【摘要】 目的：研究经鼻肠梗阻导管治疗粘连性小肠梗阻的临床效果。方法：将江西省人民医院2022年3月—2024年2月收治的粘连性小肠梗阻患者116例纳入本次研究。将患者根据随机数字表法分为对照组(予以鼻胃管减压治疗)与观察组(予以经鼻肠梗阻导管减压治疗)，各58例。比较两组治疗总有效率、各症状恢复时间、住院时间、日平均引流量及并发症。结果：观察组总有效率高于对照组(P<0.05)；观察组各症状恢复时间早于对照组(P<0.05)；观察组住院时间[(7.02±1.38)d]较对照组[(8.45±2.11)d]短，日平均引流量[(896.72±120.44)mL]多于对照组[(589.31±111.49)mL](P<0.05)；观察组并发症发生率为5.17%，低于对照组的18.97%(P<0.05)。结论：经鼻肠梗阻导管在粘连性小肠梗阻患者的保守治疗中具有明显优势和较高的治疗效果，有利于缩短住院时间及患者腹部症状的缓解，并发症发生率较低，安全可靠。更多还原

【Abstract】 Objective:To study the clinical effect of transnasal intestinal obstruction catheter in the treatment of adhesive small bowel obstruction.Method:A total of 116 patients with adhesive small bowel obstruction admitted to Jiangxi Provincial People’s Hospital from March 2022 to February 2024 were included in this study.The patients were divided into a control group (treated with nasogastric tube decompression) and an observation group (treated with transnasal intestinal obstruction catheter decompression) according to the random number table method,with 58 cases in each group.The total effective rate of treatment,recovery time of each symptom,hospital stay,average daily drainage volume and complications were compared between the two groups.Result:The observation group demonstrated higher overall effectiveness rate compared to the control group (P<0.05).The recovery time for each symptom in the observation group was earlier than that in the control group (P<0.05).The hospitalization time of the observation group[(7.02±1.38) days]was shorter than that of the control group[(8.45±2.11) days],and the average daily drainage volume[(896.72±120.44) mL]was higher than that of the control group[(589.31±111.49) mL](P<0.05).The incidence of complications in the observation group was 5.17%,which was lower than 18.97% in the control group (P<0.05).Conclusion:The transnasal intestinal obstruction catheter has significant advantages and high therapeutic efficacy in the conservative treatment of patients with adhesive small bowel obstruction,it is conducive to shortening the hospital stay and alleviating the abdominal symptoms of patients,with a low incidence of complications and is safe and reliable.更多还原