CAJ | 학술논문

目的:观察直肠癌患者术前不常规留置胃肠减压的效果.方法:随机选取我院2011年4~7月直肠癌根治术患者70例为胃肠减压组(对照组),2011年8~12月患者70例为非胃肠减压组(观察组).比较两组患者术中发生呕吐、误吸发生率以及术后肛门恢复排气时间、术后并发症(咽喉疼痛、恶心呕吐、吻合口漏)发生率.结果:术中:两组患者均未出现呕吐、误吸.术后:观察组比对照组肛门恢复排气时间提前(P<0.05),观察组患者咽喉疼痛、恶心呕吐较对照组减少(P<0.05).两组患者出现吻合口漏发生率差异无统计学意义(P>0.05).结论:不常规放置胃肠减压不会影响直肠癌手术患者术中的安全性,且有利于减少术后并发症,促进患者的术后康复.
목적:관찰직장암환자술전불상규류치위장감압적효과.방법:수궤선취아원2011년4~7월직장암근치술환자70례위위장감압조(대조조),2011년8~12월환자70례위비위장감압조(관찰조).비교량조환자술중발생구토、오흡발생솔이급술후항문회복배기시간、술후병발증(인후동통、악심구토、문합구루)발생솔.결과:술중:량조환자균미출현구토、오흡.술후:관찰조비대조조항문회복배기시간제전(P<0.05),관찰조환자인후동통、악심구토교대조조감소(P<0.05).량조환자출현문합구루발생솔차이무통계학의의(P>0.05).결론:불상규방치위장감압불회영향직장암수술환자술중적안전성,차유리우감소술후병발증,촉진환자적술후강복.
Objective: To observe the effect of preoperative none routine nasogastric decompression in colorectal cancer patients. Method:70 rectal carcinoma patients who receiving radical resection during April,2011 to July,2011 in our hospital were chosen randomly to be a nasogastric decompression group (control group),other 70 rectal carcinoma patients who receiving radical resection during August,2011 to December,2011 in our hospital were chosen randomly to be a none nasogastric decompression group (observation group).To compare the two groups with following data:intra-operative occurrence rate of vomiting、error suction,the time for anal recovering exhaust after operation,and the occurrence rate of postoperative complications (sore throat, nausea, vomiting, anastomotic leakage).Result:During operation:none of patients in two groups was vomiting or error suction. After operation: the time for anal recovering exhaust of observation group is shorter than control group (P<0.05).The number of patients in observation group occurring sore throat、nausea、vomiting is smaller than in control group (P<0.05).The occurrence rate of anastomotic leakage in two groups is no significant difference (P>0.05).Conclusion:None routine nasogastric decompression does not affect the safety of patients during operation.It helps to reduce postoperative complications and promote postoperative rehabilitation for patients.