首页> 中文期刊> 《实用癌症杂志》 >不同胃肠减压方式对胃癌根治术后患者功能恢复的影响

不同胃肠减压方式对胃癌根治术后患者功能恢复的影响

         

摘要

Objective To investigate the influence of different gastrointestinal decompression methods on the recovery of gastric cancer patients after radical resection.Methods 88 cases of gastric cancer patients were randomly divided into the control group and the observation group ,44 cases in each group.The control group were treated with continuous negative pressure suction mode drainage gastric juice ,the observation group were treated with non negative pressure of natural drainage gastric juice.Postop-erative recovery and the incidence of adverse reactions were compared.Results There were no statistically significant differences in occurrence rates of patients after 3 d daily gastric drainage volume and postoperative complications between the 2 groups( P>0.05).The first postoperative exhaust time ,gastric tube indwelling time and postoperative hospital stay of the observation group were lower than those of the control group ,postoperative nausea and vomiting ,pharyngitis ,abdominal swelling degree were lighter than those of the control group,the differences were statistically significant (P<0.05).Conclusion After radical resection of gastric cancer,non negative pressure suction drainage is a safe ,it can reduce gastric tube indwelling time ,reduce postoperative discomfort,shorten the hospitalization time ,and promote functional recovery of patients.%目的 探讨不同胃肠减压方式对胃癌根治术后患者功能恢复的影响. 方法 将88例胃癌患者随机分为对照组和观察组,各44例. 对照组采用持续负压吸引方式引流胃液,观察组采用无负压方式自然引流胃液. 对比分析2组患者术后恢复情况及不良反应发生率. 结果 2组患者术后3d每日胃液引流量及术后并发症的发生率相比,差异无统计学意义(P>0.05). 观察组术后第1次排气时间、胃管留置时间和术后住院时间均少于对照组,术后恶心呕吐、咽炎、腹胀等不良反应程度轻于对照组,差异均具有统计学意义(P<0.05). 结论 胃癌根治术后,行无负压吸引自然胃液引流是安全的,还可减少胃管留置时间、减轻患者术后不适反应,缩短患者住院时间,促进患者功能恢复.

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