摘要
目的探讨胃癌全胃切除术后不置胃管的安全性和可行性。方法 120例胃癌患者随机分成置胃管组和不置胃管组,对两组术后肠功能恢复时间、进食时间、下床活动时间、腹胀、呼吸道感染、吻合口漏等进行比较分析。结果不置胃管组肠功能恢复时间短、术后进食时间早,差异具有统计学意义(P<0.05);不置胃管组术后咽喉疼痛、恶心呕吐、肺部感染发生率低,差异具有统计学意义(P<0.01);两组术后吻合口漏、腹胀发生的差异无统计学意义(P>0.05)。结论胃癌全胃切除术后不置胃管是安全可行的,不置胃管可减少术后并发症,有利于术后恢复。
Objective To explore the feasibility of without nasogastrie tube placement in gastric cancer surgery. Methods A total of 120 cases of gastric cancer were randomly divided into two groups： nasogastric tube placement and without nasogastric tube placement. Postoperative recovery of gastrointestinal function of time, eating time, get out of bed time, abdominal distension, lung infection, anastomotic leakage and other factors were analyzed. Results Without nasogastric tube placement can rapid recovery of intestinal function, eating time earlier （P 〈 0.01 ）; and that sore throat, nausea, vomiting, low incidence of lung infection（P 〈 0.01 ）, but postoperative anastomotic leakage, abdominal distension was no significant difference occurred （P 〉 0.05）. Conclusion Without nasogastric tube decompression after total gastrectomy for gastric cancer is safe and feasible, can reduce postoperative complications and accelerate the postoperative recovery.
出处
《中国现代医生》
2013年第14期159-160,共2页
China Modern Doctor
基金
安徽省合肥市科技局重大课题(2008-28)
关键词
胃癌
全胃切除术
胃管
Gastric carcinoma
Total gastrectomy
Nasogastric tube
