消化道重建手术对胃癌患者的临床效果及胃功能影响  

The Clinical effect of Digestive Tract Reconstruction in Patients with Gastric Cancer and its effect on Gastric Function

作　　者：张鸿晖[1] 刘清泉[1] 王树生[1] 张春龙[1] 熊秋生[1] 何青芳[1] 邹征嵘 杜琳 周丽程[1] ZHANG Honghui , LIU Qingquan, WANG Shusheng, ZHANG Chunlong, HE Qingfang, XIONG Qiusheng, ZOU Zhengrong, DU Lin, ZHOU Licheng(The First Affiliated Hospital of Gannan Medical College, Ganzhou, Jiangxi 341000, China)

机构地区：[1]赣南医学院第一附属医院,江西赣州341000

出　　处：《现代医院》2018年第10期1515-1517,1521,共4页Modern Hospitals

基　　金：赣州市科学技术局课题(编号:GZ2017ZSF049)

摘　　要：目的探讨胃癌患者应用消化道重建手术治疗的临床效果及对患者胃功能的影响。方法选取2013年5月-2018年5月期间我院收治的胃癌40例患者作为观察组,将我院以往进行近端胃切除的40例病例作为对照组,对比两组胃功能、生活质量等指标。结果观察组肠鸣音频率、排便时间、术后排气时间、胃液引流量显著优于对照组,对比具有显著差异(P <0. 05)。与术后1个月相比,对照组与观察组术后6个月各维度生活质量评分都显著降低(P <0. 05),观察组术后1个月、术后6个月各维度生活质量评分都显著低于对照组,对比具有显著差异(P <0. 05)。两组在手术时间、住院时间、术后并发症及住院总费用上对比具有显著差异(P <0. 05)。观察组胃液引流量(129. 68±26. 32) m L/d,对照组(236. 963±32. 02) m L/d,对比具有显著差异(P <0. 05)。结论胃癌患者应用消化道重建手术治疗,能够有效改善胃肠功能,提高生活质量,降低术后并发症,具有较高的临床价值。Objective To explore the clinical effect of gastrointestinal reconstruction surgery on gastric cancer patients and its effect on gastric function. Methods From May 2013 to May 2018, 40 cases of gastric cancer patients in our hospital were selected as the observation group, another 40 cases in our previous proximal gastric resection were selected as the control group, and then compared the gastric function and quality of life index between the two groups. Results In the observation group, the bowel sound frequency, defecation time, postoperative exhaust time and gastric fluid drainage rate were significantly better than those in the control group, and the comparison was significantly different （ P 〈 0. 05 ）. Compared with the postoperative 1 month, the control group and observation group after 6 months all dimensions of quality of life scores were significantly lower （ P 〈 0. 05 ） , the observation group after 1 month, 6 months after the dimension quality of life score was significantly lower than the control group. There were significant differences between the two groups in operation time, hospitalization time, postoperative complications and total hospitalization expenses （ P 〈 0. 05 ）. The gastric drainage flow （ 129. 68 ± 26.32） of the observation group was ml/d, and that of the control group （236. 963 ± 32. 02 ） was ml/d, with significant difference （ P 〈 0. 05 ）. Conclusion Gastric cancer patients can improve gastrointestinal function, improve quality of life, reduce postoperative complications, which has high clinical value.

关 键 词：胃癌 消化道重建手术 胃功能 生活质量 

分 类 号：R735.2[医药卫生—肿瘤]