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目的:研究老年急性缺血性肠炎诊断要点与治疗效果。方法:随机选择于2014年10月—2015年10月间我院收治的疑似老年急性缺血性肠炎患者89例,作为本次研究对象,入院后,所有患者均予以结肠镜、腹部超声诊断检查,结果发现共有72例患者确诊为老年急性缺血性肠炎。采用电脑分组的方式,将临床确诊的老年急性缺血性肠炎患者72例随机分为两组,各组36例,其中A组患者予以中药治疗,B组患者予以肠系膜血管造影术。探讨两种不同治疗方法的临床疗效以及不同诊断检查方式的准确率。结果:诊断结果:结肠镜诊断率为100.00%;腹部超声诊断率为88.88%。治疗结果:中药治疗总有效率为87.50%;肠系膜血管造影术临床治疗总有效率为100.00%。数据统计分析发现,结肠镜诊断方法要显著优于腹部超声,数据对比具有统计学意义(P<0.05),肠系膜血管造影术临床治疗总有效率明显高于中药治疗方法,数据对比具有统计学意义(P<0.05)。结论:两种诊断方法各有优点,但结肠镜诊断方法优势更为突出,两种治疗方法都确实可行,但血管造影术疗效显著,临床治疗过程中,应当联合患者实际病情,合理选择治疗方式与诊断方法。
Objective: To study the diagnosis and treatment of senile acute ischemic enteritis. Methods: A total of 89 patients with suspected acute ischemic acute colitis admitted to our hospital from October 2014 to October 2015 were enrolled in this study. After admission, all patients underwent colonoscopy and abdominal ultrasonography A total of 72 patients were diagnosed as elderly acute ischemic enteritis. 72 patients with clinically diagnosed senile acute ischemic enteritis were randomly divided into two groups with 36 cases in each group. The patients in group A were treated with traditional Chinese medicine and the patients in group B were treated by mesenteric angiography. To investigate the clinical efficacy of two different treatment methods and the diagnostic accuracy of different diagnostic methods. Results: The diagnostic results: colonoscopy diagnostic rate was 100.00%; abdominal ultrasound diagnosis rate was 88.88%. Treatment results: The total effective rate of Chinese medicine treatment was 87.50%; the total effective rate of clinical treatment of mesenteric angiography was 100.00%. Data statistical analysis found that colonoscopy diagnostic method was significantly better than abdominal ultrasound, the data was statistically significant (P <0.05), the total effective rate of clinical treatment of mesenteric angiography was significantly higher than that of traditional Chinese medicine treatment, the data were statistically significant (P <0.05). Conclusion: The two diagnostic methods have their own advantages, but the advantages of colonoscopy diagnostic method is more prominent, both treatment methods are feasible, but angiography significant effect, the clinical course of treatment, patients should be combined with the actual condition, a reasonable choice of treatment And diagnostic methods.