白蛋白联合呋塞米治疗术后早期炎性肠梗阻52例临床分析

目的：探讨白蛋白联合呋塞米治疗术后早期炎性肠梗阻的疗效.方法：将术后早期炎性肠梗阻患者104例随机分为对照组和观察组各52例,两组入院时均采用非手术治疗,观察组在常规治疗基础上加用白蛋白20 g,Bid,静脉滴注及呋塞米20mg,Bid,静脉注射,连续使用至腹痛、腹胀缓解,恢复肛门排气、排便为止.结果：与对照组相比,观察组腹痛、腹胀缓解时间和肛门排气、排便时间均明显缩短（4.8±3.2）d＆（7.5±2.7）d和（4.2±1.5）d＆（7.5±2.8）d,（7.4±2.3）d＆（11.5±3.3）d和（9.2±1.7）d＆（12.6±2.8）d,P均＜0.05;平均住院日显著缩短（13.5±2.8）d＆（21.3±3.7）d,P＜0.05.结论：在常规保守治疗基础上加用白蛋白联合呋塞米治疗术后早期炎性肠梗阻可明显缩短症状缓解时间和平均住院日.

Clinical Analysis of 52 Patients with Early Postoperative Inflammatory Intestinal Obstruction Treated by Albumin and Furosemide

Objective：To explore the clinical efficacy of early postoperative inflammatory intestinal obstruction treated by albumin and furosemide. Method： 102 patients with early postoperative inflammatory intestinal obstruction were randomly divided into control group and observation group, and each group was 52 cases, which were all adopted nonoperative treatment. The observation group was intravenously dripped with albumin 20 g and furosemide 20 mg twice a day in addition to the conventional treatment in the control group until the abdominal pain relief and abdominal distension relief. Result： Compared with the control group, the abdominal pain and abdominal distension relief time were significantly shorter （4.8±3.2）d ＆（7.5±2.7）d, （4.2±1.5）d ＆（7.5±2.8）d, both P〈0.05] ,the anus exhaust time and anal defecation time in advance were significantly shorter （7.4±2.3）d ＆（ 11.5±3.3 ）d , （9.2± 1.7）d ＆（12.6±2.8）d,both P〈0.05], the average in-hospital time was significantly shorter （13.5±2.8） d ＆（21.3±3.7）d, P〈0.05 ]. Conclusion： It can short the time of symptoms and in-hospital time that albumin combined with furosemide treat early postoperative inflammatory intestinal obstruction on the basis of conventional treatment.