老年人结直肠癌术后胃肠功能紊乱的探讨

Post operative gastrointestinal function disorders in the aged patients with colo-rectal cancer

目的探讨高龄患者，结、直肠癌术后胃肠功能紊乱的因素及腹泻和／或功能性肠梗阻的防治。方法总结分析2002年1月至2005年2月，年龄为60～78岁高龄病人行结、直肠癌根治手术后，胃肠功能紊乱围手术期处理的体会。结果本组46例，其中4例出现严重的胃肠功能紊乱，即：腹泻2例，功能性肠梗阻2例。经病因和对症治疗均获痊愈。结论了解老年人机体的特殊性；学习认识机体微生态平衡对胃肠功能的作用，有利于减少或避免术后胃肠功能紊乱的发生率及有效治疗。

Objective To explore factors for post operative gastrointestinal function disorders in the aged patients with colo-rectal cancer, and to discuss treatment of diarrhea and/or functional intestinal obstruction in these patients. Methods The clinical data on gastrointestinal function disorders after colon or rectal cancer radical operation and perioperative treatment in 46 patients aged 60 - 78 years from 2002 to 2005 were retrospectively analyzed. Results Four patients had severe gastrointestinal function disorder, e.g. diarrhea and functional intestinal obstruction in 2 respectively. They were all cured after causal and symptomatic treatment. Conclusions It is helpful for decreasing or avoiding post operative gastrointestinal disorders and increasing treatment efficacy to understand characteristics of the aged colo-rectal cancer patients and the role of microecological balance to gastrointestinal functions.