非梗阻性大肠癌术后序贯使用胃肠动力药临床观察  

Clinical Observation of Sequential Therapy with Gastrointestinal Motility - Drug after Nonobstruction Large Intestine Cancer Surgery.

作　　者：张百芾[1] 王瑞庆[1] 佘景霞[1] 徐翠红[1] 

机构地区：[1]辽源市中心医院,吉林辽源136200

出　　处：《现代保健（医学创新研究）》2008年第20期15-16,共2页

摘　　要：目的观察使用胃肠动力药对非梗阻性大肠癌术后胃肠功能恢复、疼痛、补液、并发症等的影响。方法124例随机分二组：试验组术后即给予胃复安静滴，早期进流食，服西沙必利,3d未排便给予开塞露；对照组仅行对症处理。结果试验组术后恶心、呕吐、腹胀发生率低且程度轻，肛门排气恢复时间明显缩短，疼痛减轻，补液时间缩短，术后恢复快。结论非梗阻性大肠癌术后序贯使用胃肠动力药是一种安全、有效、经济的辅助治疗方法。Objective To observe the clinial effectiveness of sequential therapy with gastrointestinal motility-drug after nonobstruction large intestine cancer surgery. Methods A total of 124 cases were randomly divided into 2 groups, the attempted and the controlled. Patients of the first group were received metoclopramide 10 mg twices a day by intravenous injection, contiuned two days just after operation, eated liquids as early as possible, and took cisapride in the meantime, once some didn＇t pass stool over three days, they should take Bisacodyl. In the controlled, patients who had vomitted over three times after surgery were received gastrointestial decompression. Results Compared with the controlled group, there were some distinctive feature in attempted one ：①The incidence of PONV reduced markedly and the degree of it subsided ;②the time recovering flatus shortened obviously ;③Patients were able to take food with a minimum of delay and the time of replenish fluid curtailled ;④The frequency of abdominal disteation abated dramaticly ; ⑤The postoperative pain was relieved and pain - killer was less taken ;⑥The complication of postoperation was dropped off. Conclusion It is a valuable supportive treatment to take sequentially gastrointestinal motility medicine after nonobstruction large intestine cancer surgery.

关 键 词：非梗阻性大肠癌 胃肠动力 序贯疗法 

分 类 号：R735.34[医药卫生—肿瘤]