大肠癌患者术后早期拔除胃管的可行性分析

Analysis on the Feasibility of Early Extubating Stomach Tube after Surgery for Large Intestinal Cancer

为探讨大肠癌患者术后早期拔除胃管的可行性,选择2017年6月至2018年6月于我科住院的70例大肠癌患者作为研究对象,随机分为观察组和对照组,各35例。观察组术后6h拔除胃管,开始饮水,进流食;对照组待患者排气后开始饮水,排便后拔除胃管,开始进流食。比较2组患者术后恢复情况、住院时间及并发症发生情况。结果显示,观察组术后开始进食时间、肠鸣音恢复时间、首次排气及排便时间、下床活动时间、住院时间均明显短于对照组,P<0.05。观察组术后切口感染、吻合口漏发生率比较差异无统计学意义,P>0.05;但观察组恶心呕吐、腹胀、咽喉疼痛、咳嗽咳痰、肺部感染发生率均明显低于对照组,P<0.05。结果表明,大肠癌患者术后早期拔除胃管有利于胃肠功能恢复,不会增加切口感染、吻合口漏发生率,反而可避免或大大降低恶心呕吐、腹胀、咽喉疼痛、咳嗽咳痰、肺部感染等插管相关并发症的发生率。因此,大肠癌患者术后早期拔除胃管安全可行。

This study was to explore the feasibility of early extubating stomach tube after surgery for large intestinal cancer(LIC),enrolled 70 LIC patients admitted to author’s department(2017-06-2018-06),and randomly divided them into observation group(35 cases)whose patients were extubated stomach tube at 6 h after surgery,then just drink water,eat liquid diet,and control group(35 cases)whose patients just drink water till after flatus,just were extubated stomach tube after bowel movement,then eat liquid diet;then compared both groups’patients’postoperative recovered status,hospitalization time and complication incidence.As results,in the time of postoperatively starting to eat food,of bowel sound recovered,of first-time of flatus and bowel movement,of hospitalization,and of ambulation out-of-bed observation group was siginificantly shorter than control group(P<0.05);in the incidence of postoperative incision infected,and stoma leakage there was no statistical difference(P>0.05);but,in the incidence of nausea vomiting,burbulence,sore,throat,cough&expectoration,and lung infected observation group was all significantly lower than control group(P<0.05).Results show that early extubating stomach tube is beneficial to gastrointestinal function recovered,and will not increase the incidence of incision infection and stoma leakage,instead of avoiding or greatly reducing the incidence of nausea&vomiting,sore throat,cough&expectoration,and lung infection,thus it is safe and feasible.