老年胃癌术后应用肠内营养管胃肠减压的临床研究

Application of enteral nutrition tube for gastrointestinal decompression after surgery in elderly gastric cancer patients

目的:探讨老年胃癌患者术后应用肠内营养管胃肠减压的安全性及有效性。方法:选择2007年2月—2010年2月在吉林省肿瘤医院手术治疗的老年胃癌患者66例,随机分为观察组(34例)和对照组(32例),观察组术后应用肠内营养管(复尔凯鼻胃管)胃肠减压,对照组用普通胃管(F16)胃肠减压。观察两组胃管的通畅性,咽喉疼痛,恶心、呕吐,肺部感染,吻合口瘘,切口感染或裂开等不良反应和并发症。结果:观察组和对照组胃管通畅率分别为94.11%和97%(P>0.05);观察组不良反应的发生率(咽喉疼痛8.84%;恶心、呕吐5.88%)低于对照组(咽喉疼痛28.13%;恶心、呕吐25.00%),差异均有统计学意义(均P<0.05);两组间并发症发生率的差异无统计学意义(均P>0.05)。结论:老年胃癌患者术后应用肠内营养管胃肠减压可达到胃管减压的相同效果,且不良反应少,利于患者术后康复。

Objective： To investigate the safety and efficacy of using enteral nutrition tube for gastrointestinal decompression after surgery in elderly gastric cancer patients. Methods： Sixty-six elderly patients with gastric cancer undergoing surgical treatment from February 2007 to February 2010 in Jilin Provincal Tumor Hospital were enrolled and the patients were randomly assigned to observation group and control group. After surgery, the patients of the observation group underwent gastrointestinal decompression by using enteral nutrition tube （Flocare nasogastric tube）, while those of the control group by using common stomach tube （F 16）. The tube patency, adverse reactions such as sore throat, nausea and vomiting, and complications such as lung infection, anastomotic leakage and wound infection or dehiscence were observed. Results： The tube patency rates of the observation group and control group were 94.11% and 97%,respectively （P〉0.05）. qlae incidences of adverse reactions of the observation group （sore throat was 8.84%; nausea and vomiting was 5.88%） were lower than those of the control group （sore throat was 28.13%; nausea and vomiting was 25.00%）, and the differences had statistical significances （both P〈0.05）. There were no significant differences in the incidences of complications between the two groups （all P〉0.05）. Conclusion： Postoperative application of enteral nutrition tube for gastrointestinal decompression in elderly gastric cancer patients can achieve the same effect as the common stomach tube. Moreover, it causes fewer adverse effects, and thus is advantageous for the postoperative recovery of these patients.