无负压自然引流胃液联合早期活动对胃癌根治术患者术后胃肠功能恢复的影响

Effects of natural gastric juice drainage without negative pressure combined with early activity on postoperative gastrointestinal function recovery in patients undergoing radical operation for gastric cancer

目的观察无负压自然引流胃液联合早期活动对胃癌根治术患者术后胃肠功能恢复的影响。方法选择2016年3月至2019年3月收治的行胃癌根治术的胃癌患者100例,按照随机数表法分为对照组与观察组,各50例,对照组患者给予持续负压吸引胃肠减压联合早期活动治疗,观察组患者术后给予无负压自然引流胃肠减压联合早期活动治疗。观察两组患者术后胃液的引流量、胃肠功能恢复及并发症的发生情况。结果两组术后第2天和第3天的胃液引流量均较同组术后当天高,术后第3天的胃液引流量较术后第2天高,差异有统计学意义(P<0.05);术后当天观察组的胃液引流量较对照组低,差异有统计学意义(P<0.05);术后第2天和第3天观察组的胃液引流量低于对照组,但差异无统计学意义;观察组肠鸣音恢复时间、肛门首次排气时间、胃管留置时间及术后住院时间均较对照组短,差异有统计学意义(P<0.05);观察组恶心呕吐、口干及腹胀的发生率较对照组低,差异有统计学意义(P<0.05);两组肠梗阻的发生率比较差异无统计学意义。结论无负压自然引流胃液联合早期活动更能促进胃癌根治术患者术后胃肠功能的恢复,并发症较少。

Objective To observe effects of natural gastric juice drainage without negative pressure combined with early activity on postoperative gastrointestinal function recovery in patients undergoing radical operation for gastric cancer. Methods A total of 100 patients with gastric cancer who underwent radical gastrectomy and were admitted from March 2016 to March 2019 were enrolled. According to random number table method,they were divided into control group and observation group, with 50 cases in each group. The control group was given gastrointestinal decompression of continuous negative pressure suction combined with early activity, while observation group was given gastrointestinal decompression of no-negative pressure natural drainage combined with early activity. The drainage volume of gastric juice, recovery of gastrointestinal function and occurrence of complications after surgery in the two groups were observed. Results The drainage volume of gastric juice on the 2 nd day and the 3 rd day after surgery in both group was higher than that in the same group on the operation day. The drainage volume of gastric juice on the 3 nd day after operation was higher than that on the 2 nd day after operation(P<0.05). On the operation day, drainage volume of gastric juice in observation group was lower than that in control group(P<0.05). On the 2 nd day and the 3 rd day after surgery, drainage volume of gastric juice in observation group was lower than that in control group. The recovery time of gurgling sound, the first exhaust time of anus, indwelling time of gastric tube and postoperative hospital stay in observation group were shorter than those in control group(P<0.05). The incidence of nausea and vomiting, dry mouth and abdominal distension in observation group was lower than that in control group(P<0.05). There was no significant difference in incidence of intestinal obstruction between the two groups. Conclusion Natural gastric juice drainage without negative pressure combined with early activity can more promote postoperative recovery of gastrointestinal function in patients undergoing radical operation for gastric cancer, with fewer complications.