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泛影葡胺联合生长抑素治疗粘连性肠梗阻的临床应用价值

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【摘要】 目的 探讨泛影葡胺联合生长抑素治疗粘连性肠梗阻(AIO)的应用价值。方法 59例AIO患者, 随机分为A组(30例)与B组(29例)。A组在常规治疗的基础上给予生长抑素治疗, B组在A组治疗的基础上给予泛影葡胺治疗, 比较两组治疗效果。结果 A组治愈率为80.00%, B组治愈率为79.31%, 两组比较差异无统计学意义(P>0.05)。B组症状改善时间、肛门排气时间、排便时间、住院时间明显少于A组(P<0.05)。结论 泛影葡胺联合生长抑素治疗AIO见效快、安全, 值得推广应用。

【关键词】 粘连性肠梗阻;泛影葡胺;生长抑素

DOI:10.14163/j.cnki.11-5547/r.2016.29.020

Clinical application value of gastrografin combined with somatostatin in the treatment of adhesive intestinal obstruction WANG Miao, JIANG Shou-jun, ZHAO Yong. Qingdao City Eighth People’s Hospital, Qingdao 266100, China

【Abstract】 Objective To investigate application value of gastrografin combined with somatostatin in the treatment of adhesive intestinal obstruction (AIO). Methods A total of 59 patients with AIO were randomly divided into group A (30 cases) and group B (29 cases). Group A received additional somatostatin to conventional therapy, and group B received additional gastrografin on the basis of treatment in group A. Curative effects were compared between the two groups. Results Group A had cure rate as 80.00% and group B had that as 79.31%. Their difference had no statistical significance (P>0.05). Group B had obviously shorter time of symptom improvement, anal exhaust, defecation, and hospital stay than group A (P<0.05). Conclusion Combination of gastrografin and somatostatin is effective and safe in treating AIO, and this method is worth promoting and applying.

【Key words】 Adhesive intestinal obstruction; Gastrografin; Somatostatin

AIO是普外科肠梗阻的最常见的一种类型, 占肠梗阻的40%~60%。最近...

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