生长抑素在术后早期炎性肠梗阻病人中的临床应用

目的]探讨生长抑素在术后早期炎性肠梗阻病人中的应用效果.方法]对17例病人在普通肠外营养基础上给予生长抑素,观察肠外营养组及生长抑素组病人治疗前后症状、体征、胃液引流量、腹部平片、腹部CT变化及实验室检查指标.结果]生长抑素组肛门排气时间、腹胀症状消失时间较肠外营养组提前,胃肠引流量减少,红细胞比容接近正常,两组病人的影像学检查均得到改善.结论]应用生长抑素后可明显减轻肠壁水肿,缓解术后肠梗阻症状.

Clinical application of somatostatin in early postoperative inflammatory ileus patients

Objective: To probe into the effect on application of somatostatin in postoperative inflammatory ileus patients of early stage. Method: A total of 30 postoperative inflammatory ileus cases of early stage were divided into parenteral nutrition group (13 cases as control) and somatostatin combined with parenteral nutrition group (test group 17 cases). After parenteral nutrition and somatostatin therapy, indexes including changes of symptoms, objective sign, quantity of gastric fluids drainage, abdominal radiograph and abdominal CT and laboratory tests of patients were observed. Results: Imageology examinations showed that patients of the two groups were all improved. In terms of anal aerofluxus time, time of abdominal distention disappeared of patients in test group was shorter than that of control group. And the quantities of gastric fluids drainage were reduced, erythrocrits approached to normal in test group patients. Conclusions: Somatostatin can relieve edema of intestinal wall remarkably and alleviate postoperative symptoms of ileus for patients.