腹部手术后胃瘫的临床因素和非手术治疗体会

摘要

Objective To analyze clinical factors and treatment methods for postoperative gastroparasis.Methods Fifty cases of postoperative gastroparasis were retrospectively reviewed in department of gastroenterology,Yangxin people's hospital from 2004 to 2008.Results Disorder of gastric emptying occurred during the 5th to 12th day after upper abdominal operations.80.0％ (40/50) of the cases were related to gastric operations.80.0％ (40/ 50) had outflow obstruction before operation and 50.0％ had middle to severe malnutrition.All 50 cases received the non-operative multi-therapy and gastric motility was recovered in 12-16 days after operations.The average discharge from the hospital was ( 19.0 ± 1.5 ) days.Conclusion Prevention of postoperative gastroparasis should be given enteric nutrition as early as possible and the nonoperative multi-therapy.%目的 探讨腹部手术后胃瘫的临床原因和治疗效果.方法 对2004年2月至2008年10月我院术后诊治为胃瘫的50例患者的临床资料进行回顾性分析.结果 胃瘫发生于腹部手术后5～12d,50例中胃相关手术患者占80.0％(40/50),术前流出道梗阻患者占80.0％ (40/50).中重度营养不良患者占50.0％(25/50).50例非手术综合治疗后,术后12～60 d恢复胃动力,平均(19.0±1.5)d痊愈出院.结论 预防胃瘫应有意识地进行早期肠内营养以及采取综合非手术疗法治疗.