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目的探讨手术治疗老年人急性肠梗阻的最适时机。方法回顾性分析本院2008年1月至2012年6月期间收治的老年急性肠梗阻患者110例,接受手术治疗的患者76例,接受保守治疗的患者34例。行手术治疗的76例患者中,将手术时间≤3d的记为实验组,>3d的记为对照组,分别统计各组患者并发症发生率和死亡率并进行比较。结果 110例老年急性肠梗阻患者中共有76例患者经过手术治疗,治愈72例,治愈率为94.74%,死亡病例为4例,死亡率为5.26%;未手术治疗的34例患者中,治愈病例14例,治愈率为50%,死亡病例为14例,死亡率为50%。此外行手术治疗的76例老年急性肠梗阻患者中,实验组病死率以及术后的并发症的发生低于对照组,差别有统计学意义(P<0.05)。结论老年急性肠梗阻应尽可能早行手术治疗,以降低其死亡率,以减少术后并发症。
Objective To explore the optimal timing of surgical treatment of acute intestinal obstruction in the elderly. Methods Retrospective analysis of 110 cases of elderly patients with acute intestinal obstruction admitted in our hospital from January 2008 to June 2012, 76 patients undergoing surgical treatment and 34 patients undergoing conservative treatment. 76 cases of surgical treatment of patients, the operation time ≤ 3d recorded as the experimental group,> 3d recorded as the control group, respectively, statistics of the incidence of complications in each group and mortality rates were compared. Results A total of 76 elderly patients with acute intestinal obstruction were surgically treated with 72 cases. The cure rate was 94.74%, the death rate was 4 and the mortality rate was 5.26%. Among the 34 patients who did not undergo surgery, the cured cases 14 cases, the cure rate was 50%, 14 cases of deaths, the mortality rate was 50%. The surgical treatment of 76 elderly patients with acute intestinal obstruction, the experimental group mortality and postoperative complications occurred lower than the control group, the difference was statistically significant (P <0.05). Conclusion The elderly patients with acute intestinal obstruction should be treated as early as possible to reduce their mortality in order to reduce postoperative complications.