中国医药
中國醫藥
중국의약
CHINA MEDICINE
2012年
z1期
14-15
,共2页
胃瘫%腹部手术%临床因素%治疗方法
胃癱%腹部手術%臨床因素%治療方法
위탄%복부수술%림상인소%치료방법
Gastroparasis%Abdominal operation%Clinial factor%Treatment methods
目的 探讨腹部手术后胃瘫的临床原因和治疗效果.方法 对2004年2月至2008年10月我院术后诊治为胃瘫的50例患者的临床资料进行回顾性分析.结果 胃瘫发生于腹部手术后5~12d,50例中胃相关手术患者占80.0%(40/50),术前流出道梗阻患者占80.0% (40/50).中重度营养不良患者占50.0%(25/50).50例非手术综合治疗后,术后12~60 d恢复胃动力,平均(19.0±1.5)d痊愈出院.结论 预防胃瘫应有意识地进行早期肠内营养以及采取综合非手术疗法治疗.
目的 探討腹部手術後胃癱的臨床原因和治療效果.方法 對2004年2月至2008年10月我院術後診治為胃癱的50例患者的臨床資料進行迴顧性分析.結果 胃癱髮生于腹部手術後5~12d,50例中胃相關手術患者佔80.0%(40/50),術前流齣道梗阻患者佔80.0% (40/50).中重度營養不良患者佔50.0%(25/50).50例非手術綜閤治療後,術後12~60 d恢複胃動力,平均(19.0±1.5)d痊愈齣院.結論 預防胃癱應有意識地進行早期腸內營養以及採取綜閤非手術療法治療.
목적 탐토복부수술후위탄적림상원인화치료효과.방법 대2004년2월지2008년10월아원술후진치위위탄적50례환자적림상자료진행회고성분석.결과 위탄발생우복부수술후5~12d,50례중위상관수술환자점80.0%(40/50),술전류출도경조환자점80.0% (40/50).중중도영양불량환자점50.0%(25/50).50례비수술종합치료후,술후12~60 d회복위동력,평균(19.0±1.5)d전유출원.결론 예방위탄응유의식지진행조기장내영양이급채취종합비수술요법치료.
Objective To analyze clinical factors and treatment methods for postoperative gastroparasis.Methods Fifty cases of postoperative gastroparasis were retrospectively reviewed in department of gastroenterology,Yangxin people's hospital from 2004 to 2008.Results Disorder of gastric emptying occurred during the 5th to 12th day after upper abdominal operations.80.0% (40/50) of the cases were related to gastric operations.80.0% (40/ 50) had outflow obstruction before operation and 50.0% had middle to severe malnutrition.All 50 cases received the non-operative multi-therapy and gastric motility was recovered in 12-16 days after operations.The average discharge from the hospital was ( 19.0 ± 1.5 ) days.Conclusion Prevention of postoperative gastroparasis should be given enteric nutrition as early as possible and the nonoperative multi-therapy.