无负压和持续负压胃肠引流应用于结肠癌患者术后护理的临床研究  

Clinical research of non-negative and continuous negative pressure gastric-intestinal drainage applied in postoperative nursing for colon cancer patients

作　　者：王丽 

机构地区：[1]山东省巨野县人民医院,山东巨野274900

出　　处：《护理与康复》2016年第5期416-418,共3页Journal of Nursing and Rehabilitation

摘　　要：目的比较无负压引流和持续负压引流在结肠癌患者术后护理中的临床应用价值。方法选择86例结肠癌患者,根据随机数字表将患者分为观察组和对照组各43例。观察组患者予以无负压胃肠引流,对照组术后予以持续负压胃肠引流。对比两组患者的术后胃液引流量、胃肠道功能恢复情况、留置胃管时间、住院时间、手术并发症以及术后不适症状等。结果观察组患者手术当日和术后第1天的胃液引流量明显低于对照组(P<0.01),两组术后第2天、第3天的胃液引流量比较差异无统计学意义(P>0.05);观察组患者肛门第1次排气时间、肠鸣音恢复时间、术后住院时间明显短于对照组(P<0.01);观察组术后并发症、不适症状发生率显著低于对照组(P<0.05)。结论在结肠癌手术后采用无负压胃肠引流不影响患者术后胃肠引流效果,安全性好并能促进胃肠功能恢复。Objective To compare the clinical value of non-negative and continuous negative pressure gastric-intestinal drainage on postoperative nursing for colon cancer patients.Method Divide 86 colon cancer patients into observation group（n=34）and control group（n=34）.Patients in observation group receive non-negative pressure gastric-intestinal drainage and patients in control group receive continuous negative pressure gastric-intestinal drainage.Compare postoperative gastric juice volume,gastric-intestinal function recovery,indwelling time,hospitalization time,complications and postoperative discomfort of two groups.Result Drainage volume of gastric juice is less in observation group on operation day and the first day after operation（P〈0.01）.There is no significant difference on drainage volume on the second and third day between two groups（P〉0.05）.Patients in observation group have shorter first anal exsufflation time,recovery time of intestinal sound and postoperative hospitalization time than patients in control group（P〈0.01）.Incidence of postoperative complications and discomfort are lower in observation group than in control group（P〈0.05）.Conclusion Non-negative pressure gastric-intestinal drainage has normal postoperative drainage effect,which can be more safe and help recovery of gastric-intestinal function.

关 键 词：结肠癌 胃肠减压 负压引流 

分 类 号：R651.15[医药卫生—外科学]