时间、临床疗效及不同类型急性肠梗阻有效率的差异。结果观察组术后腹痛腹胀环节时间、排气排便恢复时间和影像学指标（腹部平片、CT）缓解时间等均明显短于对照组

（P<0.01）。观察组总体有效率84.1%，显著高于对照组的51.2%（P<0.01）。观察组对非癌性肠梗阻和大、小肠梗阻治疗有效率均高于对照组（P<0.01）。经鼻型肠梗阻导管导管减压治疗对非癌性肠梗阻、大肠梗阻的疗效要优于对癌性肠梗阻和小肠梗阻。结论经鼻型肠梗阻导管减压可迅速缓解不同类型急性肠梗阻患者梗阻状况，且鼻型肠梗阻导管有助于动态观察肠运动、腹部影像学特征，从而帮助锁定梗阻部位，明确手术指证，对提高手术效果有显著的应用价值。

[关键词] 经鼻型肠梗阻导管；肠梗阻；胃肠减压；疗效

[Abstract] Objective To explore the clinical effect of transnasal ileus catheter in the treatment of acute ileus, and to summarize the advantages of transnasal ileus in the treatment of various types of ileus. method From July 2017 to July 2019, 162 patients with acute ileus were pided into observation group and control group according to the digital comparison method. The control group was treated with traditional nasogastric tube decompression. The observation group was directly treated with nasogastric tube decompression. The recovery time, clinical effect and different types of clinical symptoms of the

two groups were recorded The difference of the effective rate of type

A acute intestinal obstruction. Results the time of abdominal pain and distention, the recovery time of defecation and the relief time of imaging indexes (abdominal plain film and CT) in the observation group were significantly shorter than those in the control group (P < 0.01). The overall effective rate of the observation group was 84.1%, significantly higher than that of the control group (51.2%) (P < 0.01). The effective rate of the observation group was higher than that of

the control group (P < 0.01). The therapeutic effect of transnasal catheter decompression is better than that of cancer ileus and small intestine obstruction. Conclusion transnasal ileus catheter decompression can quickly relieve the obstruction of different types

of acute ileus, and it can help to dynamically observe the characteristics of intestinal motion and abdominal imaging, so as to help to locate the obstruction site and clarify the surgical indications, which has a significant application value in improving

the surgical effect.

[Key words] transnasal ileus catheter; ileus; gastrointestinal decompression; curative effect

肠梗阻是临床消化系统常见疾病之一，一般将肠道物正常运行受阻致连

续的肠壁组织损伤称为肠梗阻。近年来统计发现，受腹部创伤性手术增多的影响，粘连性肠梗阻发生率迅速上升[1-2]。胃肠减压治疗肠梗阻最主要的方法，传统

的鼻胃管手术在临床得到广泛应用，但受制于管道短的原因，减压效果不太理想[3]。经鼻型肠梗阻导管置入减压是近年来开始兴起的一种肠梗阻减压方法，但

目前相关的报道尚少，为探讨经鼻型肠梗阻导管胃肠检减压在治疗不同类型急性

肠梗阻中可行性及临床效果，该研究选取2017年7月—2019年7月部分急性肠

梗阻患者行经鼻型肠梗阻导管治疗，与采取传统的鼻胃管减压治疗患者进行临床

疗效对比，取得有价值的成果，现报道如下。