We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
损伤控制手术对严重胸腹联合伤患者胃肠功能及血清炎症因子水平的影响
- Authors
杨永飞; 孙运秀; 郭方圆; 蔡钧; 杨世疆
- Abstract
Objective: To study the effects of damage control surgery on the gastrointestinal functions and serum levels of inflammatory factors of patients with thoraco-abdominal injury. Metiiods: 98 patients with thoraco-abdominal injury who were treated in our hospital from September 2014 to September 2016 were selected and randomly divided into the observation group (n=48) and the control group (n=48). The patients in the control group were treated with definitive surgery, while the patients in the observation group were treated with damage control surgery. Then the operation time, blood loss, the serum levels of TNF-α, IL-6 and CRP, the time of defecation, exhaustation, bowel sound recovery and eating, and the incidence of postoperative complications in the two groups were observed and compared. Results: The operation time in the observation group was shorter than that of the control group, and the blood loss was less than that of the control group (P<0.05); After surgery, the serum levels of TNF-α, IL-6 and CRP in the observation group were lower than those of the control group (P<0.05); The time of defecation, exhaustation, bowel sound recovery and eating in the observation group were shorter than those of the control group (P<0.05); The incidence of postoperative complications in the observation group was lower than that of the control group (P<0.05); The mortality rate of the observation group was lower than that of the control group (P<0.05). Conclusion: Damage control surgery has better clinical effects on the treatment of thoraco-abdominal injury, which can promote the recovery of gastrointestinal functions, and reduce the serum levels of inflammatory factors, and it's worthy of clinical application and promotion.
- Subjects
GASTROINTESTINAL function tests; BLOOD serum analysis; INFLAMMATION treatment; CONTROL groups; EXPERIMENTAL groups
- Publication
Progress in Modern Biomedicine, 2017, Vol 17, Issue 17, p3267
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2017.17.016