腹腔镜结直肠癌术后早期拔除胃管的护理研究  

The Nurse Care Study for Efficacy of Early Removing Nasogastric Tube in Patients with Colorectal Cancer Undergoing Laparoscopic Colorectostomy

作　　者：王建红[1] 贺意辉[1] 

机构地区：[1]广州医学院第二附属医院胃肠外科,广东广州510260

出　　处：《临床医学工程》2012年第9期1565-1566,共2页Clinical Medicine & Engineering

摘　　要：目的探讨腹腔镜结直肠癌术后早期拔除胃管对术后康复的影响。方法回顾性分析2011年1月至12月我院126例早期拔除胃管(术后第一天)和常规拔除胃管(放置至肛门排气)腹腔镜结直肠癌病人的临床资料,比较两组术后肛门排气时间、切口感染、肺部感染、吻合口漏、术后舒适度、住院时间的异同。结果早期拔除胃管和常规拔除胃管两组病人在肛门排气时间、切口感染、吻合口漏发生率和住院时间上无明显差异(P>0.05);常规拔除胃管组的肺部感染率高于早期拔除胃管组(P<0.05),并且舒适度明显低于早期拔除胃管组(P<0.05)。结论腹腔镜结直肠癌术后早期拔除胃管是安全可行的,并且减少了相关并发症的发生,病人舒适度得到提高。Objective To evaluate the efficacy and impact on care nurse of early removing nasogastric tube in patients with colorectal cancer undergoing laparoscopic colorectostomy. Methods The data of 126 patients with colorectal cancer undergoing laparoscopic colorectostomy were retrospectively analyzed to compare the difference on the passage of stoma functioning, wound infection, pneumonia, anastomotic leak, comfort index and length of stay between the early removing nasogastric tube group （ERNT） and routine removing nasogastric tube group （RRNT）. Results There were no difference between patients who was in ERNT group and RRNT group in term of the passage of stoma functioning, wound infection, anastomotic leak and length of stay （P 〉0.05）. The incidences of pneumonia in RRNT group were more than that in ERNT group, and comfort index in RRNT group is lower than that in ERNT group （P 〈0.05）. Conclusions The early removing nasogastfic tube in patients with colorectal cancer undergoing laparoscopic colorectostomy is safe and feasible; furthermore the related complications ofnasogastric tube are reduced.

关 键 词：胃管 早期拔除 护理 腹腔镜 结直肠癌 

分 类 号：R473.6[医药卫生—护理学]