31例胃底贲门癌病人术后胃肠动力早期恢复临床分析

Clinical analysis on the earlier recovery of postoperative gastrointestinal motivity in 31 cases of fundic and cardia carcinoma of stomach

[背景]探讨如何促进胃底贲门癌病人术后胃肠动力的恢复.[病例报告]观察组为31例,其中贲门癌病人为18例,胃底贲门癌病人为13例;对照组为32例,其中贲门癌病人为14例,胃底贲门癌病人为18例.观察组患者于术后分别给予甲氧氯普氨、氯波比利及开塞露等进行协同治疗;对照组患者给予一般术后常规处理.观察组及对照组患者术后肠鸣音恢复时间分别为17h±3h,26h±4h,肛门排气时间分别为28h±7h,43h±4h,两组间有显著性差异.[讨论]合理地联合应用甲氧氯普氨、氯波比利及开塞露可以促进胃底贲门癌及贲门癌患者术后胃肠动力的早期恢复.

BACKGROUND?To study how to promote the gastrointestinal motility as early as possible after operation of fundic and cardia carcinoma of stomach.?CASE REPORTS?31 cases of gastric carcinoma were as experiment group, in which 18 cases of cardia carcinoma and 13 cases of fundic and cardia carcinoma; 32 cases were as control group, in which 14 cases in cardia carcinoma, 18 cases in fundic and cardia carcinoma. The treatment of clebopride with metoclopramide and glycerine enema was applied to postoperative patients in experiment group, common treatment was administrated to the postoperative patients in control group. The time of postoperative bowel sounds recover was that 17?h±3?h in experiment group and 26?h±4?h in control group. The time of postoperative passage of gas by anus was 28?h±7?h in experiment group and 43?h±4?h in control group. There were significant differences between two groups.?DISCUSSION?The treatment with the clebopride with metoclopramide and glycerine enema applied reasonably to the fundic and cardia carcinoma of stomach can promote the earlier recovery of postoperative gastrointestinal motivity.