石蜡油及番泻叶促进胃癌术后肠功能恢复的研究  

作　　者：周理好[1] 项柱[1] 

机构地区：[1]安徽省皖西卫生职业学院附属医院外二科,安徽237005

出　　处：《当代医学》2013年第19期7-9,共3页Contemporary Medicine

摘　　要：目的观察石蜡油及番泻叶对胃癌术后病人肠功能恢复的促进作用,旨在帮助胃癌术后病人选择合适的促肠功能恢复的药物。方法 54例胃癌术后病人随机分为石蜡油鼻饲组(A组)、番泻叶鼻饲组(B组)及生理盐水鼻饲组(C组),全部病例用药后观察72h。记录并比较各组病人用药后肠鸣音出现时间、肛门排便/排气时间、腹胀、腹痛或腹泻等情况。结果与C组(37.1±4.8)h相比,A组(31.4±5.2)h和B组(30.7±3.6)h明显缩短病人肠鸣音出现时间(P<0.05);C组病人肛门排便/排气时间(49.0±9.1)h较A组(41.2±6.7)h和B组(42.8±6.7)h延长(P<0.05);术后腹胀发生率A组(10%)、B组(5.5%)较C组(43.8%)明显减少(P<0.05);但B组腹痛的发生率(38.9%)较A组(10%)和C组(6.25%)高(P<0.05),鼻饲石蜡油有较高的腹泻发生比例(40%)。结论石蜡油和番泻叶可促进胃癌术后病人肠功能的恢复,临床应用时应注意其不良反应。Objective To explore the effects of paraffin oil and senna infusion in promoting intestinal function of gastric carcinoma postoperative patients, and choose the appropriate drug to promote recovery of intestinal function. Methods 54 patients of postoperative gastric cancer were randomLy divided into 3 groups：A-group nasal feeding with paraffin oil, B-group nasal feeding with senna infusion and C-group nasal feeding with normal saline. All patients were observed after treatment for 72 hours. The first time of postoperative bowel sound and flatus defecation, the rate of abdominal distension, abdominal pain and diarrhea were recorded and analyzed. Results The time of bowel sounds in A-group（31.4±5.2） h and in B-group（30.7±3.6）h was shorter than that in C-group（37.1±4.8）h（P〈0.05）, and the flatus defecation was longer in C-group（49.0±9.1 h） than that in A-group（41.2±6.7）h and in B-group（42.8±6.7）h（P〈0.05）.The rate of postoperative abdominal distension in A-group, B-group and C-group was 10%, 5.5%and 43.8%accordingly, apparently, the C-group was significantly higher than that in A-group and B-group. In addition, B-group increased the rate（38.9%） of abdominal pain than those of in A-group（10﹪）and C-group（6.25%）in postoperative patients of gastric cancer（P〈0.05）, and the patients with nasal feeding paraffin oil had a higher proportion（40%） of diarrhea than that of A-group and B-group. Conclusion Paraffin oil and senna infusion can accelerate the recovery of intestinal function in postoperative patients of gastric cancer, but pay more attention should to be for their adverse reactions.

关 键 词：石蜡油 番泻叶 胃癌 

分 类 号：R735.2[医药卫生—肿瘤]