不同胃肠减压方式对结肠癌术后患者胃肠道功能恢复的影响  

Effect of different gastrointestinal decompression methods on patients＇ recovery of gastrointestinal function after colon cancer operation

作　　者：崔苏敏[1] 曹琳[2] 

机构地区：[1]南京医科大学第二附属医院护理部,南京210011 [2]南京医科大学第二附属医院普外科,南京210011

出　　处：《中华现代护理杂志》2012年第27期3268-3270,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨不同胃肠减压方式对结肠癌术后患者胃肠道功能恢复的影响。方法将64例结肠癌患者随机分成观察组33例及对照组31例，观察组患者术后给予无负压引流，对照组患者给予持续负压吸引引流胃液，比较两组患者术后胃液引流量、术后不适症状及手术并发症发生率、胃肠道功能恢复情况。结果观察组患者手术当天及术后第1天胃液引流量分别为（52．73±12．06），（123．03±12．87）ml，分别低于对照组的（122．58±12．90），（276．13±14．71）ml，差异均有统计学意义（t分别为-22．33，-44．25；P均〈0．05）；两组患者术后不适症状、并发症发生率、术后第2天及第3天胃液引流量比较，差异均无统计学意义（P〉0．05）；观察组患者术后肛门第1次排气时间、拔胃管时间、恢复普通饮食时间分别为（2．82±0．73），（3．48±0．51），（8．64±0．60）d，分别低于对照组的（3．87±0．81），（4．19±0．54），（9．61±0．67）d，差异均有统计学意义（t分别为-5．49，-5．40，-6．15；P〈0．05）。结论结肠癌术后采用无负压胃肠减压可以促进患者术后肠道功能恢复，有利于尽早拔除胃管和尽快过渡到正常饮食，同时可减少护理工作量，值得临床推广。Objective To study the effect of different gastrointestinal decompression methods on patients＇ recovery of gastrointestinal function after colon cancer operation. Methods 64 patients with colon cancer were randomly divided into observation group （33 cases） and control group （31 cases）. The observation group received no vacuum suction after the surgery, while the control group received negative pressure suction to drainage gastric fluid. Two groups＇ gastric fluid drainage volume, postoperative discomfort, the incidence rate of complications, and the recovery of gastrointestinal function were compared. Results The gastric fluid drainage volumes on the day of surgery and the first day after surgery in the observation group were （52.73 ± 12.06）ml and （ 123.03 ± 12.87 ） ml, while those in the control group were （ 122.58 ±12.90） ml and （276.13 ± 14.71 ） ml, and the differences were statistically significant （ t = - 22.33, - 44. 25, respectively; P 〈 0.05 ）. Thepostoperative discomfort, the incidence rate of complications and gastric fluid drainage volumes on the 2nd and 3rd day after surgery in two groups were not significantly different （P 〉 0.05 ）. The time of anus exsufflation, gastric tube removal and regular diet recovery in the observation group was （2.87 ± 0.73 ）, （3.48 ±0.51 ）, （ 8.64 ± 0.60） d, while that in the control group was （ 3.87 ± 0.81 ）, （4. 19 ± 0.54 ）, （ 9.61 ± 0.67 ） d, and the differences were statistically significant （t = - 5.49, - 5. 40, - 6. 15, respectively; P 〈 0. 05 ）. Conclusions No vacuum suction after colon cancer surgery can promote patients＇ recovery of gastrointestinal function after colon cancer operation including early removal of the gastric tube and regular diet, as well as reduce the workload of the nurse, thus is worthy of clinical application and popularization.

关 键 词：胃肠减压 结肠癌手术 胃肠功能恢复 

分 类 号：R473.6[医药卫生—护理学]