基层医院胃癌术后无胃肠减压管15例分析

Application experience of postoperative gastrointestinal decompression tube in 15 gastric cancer cases of basic-level hospitals

目的：总结胃癌术后无胃肠减压管的应用经验。方法回顾性分析实施15例术后无胃肠减压管的择期胃癌手术患者的临床资料，术前宣教沟通、术前准备、术中及术后处理方法。结果14例顺利恢复，1例因营养不良未完全纠正发生吻合口瘘。术后平均首次肛门排气时间（48．7±16．4）h，首次排便时间（65．1±5．7）h，术后住院时间（12．4±3．1）d，术后发生恶心呕吐2例、腹泻2例，咽喉疼痛不适3例。结论胃癌术后无胃肠减压管可减少患者的应激损伤，改善术后体验，加快术后康复，并不增加术后并发症的发生率，安全可行。

Objective To sum up the experiences of the application of gastric cancer postoperative gastrointestinal decompression tube.Methods Retrospectively analyzed the implementation of postoperative gastrointestinal decompression tube undergoing elective surgery.The clinical data of 15 cases of gastric cancer,preoperative education communication,preoperative preparation,intraoperative and postoperative treatment were analyzed.Results 14 cases recovered,1 case was not completely correct anastomotic fistula by malnutrition.The average for the first time the anus exhaust time was （48.7 ±16.4）h,for the first time defecation time was （65.1 ±5.7）h,postoperative length of hospital stay was （12.4 ±3.1）d,postoperative nausea and vomiting occurred in 2 cases,diarrhea in 2 cases,sore throat discomfort in 3 cases.Conclusion Postoperative gastric cancer patients with gastrointestinal decompression tube can reduce stress damage,improve postoperative experience,accelerate the postoperative rehabilitation,does not increase the incidence of postoperative complications,it is safe and feasible.