当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
19期
7-9
,共3页
石蜡油%番泻叶%胃癌
石蠟油%番瀉葉%胃癌
석사유%번사협%위암
Paraffin oil%Senna infusion%Gastric cancer
目的观察石蜡油及番泻叶对胃癌术后病人肠功能恢复的促进作用，旨在帮助胃癌术后病人选择合适的促肠功能恢复的药物。方法54例胃癌术后病人随机分为石蜡油鼻饲组（A组）、番泻叶鼻饲组（B组）及生理盐水鼻饲组（C组），全部病例用药后观察72 h。记录并比较各组病人用药后肠鸣音出现时间、肛门排便/排气时间、腹胀、腹痛或腹泻等情况。结果与C组（37.1±4.8）h相比，A组（31.4±5.2）h和B组（30.7±3.6）h明显缩短病人肠鸣音出现时间（P＜0.05）；C组病人肛门排便/排气时间（49.0±9.1）h较A组（41.2±6.7）h和B组（42.8±6.7）h延长（P＜0.05）；术后腹胀发生率A组（10%）、B组（5.5%）较C组（43.8%）明显减少（P＜0.05）；但B组腹痛的发生率（38.9%）较A组（10%）和C组（6.25%）高（P＜0.05），鼻饲石蜡油有较高的腹泻发生比例（40%）。结论石蜡油和番泻叶可促进胃癌术后病人肠功能的恢复，临床应用时应注意其不良反应。
目的觀察石蠟油及番瀉葉對胃癌術後病人腸功能恢複的促進作用，旨在幫助胃癌術後病人選擇閤適的促腸功能恢複的藥物。方法54例胃癌術後病人隨機分為石蠟油鼻飼組（A組）、番瀉葉鼻飼組（B組）及生理鹽水鼻飼組（C組），全部病例用藥後觀察72 h。記錄併比較各組病人用藥後腸鳴音齣現時間、肛門排便/排氣時間、腹脹、腹痛或腹瀉等情況。結果與C組（37.1±4.8）h相比，A組（31.4±5.2）h和B組（30.7±3.6）h明顯縮短病人腸鳴音齣現時間（P＜0.05）；C組病人肛門排便/排氣時間（49.0±9.1）h較A組（41.2±6.7）h和B組（42.8±6.7）h延長（P＜0.05）；術後腹脹髮生率A組（10%）、B組（5.5%）較C組（43.8%）明顯減少（P＜0.05）；但B組腹痛的髮生率（38.9%）較A組（10%）和C組（6.25%）高（P＜0.05），鼻飼石蠟油有較高的腹瀉髮生比例（40%）。結論石蠟油和番瀉葉可促進胃癌術後病人腸功能的恢複，臨床應用時應註意其不良反應。
목적관찰석사유급번사협대위암술후병인장공능회복적촉진작용，지재방조위암술후병인선택합괄적촉장공능회복적약물。방법54례위암술후병인수궤분위석사유비사조（A조）、번사협비사조（B조）급생리염수비사조（C조），전부병례용약후관찰72 h。기록병비교각조병인용약후장명음출현시간、항문배편/배기시간、복창、복통혹복사등정황。결과여C조（37.1±4.8）h상비，A조（31.4±5.2）h화B조（30.7±3.6）h명현축단병인장명음출현시간（P＜0.05）；C조병인항문배편/배기시간（49.0±9.1）h교A조（41.2±6.7）h화B조（42.8±6.7）h연장（P＜0.05）；술후복창발생솔A조（10%）、B조（5.5%）교C조（43.8%）명현감소（P＜0.05）；단B조복통적발생솔（38.9%）교A조（10%）화C조（6.25%）고（P＜0.05），비사석사유유교고적복사발생비례（40%）。결론석사유화번사협가촉진위암술후병인장공능적회복，림상응용시응주의기불량반응。
Objective To explore the effects of paraffin oil and senna infusion in promoting intestinal function of gastric carcinoma postoperative patients, and choose the appropriate drug to promote recovery of intestinal function. Methods 54 patients of postoperative gastric cancer were randomLy divided into 3 groups:A-group nasal feeding with paraffin oil, B-group nasal feeding with senna infusion and C-group nasal feeding with normal saline. All patients were observed after treatment for 72 hours. The first time of postoperative bowel sound and flatus defecation, the rate of abdominal distension, abdominal pain and diarrhea were recorded and analyzed. Results The time of bowel sounds in A-group(31.4±5.2) h and in B-group(30.7±3.6)h was shorter than that in C-group(37.1±4.8)h(P<0.05), and the flatus defecation was longer in C-group(49.0±9.1 h) than that in A-group(41.2±6.7)h and in B-group(42.8±6.7)h(P<0.05).The rate of postoperative abdominal distension in A-group, B-group and C-group was 10%, 5.5%and 43.8%accordingly, apparently, the C-group was significantly higher than that in A-group and B-group. In addition, B-group increased the rate(38.9%) of abdominal pain than those of in A-group(10﹪)and C-group(6.25%)in postoperative patients of gastric cancer(P<0.05), and the patients with nasal feeding paraffin oil had a higher proportion(40%) of diarrhea than that of A-group and B-group. Conclusion Paraffin oil and senna infusion can accelerate the recovery of intestinal function in postoperative patients of gastric cancer, but pay more attention should to be for their adverse reactions.
