激素类药物预防肠结核术后肠粘连的效果(1)
[摘要]目的 分析激素类药物预防肠结核术后肠粘连的效果。方法 选取2016年6月～2017年5月我院收治的60例肠结核术后患者在作为研究对象，按照随机数字表法将其分为对照组(30例)与观察组(30例)。对照组患者采取常规处理，观察组患者在上述措施的基础上加用激素类药物。比较两组患者术后3、6个月的肠粘连发生情况、术后相关康复指标(发热消失时间、肠鸣音恢复时间、肛门排气时间、住院时间)。结果 两组患者术后3个月的肠粘连总发生率比较，差异无统计学意义(P>0.05)。观察组患者术后6个月的肠粘连总发生率低于对照组，差异有统计学意义(P<0.05)。观察组患者的发热消失时间、肠鸣音恢复时间、肛门排气时间、住院时间均短于对照组，差异有统计学意义(P<0.05)。结论 激素类药物在肠结核术后患者中可起到预防肠粘连的作用，适合推广应用。
[关键词]肠结核;肠粘连;激素
[中图分类号] R574.2 [文献标识码] A [文章编号] 1674-4721(2019)11(c)-0074-03
Effect of hormonal drugs in the prevention of intestinal adhesion after intestinal tuberculosis
HUANG Xue-kai
Department of Hepatobiliary Surgery， the Fifth People′s Hospital of Cangzhou City， Jiangxi Province， Ganzhou 341000， China
[Abstract] Objective To analyze the effect of hormonal drugs in the prevention of intestinal adhesion after intestinal tuberculosis. Methods Sixty patients with postoperative intestinal tuberculosis admitted to our hospital from June 2017 to May 2018 were enrolled in the study. They were divided into the control group (30 cases) and the observation group (30 cases) according to the random number table method. Conventional treatment was performed in the control group and the observation group was given hormonal drugs based on the above measures. The incidence of intestinal adhesions at 3 and 6 months after surgery and postoperative related rehabilitation indexes (disappearance time of fever， recovery time of bowel sounds， time of anal exhaust， hospitalization time) were compared between the two groups. Results There was no significant difference in the total incidence rate of intestinal adhesions between the two groups at 3 months after surgery (P>0.05). The total incidence rate of intestinal adhesions in the observation group was lower than that in the control group at 6 months after surgery， and the difference was statistically significant (P<0.05). The disappearance time of fever， recovery time of bowel sounds， time of anal exhaust， and hospitalization time in the observation group were shorter than those in the control group， and the differences were statistically significant (P<0.05). Conclusion Hormonal drugs can prevent intestinal adhesions in postoperative patients with intestinal tuberculosis， which are suitable for popularization and application.
[Key words] Intestinal tuberculosis; Intestinal adhesion; Hormone
腸结核是一种由结核分枝杆菌所导致的肠道慢性特异性感染[1]，在中青年中多发，且女性发病率稍高于男性。肠结核感染可经口、血行播散和邻近器官结核的波及所致。当结核菌入侵数量大且人体免疫功能差、肠功能紊乱时[2]，会降低局部抵抗力，进而出现肠结核。早期诊断和及时治疗有助于肠结核患者预后效果的改善。肠结核的治疗方法包括营养支持、抗结核药物、对症处理及手术，手术治疗肠结核的效果较好，但是在肠结核术后常合并肠粘连，导致再次手术的难度加大[3]，影响手术效果和预后。为了提高预后效果和生活质量，应对肠结核术后患者实施积极的预防措施。本研究旨在分析激素类药物在预防肠结核术后肠粘连中的效果，现报道如下。, 百拇医药(黄学楷)
[关键词]肠结核;肠粘连;激素
[中图分类号] R574.2 [文献标识码] A [文章编号] 1674-4721(2019)11(c)-0074-03
Effect of hormonal drugs in the prevention of intestinal adhesion after intestinal tuberculosis
HUANG Xue-kai
Department of Hepatobiliary Surgery， the Fifth People′s Hospital of Cangzhou City， Jiangxi Province， Ganzhou 341000， China
[Abstract] Objective To analyze the effect of hormonal drugs in the prevention of intestinal adhesion after intestinal tuberculosis. Methods Sixty patients with postoperative intestinal tuberculosis admitted to our hospital from June 2017 to May 2018 were enrolled in the study. They were divided into the control group (30 cases) and the observation group (30 cases) according to the random number table method. Conventional treatment was performed in the control group and the observation group was given hormonal drugs based on the above measures. The incidence of intestinal adhesions at 3 and 6 months after surgery and postoperative related rehabilitation indexes (disappearance time of fever， recovery time of bowel sounds， time of anal exhaust， hospitalization time) were compared between the two groups. Results There was no significant difference in the total incidence rate of intestinal adhesions between the two groups at 3 months after surgery (P>0.05). The total incidence rate of intestinal adhesions in the observation group was lower than that in the control group at 6 months after surgery， and the difference was statistically significant (P<0.05). The disappearance time of fever， recovery time of bowel sounds， time of anal exhaust， and hospitalization time in the observation group were shorter than those in the control group， and the differences were statistically significant (P<0.05). Conclusion Hormonal drugs can prevent intestinal adhesions in postoperative patients with intestinal tuberculosis， which are suitable for popularization and application.
[Key words] Intestinal tuberculosis; Intestinal adhesion; Hormone
腸结核是一种由结核分枝杆菌所导致的肠道慢性特异性感染[1]，在中青年中多发，且女性发病率稍高于男性。肠结核感染可经口、血行播散和邻近器官结核的波及所致。当结核菌入侵数量大且人体免疫功能差、肠功能紊乱时[2]，会降低局部抵抗力，进而出现肠结核。早期诊断和及时治疗有助于肠结核患者预后效果的改善。肠结核的治疗方法包括营养支持、抗结核药物、对症处理及手术，手术治疗肠结核的效果较好，但是在肠结核术后常合并肠粘连，导致再次手术的难度加大[3]，影响手术效果和预后。为了提高预后效果和生活质量，应对肠结核术后患者实施积极的预防措施。本研究旨在分析激素类药物在预防肠结核术后肠粘连中的效果，现报道如下。, 百拇医药(黄学楷)