胃癌根治术后不同胃肠减压方式对患者胃肠功能恢复的影响

Effect of different gastrointestinal decompression methods on recovery of gastrointestinal function in patients with gastric cancer radical surgery

目的观察不同胃肠减压方式对胃癌根治术后患者胃肠功能恢复的影响。方法将61例行胃癌根治术的患者随机分为无负压自然引流组(观察组,31例)和持续负压吸引组(对照组,30例);观察比较两组患者术后胃液引流量、肛门首次排气时间、术后不适症状、胃管拔除时间及术后住院时间。结果观察组术后胃液引流量、不适症状和术后并发症差异无统计学意义(P>0.05)。术后观察组患者的肛门首次排气时间、胃管拔出时间及出院时间分别为(2.75±1.03)、(3.02±0.71)、(14±5.62)d,均低于对照组的(3.89±1.01)、(4.45±0.65)、(18±5.45)d,差异均有统计学意义(P<0.05)。结论无负压引流方式相较于持续负压引流方式,具有缩短患者胃管留置时间和住院时间等优势,有利于患者胃肠功能的恢复,值得临床推广。

Objective To observe the effect of different ways of gastrointestinal decompression on the recovery of gastrointestinal function in patients with gastric cancer radical surgery. Methods Sixty-one patients with gastric cancer radical surgery were randomized into group of natural drainage with no negative pressure（ observation group,31 cases） and continuous negative pressure suction group（control group,30 cases）. Three days later,gastric drainage,first anal exhaust time,postoperative symptoms,gastric tube retention days and postoperative hospital stay were observed and compared between two groups. Results Between the two groups,the differences in the gastric drainage,postoperative complications and postoperative adverse reactions 3 days after operation were not statistically significant（P〉0. 05）. The first anal exhaust time（2. 75 ± 1. 03） d,gastric tube retention days（3. 02 ± 0. 71） d and postoperative hospital stay（14 ± 5. 62） d in observation group were all lower than the control group（3. 89 ± 1. 01） d,（4. 45 ± 0. 65） d,（18 ± 5. 45） d. The differences were statistically significant（P〈0. 05）. Conclusions Compared with the continuous suction drainage way,the way of drainage with no negative pressure can shorten gastric tube retention days and postoperative hospital staying days,which is conducive to recovery of gastrointestinal function and worthy of clinical promotion.