老年胃癌患者术后住院期体外胃肠起搏治疗的康复效果评价  

Evaluation of the rehabilitation effect of invitro gastrointestinal pacing therapy in elderly patients with gastric cancer during postoperative hospitalization

作　　者：肖玉兰[1] 齐科雷[1] 苏宏伟[1] 王倩[1] 闫国荣[1] 陈桂林 XIAO Yulan;QI Kelei;SU Hongwei(Department of Chest Disease,Hebei Provincial Chest Hospital,Hebei,Shijiazhuang 050041,China)

机构地区：[1]河北省胸科医院胸二科,石家庄市050041

出　　处：《河北医药》2020年第23期3660-3663,共4页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题计划(编号:20160084)。

摘　　要：目的分析体外胃肠起搏治疗对老年胃癌患者术后住院期康复的影响作用与特点,为临床推广应用提供依据。方法采取随机对照试验设计,收集2016年2月至2018年8月在河北省胸科医院胸二科进行全麻手术治疗的105例年龄≥60岁胃癌患者,按照随机数字表法将患者分为对照组55例和试验组50例。结果试验组患者全麻术后肠鸣音恢复时间、首次肛门排气时间、首次进食时间、首次排便时间分别为(9.56±4.18)h、(15.70±5.03)h、(4.16±1.58)d和(2.2±1.28)d,均显著低于对照组(P<0.05);试验组早期下床活动完成率54.0%,首次下床活动距离(13.13±9.74)m,分别高于对照组(P<0.05);首次下床活动时间(30.52±14.66)h,则显著早于对照组(P<0.05);试验组住院时间和住院费用与对照组比较差异有统计学意义(P<0.05)。结论采用体外胃肠治疗对老年胃癌全麻术后住院期患者胃肠功能恢复、早期下床活动等具有快速康复的效果,成本效益产出良好,建议进行临床推广。Objective To investigate the effects and characteristics of invitro gastrointestinal pacing therapy on postoperative rehabilitation in elderly patients with gastric cancer during hospitalization,so as to provide evidence for clinical application.Methods A randomized controlled trial was used to collect the clinical data about 105 patients with gastric cancer and age≥60 years who were treated by surgery under general anesthesia in our hospital from February 2016 to August 2018.According to the random number table method,these patients were divided into control group(n=55)and the trial group(n=50).Results The recovery time of bowel sound,first anal exhaust time,first feeding time and first defecation time in trial group after general anesthesia were significantly lower than those in control group(P<0.05).And the complete rate of first ambulation activity in trial group was 49.1%,and the distance activity was(13.13±9.74)m,which were significantly higher than those in control group(P<0.05).Moreover the time of first ambulation activity in trial group was(30.52±14.66)h,which was significantly earlier than that in control group(P<0.05).There were significant differences in the length of staying in hospital and cost of hospitalization between the two groups(P<0.05).Conclusion The invitro gastrointestinal pacing therapy for the elderly patients with gastric cancer after operation has the effects of rapid recovery of gastrointestinal function and early ambulation,therefor,it is suggested that it is worthy of clinical application and promotion.

关 键 词：胃癌 快速康复 术后住院期 体外胃肠起搏治疗 老年患者 

分 类 号：R473.73[医药卫生—护理学]