中华胃肠外科杂志
中華胃腸外科雜誌
중화위장외과잡지
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
2012年
6期
578-580
,共3页
胃肿瘤%胃管%术后并发症%生活质量
胃腫瘤%胃管%術後併髮癥%生活質量
위종류%위관%술후병발증%생활질량
Stomach neoplasms%Nasogastric tube%Postoperative complication%Quality of life
目的 探讨胃癌术后留置胃管对术后恢复情况的影响.方法 前瞻性纳入2009年12月至2011年3月间哈尔滨医科大学附属第三医院收治的174例胃癌患者,按随机数字表法分为试验组(88例,术中或术后第1天晨起拔除胃管)和对照组(86例,留置胃管直至排气).比较两组患者术后不适症状、并发症发生情况、恢复时间及住院期间生活质量.结果 与对照组相比,试验组患者术后恶心(14.8％比47.7％,P＜0.01)、咽痛(6.8％比38.4％,P＜0.01)、饮水后呛咳及异物感(3.4％比20.9％,P＜0.01)和咳嗽咳痰不畅(36.4％比55.8％,P＜0.05)的发生率明显降低,术后离床时间[(1.46±0.58)d比(1.68±0.61)d,P＜0.05]和排气时间[(3.11±0.77)d比(3.75±1.03)d,P＜0.05]明显提前.两组术后均未出现吻合口瘘及肠梗阻等严重并发症,吻合口出血发生率的差异亦无统计学意义[3.4％ (3/88)比5.8％ (5/86),P＞0.05].住院期间生活质量表情评分试验组明显优于对照组(平均分3.36比2.78,P＜0.01).结论 胃癌术后早期拔除胃管是安全、合理的,可明显提高患者住院期间的生活质量.
目的 探討胃癌術後留置胃管對術後恢複情況的影響.方法 前瞻性納入2009年12月至2011年3月間哈爾濱醫科大學附屬第三醫院收治的174例胃癌患者,按隨機數字錶法分為試驗組(88例,術中或術後第1天晨起拔除胃管)和對照組(86例,留置胃管直至排氣).比較兩組患者術後不適癥狀、併髮癥髮生情況、恢複時間及住院期間生活質量.結果 與對照組相比,試驗組患者術後噁心(14.8％比47.7％,P＜0.01)、嚥痛(6.8％比38.4％,P＜0.01)、飲水後嗆咳及異物感(3.4％比20.9％,P＜0.01)和咳嗽咳痰不暢(36.4％比55.8％,P＜0.05)的髮生率明顯降低,術後離床時間[(1.46±0.58)d比(1.68±0.61)d,P＜0.05]和排氣時間[(3.11±0.77)d比(3.75±1.03)d,P＜0.05]明顯提前.兩組術後均未齣現吻閤口瘺及腸梗阻等嚴重併髮癥,吻閤口齣血髮生率的差異亦無統計學意義[3.4％ (3/88)比5.8％ (5/86),P＞0.05].住院期間生活質量錶情評分試驗組明顯優于對照組(平均分3.36比2.78,P＜0.01).結論 胃癌術後早期拔除胃管是安全、閤理的,可明顯提高患者住院期間的生活質量.
목적 탐토위암술후류치위관대술후회복정황적영향.방법 전첨성납입2009년12월지2011년3월간합이빈의과대학부속제삼의원수치적174례위암환자,안수궤수자표법분위시험조(88례,술중혹술후제1천신기발제위관)화대조조(86례,류치위관직지배기).비교량조환자술후불괄증상、병발증발생정황、회복시간급주원기간생활질량.결과 여대조조상비,시험조환자술후악심(14.8％비47.7％,P＜0.01)、인통(6.8％비38.4％,P＜0.01)、음수후창해급이물감(3.4％비20.9％,P＜0.01)화해수해담불창(36.4％비55.8％,P＜0.05)적발생솔명현강저,술후리상시간[(1.46±0.58)d비(1.68±0.61)d,P＜0.05]화배기시간[(3.11±0.77)d비(3.75±1.03)d,P＜0.05]명현제전.량조술후균미출현문합구루급장경조등엄중병발증,문합구출혈발생솔적차이역무통계학의의[3.4％ (3/88)비5.8％ (5/86),P＞0.05].주원기간생활질량표정평분시험조명현우우대조조(평균분3.36비2.78,P＜0.01).결론 위암술후조기발제위관시안전、합리적,가명현제고환자주원기간적생활질량.
Objective To evaluate the effect of nasogastric decompression tube after gastric cancer operation on the postoperative recovery.Methods A toal of 174 patiens with gastric cancer were prospectively enrolled from December 2009 to March 2011 and randomly divided into non-nasogastric tube control group (n=88) and nasogastric tube group (n=86).Postoperative symptoms,complications,recovery time,and quality of life during hospital stay were compared between the two groups.Results The incidences of nausea( 14.8％ vs.47.7％,P＜0.01),sore throat(6.8％ vs.38.4.％,P＜0.01),bucking and foreign body sensation (3.4％ vs.20.9％,P＜0.01),expectorative obstruction (36.4％ vs.55.8％,P＜0.05) were significantly lower in nasogastric tube group than those in the control group.The intervals to ambulation and flatus were(1.46±0.58) d and(3.11±0.77) d in the non-nasogastric tube group,significantly shorter those in nasogastric tube group [(1.68±0.61) d and (3.75±1.03) d].There was no anastomotic leak or bowel obstruction.The difference in bleeding was not statistically significant[3.4％(3/88) vs.5.8％(5/86),P＞0.05] between the two groups.The quality of life differed between the two groups (mean score,3.36 vs.2.78,P＜0.01 ).Conclusion Early removal of nasogastric decompression tube is safe and reasonable and can improve the quality of life during hospital stay.
