Nasointestinal obstruction tube implantation for the treatment of adhesive intestinal obstruction in elderly patients after operation: clinical analysis in 60 cases

Objective To observe the clinical effect of nasointestinal obstruction tube implantation on the treatment of adhesive intestinal obstruction in elderly patients after operation. Methods Totally 120 cases of elderly patients suffered from adhesive intestinal obstruction were selected as study objects in our hospital from January 2011 to July 2014. All 120 patients were randomly divided into observation group and control group,with 60 cases in each group. The general treatment of the two groups were the same,including anti-inflammatory,ban drink,fasting,parenteral nutrition,correct water,electrolyte disturbance and acid-base imbalance,etc. On the basis,patients in the control group were treated with routine nasogastric tube for gastrointestinal decompression,while patients in the observation group underwent nasointestinal obstruction tube implantation. Results In the observation group after the catheter gastrointestinal decompression,drainage volume was significantly higher than the control group( P 0. 05),anal exhaust defecation remission time,abdominal pain and distension relieving time and plain film of abdomen remission time were significantly shorter than those in control group( P 0. 05). The white blood cell recovery time and recovery time of erythrocyte sedimentation rate of observation group were better than those of control group( P 0. 05),while the C reaction protein recovery time had no significant difference between the two groups( P 0. 05). In the observation group,32 cases were cured,23 cases were effective,and the total effective rate of the observation group was 92%. While 23 cases were cured,18 cases were effective,the total efficiency was 68%,in control group,which was significantly lower than those of observation group( P 0. 05). Conclusion Transnasal ileus tube implantation treatment postoperatively for elderly patients with adhesive intestinal obstruction,is a safe and reliable approach,which could rapidly and significantly contain curative effect,effectively relieve obstruction intestinal blood circulation,and reduce intestinal toxemia occurrence without reoperation.