| Objective To investigate the clinical effect of Naso-intestinal obstruction catheter and Nasogastric tube in the treatment of Senile intestinal obstruction,and to compare the efficacy of Naso-intestinal obstruction catheter and Nasogastric tube in the treatment of elderly intestinal obstruction.Clinical value.Methods The clinical data of 125 elderly patients with intestinal obstruction treated in Liaoning Provincial People’s Hospital from September 2017 to September 2019 were retrospectively analyzed.The elderly patients with intestinal obstruction were divided into elderly cancerous intestinal obstruction and elderly non-cancerous intestinal obstruction.Group,the components of elderly cancerous intestinal obstruction are the two groups of naso-intestinal obstruction catheter group and nasogastric tube group: 36 cases in the naso-intestinal obstruction catheter group and 40 cases in the naso-gastric tube group,the same as in the elderly non-cancerous intestinal obstruction group They were also divided into two groups: the nasointestinal obstruction catheter group and the nasogastric tube group: 24 cases in the nasointestinal obstruction catheter group and 25 cases in the nasogastric tube group.Compare abdominal pain in two groups of elderly cancerous intestinal obstruction(naso-intestinal obstruction catheter group and nasogastric tube group)and elderly non-cancerous intestinal obstruction(two groups of naso-intestinal obstruction catheter group and nasogastric tube group).Time for improvement of abdominal distension,gastrointestinal decompression within 24 hours of admission,time for exhausting defecation and oil,percentage of serum leukocytes and neutrophils returning to normal time,hospitalization time and cure rate.Nasogastric tube insertion method: After cleaning the nasal cavity,lubricate the nasogastric tube with paraffin oil.Use tweezers or sterile gloves to insert the nasogastric tube through one side of the nasal cavity to the paropharynx.Ask the patient to swallow and send the nasogastric tube In the stomach,fix it with adhesive tape and connect a negative pressure aspirator.Nasal nasointestinal obstruction catheter placement method: The patient took local anesthetic with oral administration 1 minute in advance,took the right side,and under the guidance of the gastroscope,the obstruction catheter lubricated with paraffin oil and normal saline and its internal guide wire were inserted into the stomach from one side of the nasal cavity.It is sent through the pylorus and enters the duodenum so that it is located at the lower part of the duodenum or the same horizontal line.10-20 ml of physiological saline is injected into the balloon of the intestinal obstruction catheter.The intestinal obstruction catheter can continue to move to the obstruction section with balloon gravity and intestinal peristalsis,and the negative end of the intestinal obstruction catheter is connected to a negative pressure drainage device..Results 1.Elderly non-cancerous intestinal obstruction: Abdominal pain,abdominal distension improvement time,exhaust defecation and oil drainage time,percentage of serum leukocytes and neutrophils recovered to normal time and hospital stay were significantly lower than those in the nasogastric tube group.Statistical significance(P <0.05).The amount of gastrointestinal decompression within 24 hours of admission in the naso-intestinal obstruction catheter group was significantly higher than that in the nasogastric tube group,which was statistically significant(P <0.05).2.Elderly cancerous intestinal obstruction: Abdominal pain,abdominal distension improvement time,exhaust defecation and oil drainage time,serum leukocyte and neutrophil percentage recovery time and hospitalization time were significantly lower than those in the nasogastric tube group.It has statistical significance(P <0.05).The amount of gastrointestinal decompression within 24 hours of admission in the naso-intestinal obstruction catheter group was significantly higher than that in the nasogastric tube group,which was statistically significant(P <0.05).3.The cure rates of elderly non-cancerous intestinal obstruction and elderly cancer-induced intestinal obstruction in the transnasal and intestinal obstruction catheter group were significantly higher than those in the nasogastric tube group,which was statistically significant(P <0.05).Conclusion Naso-intestinal obstruction catheters and nasogastric tubes have good effects on elderly intestinal obstruction.Among them,naso-intestinal obstruction catheters have a better treatment effect on elderly non-cancerous intestinal obstruction than naso-intestinal obstruction catheters.The treatment effect of senile cancerous intestinal obstruction is also significantly better than that of nasogastric tube.Therefore,for the treatment of senile intestinal obstruction,transnasal and intestinal obstruction catheters have greater advantages than nasogastric tubes and are worthy of clinical promotion. |
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