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[弥漫性腹膜炎患者的肠内保护]

[Enteral protection in patients with diffuse peritonitis].

作者信息

Salakhov E K, Vlasov A P, Markin O V, Vlasova T I, Mukhammad A, Khachaturov M Yu, Romanov D A

机构信息

Mendeleevsk Central District Hospital, Mendeleevsk, Russia.

Ogarev Mordivia State University, Saransk, Russia.

出版信息

Khirurgiia (Mosk). 2023(6):21-26. doi: 10.17116/hirurgia202306121.

DOI:10.17116/hirurgia202306121
PMID:37313697
Abstract

OBJECTIVE

To improve treatment outcomes in patients with diffuse peritonitis via enteral protection using intestinal lavage with ozonized solution through an original tube.

MATERIAL AND METHODS

We analyzed 78 patients with advanced peritonitis. The control group included 39 patients who underwent standard measures after surgery for peritonitis. The main group consisted of 39 patients who underwent early postoperative intestinal lavage with ozonized solutions through original tube for 3 days.

RESULTS

Clinical and laboratory parameters, as well as ultrasound data indicated better correction of enteral insufficiency in the main group. Morbidity in the main group was lower by 33.3%, length of hospital-stay - by 3.5 days.

CONCLUSION

Early postoperative intestinal lavage with ozonized solutions through original tube accelerates recovery intestinal function and improves treatment outcomes in patients with widespread peritonitis.

摘要

目的

通过使用原装管经肠内注入臭氧溶液进行肠道灌洗来实现肠内保护,从而改善弥漫性腹膜炎患者的治疗效果。

材料与方法

我们分析了78例晚期腹膜炎患者。对照组包括39例腹膜炎手术后接受标准治疗措施的患者。主要组由39例术后早期通过原装管使用臭氧溶液进行肠道灌洗3天的患者组成。

结果

临床和实验室参数以及超声数据表明,主要组的肠内功能不全得到了更好的纠正。主要组的发病率降低了33.3%,住院时间缩短了3.5天。

结论

术后早期通过原装管使用臭氧溶液进行肠道灌洗可加速肠道功能恢复,并改善广泛性腹膜炎患者的治疗效果。

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[Enteral protection in patients with diffuse peritonitis].[弥漫性腹膜炎患者的肠内保护]
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