發(fā)布時(shí)間：2018-06-10 02:10

  本文選題：腸梗阻 + 病人年齡　； 參考：《青島大學(xué)》2015年碩士論文

【摘要】：目的:探討不同病因在各年齡組腸梗阻患者中的分布情況及腸梗阻的治療方式、臨床結(jié)局與患者年齡的關(guān)系。方法:回顧分析青島大學(xué)附屬醫(yī)院急診普外科2008年1月至2013年12月住院治療的500例診斷為腸梗阻患者的資料。按年齡分為青年組、中年組、年輕老年組、老年組。統(tǒng)計(jì)各年齡組患者腸梗阻的病因、治療方式、住院天數(shù)、并發(fā)癥及病死率。采用SPSS 17.0統(tǒng)計(jì)軟件對(duì)數(shù)據(jù)進(jìn)行分析。結(jié)果:500例腸梗阻病例中,青年組58例,中年組139例,年輕老年組170例,老年組133例,各年齡組構(gòu)成比差異有顯著意義(P0.01)。前5位的病因是腸粘連、腫瘤、糞石、嵌頓疝、腸套疊。青年組、中年組及年輕老年組病例中,首位病因均為粘連,老年組病例中首位病因?yàn)槟[瘤。青年組與年輕老年組、青年組與老年組病因構(gòu)成比比較差異均有顯著意義(P0.05),其他各年齡組病因構(gòu)成比兩兩比較差異均無(wú)顯著意義(P0.05)。各年齡組中保守治療患者住院天數(shù)均短于手術(shù)治療患者住院天數(shù),且差異均有顯著意義(P0.01)。保守治療方式病例,青年組、中年組住院天數(shù)比較差異無(wú)顯著意義(P0.05);其它各年齡組住院天數(shù)兩兩比較差異均有顯著意義(P0.05)。手術(shù)治療方式病例,青年組與中年組、年輕老年組與老年組住院天數(shù)比較差異均無(wú)顯著意義(P0.05);其它各年齡組住院天數(shù)兩兩比較差異均有顯著意義(P0.05)。青年組、中年組、年輕老年組、老年組中手術(shù)治療率分別有46.55%、56.12%、55.29%、64.66%,四組兩兩比較僅青年組與老年組之間差異有顯著意義(P0.05),其余均無(wú)顯著性差異(P0.05)。青年組、中年組、年輕老年組、老年組分別有20.69%、32.37%、51.76%、61.65%存在合并癥,四組兩兩比較青年組與中年組、年輕老年組與老年組之間差異無(wú)顯著意義(P0.05),其余均存在顯著性差異(P0.05)。青年組中年組、年輕老年組、老年組各年齡組病死率分別為0%、0.7%、2.35%、4.51%,四組兩兩比較僅中年組與老年組之間差異有顯著意義(P0.05),其余均無(wú)顯著性差異(P0.05)。相關(guān)性分析示腸梗阻患者的住院天數(shù)、手術(shù)率、并發(fā)癥率、死亡率均與患者的年齡呈正相關(guān),有隨年齡增大而增加的趨勢(shì)(P0.05)。結(jié)論:1.腸梗阻患者中各年齡組病例構(gòu)成比不同;青年組最少。2.不同年齡組患者腸梗阻的病因構(gòu)成比相差很大,腫瘤、粘連和糞石成為腸梗阻的三大病因,老年的首位病因是腫瘤,青年及中年、年輕老年的首位病因是腸粘連。3.不同年齡組腸梗阻患者的治療方式及臨床結(jié)局存在差異。4.腸梗阻患者的住院天數(shù)、手術(shù)率、合并癥率、死亡率均與患者的年齡呈正相關(guān)。
[Abstract]:Objective: to investigate the distribution of different etiology in patients with intestinal obstruction in different age groups and the relationship between clinical outcome and age. Methods: the data of 500 patients with intestinal obstruction diagnosed in emergency department of general surgery from January 2008 to December 2013 were retrospectively analyzed. According to age, they were divided into youth group, middle age group, young old group and old group. The etiology, treatment, hospital stay, complications and mortality of intestinal obstruction in all age groups were analyzed. SPSS 17.0 statistical software was used to analyze the data. Results among 500 cases of intestinal obstruction, 58 cases were in the young group, 139 cases in the middle age group, 170 cases in the young group and 133 cases in the elderly group. The top 5 causes are intestinal adhesion, tumor, fecal stone, incarcerated hernia, intussusception. Adhesion was the first cause in the young, middle aged and young aged patients, and tumor was the first cause in the elderly. There was significant difference between the young group and the young group, the young group and the old group in the etiological composition ratio (P 0.05), but there was no significant difference in the other age groups in the etiological composition ratio between the young group and the young group (P 0.05%), the young group (P 0.05) and the old group (P 0.05). The days of hospitalization of patients with conservative treatment in all age groups were shorter than those of patients treated with surgery, and the difference was significant (P 0.01). There was no significant difference in the days of hospitalization between the young group and the middle age group, but there was no significant difference in the length of stay in other age groups (P 0.05). There was no significant difference in the length of hospitalization between the young group and the middle age group, the young group and the old group, but there was no significant difference in the length of hospitalization between the other age groups (P 0.05). In the young group, the middle age group, the young old group and the old group, the rate of surgical treatment was 46.55 and 55.29 and 64.66, respectively. The difference between the four groups was only significant (P0.05) between the young group and the old group, but there was no significant difference between the other groups (P0.05). There were 61.65% complications in young group, middle age group, young old group and old group, respectively. There were no significant differences between young group and middle age group in four groups, and there was no significant difference between young group and old group (P 0.05), while there was significant difference in other groups (P 0.05%). The fatality rate of young group, young group and old group were 0, 0, 0, 0, 0, 0, 0, 0, 0 and 0. 5, respectively. The difference between the four groups was only significant (P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05) respectively. The correlation analysis showed that the days of hospitalization, the rate of operation, the rate of complications and the death rate of patients with intestinal obstruction were all positively correlated with the age of the patients, and there was a tendency to increase with the increase of age (P 0.05). Conclusion 1. The proportion of cases in each age group was different in the patients with intestinal obstruction, and the lowest in the young group. The proportion of the causes of intestinal obstruction in different age groups is very different. Tumor, adhesion and fecal stone become the three major causes of intestinal obstruction, the first cause of old age is tumor, the first cause of youth and middle age, and the first cause of young and old age is intestinal adhesion. The treatment and clinical outcome of patients with intestinal obstruction in different age groups were different. 4. 4. The days of hospitalization, the rate of operation, the rate of complications and the death rate of patients with intestinal obstruction were positively correlated with the age of the patients.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R656.7

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