Effect of surgical timing on the treatment of acute adhesive intestinal obstruction in children

doi:10.3877/cma.j.issn.2095-9133.2016.03.012

Abstract

Abstract:

Objective

To analyze the effect of surgical timing on the clinical effect of acute adhesive intestinal obstruction in children.

Methods

The Jiaozhou Provincial People's Hospital of Shandong city from June 2012 to September 2015 received acute adhesive intestinal obstruction in 84 cases, including 56 cases of male, female 28 cases, average age (8.3~11.2 years old), 36 cases of acute appendicitis, 19 cases of intussusception, 7 cases of strangulated intestinal malrotation, 13 cases, 6 cases of diaphragmatic hernia, 3 cases of Hirschsprung's disease. Methods 84 cases were divided into experimental group and control group by random single blind method. The experimental group received surgery within 48 h, and the control group received surgery after 48 h. The efficacy of the two groups was observed, and the incidence of mortality and complications were compared.

Results

The total effective rate of the experimental group was 95.24%, which was significantly higher than that of the control group (P<0.05). The complication rate and mortality rate of the experimental group were 9.52% and 0% respectively, which was significantly lower than that of the control group (35.71%, 7.14%) (P<0.05).

Conclusion

Early surgical treatment can reduce the incidence of complications and mortality of patients with acute adhesive intestinal obstruction.

Key words: adhesive intestinal obstruction, operation opportunity, complication

Xiujie Chen, Bingrong Liu. Effect of surgical timing on the treatment of acute adhesive intestinal obstruction in children[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2016, 02(03): 179-181.

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Figures/Tables 2

References 11

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组别	例数	腹腔感染	肠坏死	出血	切口感染	总发生率(%)
试验组	42	1(2)	1(2)	2(5)	0(0)	10
对照组	42	5(12)	3(7)	5(12)	2(5)	36
χ²值	?	?	?	?	?	14.287
P值	?	?	?	?	?	<0.05

组别	例数	腹腔感染	肠坏死	出血	切口感染	总发生率(%)
试验组	42	1(2)	1(2)	2(5)	0(0)	10
对照组	42	5(12)	3(7)	5(12)	2(5)	36
χ²值	?	?	?	?	?	14.287
P值	?	?	?	?	?	<0.05

组别	例数	显效	有效	无效	总有效率
试验组	42	23(55)	17(41)	2(5)	95
对照组	42	11(26)	21(50)	10(24)	76
χ²值	?	?	?	?	8.429
P值	?	?	?	?	<0.05

组别	例数	显效	有效	无效	总有效率
试验组	42	23(55)	17(41)	2(5)	95
对照组	42	11(26)	21(50)	10(24)	76
χ²值	?	?	?	?	8.429
P值	?	?	?	?	<0.05

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