CAJ | 학술논문

目的：探讨远端胃癌根治术后不置胃管及早饮水的安全性和可行性。方法将100例行远端胃癌根治术的患者根据手术先后顺序随机分为对照组和观察组各50例。对照组采用外科术后护理常规，予以安置胃管，禁食、禁饮，保留胃管至肛门排气、排便后再进食水；观察组除外科护理常规外，不安置胃管，术后6h患者麻醉完全清醒后，在医生指导下协助患者每4h饮一次温开水，每次10～20ml，对两组患者术后肠功能恢复时间、下床活动时间、腹胀、呼吸道感染、吻合口瘘等因素进行分析。结果观察组术后肠功能恢复时间短、下床时间早，差异具有显著意义（P＜0．05）；观察组术后咽喉疼痛、肺部感染发生率低，两组差异具有显著意义（P＜0．05）；两组术后恶心呕吐、吻合口瘘、腹胀发生的差异无显著意义（P＞0．05）。结论远端胃癌根治术后不置胃管及早饮水是安全可行的，可促进肠功能的恢复及减少术后并发症，提高患者舒适度，有利于病人术后的恢复。
목적：탐토원단위암근치술후불치위관급조음수적안전성화가행성。방법장100례행원단위암근치술적환자근거수술선후순서수궤분위대조조화관찰조각50례。대조조채용외과술후호리상규，여이안치위관，금식、금음，보류위관지항문배기、배편후재진식수；관찰조제외과호리상규외，불안치위관，술후6h환자마취완전청성후，재의생지도하협조환자매4h음일차온개수，매차10～20ml，대량조환자술후장공능회복시간、하상활동시간、복창、호흡도감염、문합구루등인소진행분석。결과관찰조술후장공능회복시간단、하상시간조，차이구유현저의의（P＜0．05）；관찰조술후인후동통、폐부감염발생솔저，량조차이구유현저의의（P＜0．05）；량조술후악심구토、문합구루、복창발생적차이무현저의의（P＞0．05）。결론원단위암근치술후불치위관급조음수시안전가행적，가촉진장공능적회복급감소술후병발증，제고환자서괄도，유리우병인술후적회복。
Objective To study the feasibility and safety of no setting gastric tube and early drinking water for post-operative patients with distal gastric cancer radical gastrectomy .Method 100 post-operative patients with distal gastric cancer radical gastrectomy was randomly divided into control group and observation group according to the operation order ,50 patients in the control group received routine postoperative care ,placed stomach ,fasting , drinking and keeping the stomach exhaust pipe to the anus after defecation eating water .Patients in observation group received routine nursing ,did not place the tube ,but did drinking warm water 10~20 ml for every four hours under the guidance of doctors 6 hours after the patient fully awake from anesthesia ,The post-operative intestinal function recovery time ,ambulation ,bloating ,respiratory infections ,anastomotic leakage and other factors were ob-served and analyzed between two groups .Result The post-operative intestinal function recovery time and bed time in observation group was shorter .There was significant difference compared with control group (P<0 .05);The inci-dence of lung infection and post-operative sore throat in observation group was lower than that of control group . There was significant different (P<0 .05);The incidence of post-operative nausea and vomiting ,anastomotic leak-age ,bloating occurred was significant difference between the two group (P>0 .05) .Conclusion No setting gastric tube and early drinking water for post-operative patients with distal gastric cancer radical gastrectomy was feasible and safe ..It can promote the recovery of bowel function ,postoperative rehabilitation and reduce postoperative com-plications .