胃癌手术病人不同途径留置胃肠减压效果的比较  

Effect comparision of two methods of postoperative nasogastric decompression on gastric cancer patients

作　　者：刘玉芬[1] 田萌[1] 梅嵘[1] 

机构地区：[1]中日友好医院普外二科,北京市100029

出　　处：《中华护理杂志》2008年第4期299-302,共4页Chinese Journal of Nursing

摘　　要：目的探讨运用胃造瘘管内置空肠营养管组合装置对胃癌手术病人的安全性、可行性及临床应用效果。方法将40例病人随机分为两组,即胃造瘘含空肠营养管组合装置组(实验组),鼻胃管+空肠造瘘组(对照组),每组各20例。观察病人术后对上述导管的耐受情况及肺部、腹部、导管相关的并发症等,记录肛门排气时间。结果胃造瘘组合装置管组导致相关并发症、总并发症率、肛门排气恢复时间方面,实验组均低于对照组(P<0.05)。结论胃造瘘管内置空肠营养管组合装置行胃肠减压及空肠营养是一种安全可行的方法,可以降低术后导管相关并发症及总并发症的发生率,且病人免受留置胃管的痛苦。Objective The objective of this study was to assess the feasibility and safety of inserting the combinative tube （CT） in gastric cancer operation and to evaluate the effect. Methods Forty gastric cancer patients were randomly divided into 2 groups at the time of surgeries to insertion of JT（N-JT group） or insertion of NT（NT group）only. Feeling after operation including tolerance, complications related with lungs,abdomen and time of anal vent were recorded. Results The complication rate of inserting the combinative tube is 10%. The total complication rate is 30%. The recover time of anus vent is（3.1±0.7）days. Conclusions In patients undergoing gastric cancer surgeries,insertion of a CT is safe. It can relief the suffer from inserting a NT and reduce the tube-correlated postoperative complications.

关 键 词：胃造瘘 胃肠减压 肠道营养 胃肿瘤 

分 类 号：R473.73[医药卫生—护理学]