非手术措施对老年患者食管癌术后胃瘫综合征的预防效果

Preventive effect of non surgical treatment on postoperative gastric paralysis syndrome in elderly patients with esophageal carcinoma

目的研究非手术措施对老年患者食管癌术后胃瘫综合征的预防效果,为患者康复提供数据参考。方法选取2014年7月~2016年6月收治的458例食管癌老年患者,按照是否采取预防术后胃瘫综合征的非手术措施分为对照组与观察组。比较两组胃瘫综合征的发生率、其他并发症的发生情况及各组胃瘫综合征患者恢复情况。结果观察组胃瘫综合征的发生率为2.51%,明显低于对照组的6.09%;观察组患者胃管营养管留置时间以及住院时间显著短于对照组;观察组其他并发症的总发生率为0.72%,明显少于对照组的3.23%,以上差异均具有统计学意义(P<0.05)。结论非手术措施可有效避免老年患者食管癌术后发生胃瘫综合征等术后并发症,值得应用。

Objective To analyze the preventive effect of the non operative measures on the postoperative gastric paralysis syndrome in elderly patients with esophageal carcinoma. Methods A total of 458 eases of senile patients with esophageal carcinoma admitted in our department between July 2014 and June 2016, all patients according to whether to take the prevention of postoperative gastroparesis syndrome of non operative measures were divided into control group and observation group. The incidence rate of gastric paralysis and other complications of the two groups were compared. Results Observation group of gastric paralysis occurrence rate of 2.51%, Which was significantly lower than the control group of 6.09%; observation group of patients with gastric tube feeding tube indwelling time and the length of hospital stay was significantly lower than that of control group; patients in the observation group and other related complications total incidence rate of 0.72%, was significantly less than that of the control group of 3.23%, above difference had statistical significance （P 〈 0.05） .Conclusion Non operative measures can effectively prevent postoperative complications in elderly patients with esophageal carcinoma, and it is worthy of clinical application.