CAJ | 학술논문

目的：探讨留置胃管在结直肠癌患者快速康复治疗中的有效性及现存问题。方法选取2013年3月—2014年4月入院的94例结直肠癌患者,按照随机数字表法分为快速康复组( FTS组)与对照组,FTS组术前不留置胃管,对照组常规留置胃管,比较两组患者术后排气时间、住院时间、术后并发症发生率等指标的差异。结果相比对照组,FTS组患者的术后排气时间、住院时间分别为(3.49±1.78),(12.06±3.22)d,明显短于对照组的(5.25±1.93),(14.83±4.39)d,差异具有统计学意义(t值分别为2.6672,3.2279；P<0.05)。 FTS组患者出现腹胀、腹泻、恶心、呕吐等消化道症状有12例,高于对照组的2例,差异具有统计学意义(χ2=12.536,P<0.05)。两组在术后并发症的发生率方面差异无统计学意义(P>0.05)。结论与留置胃管的患者相比,结直肠癌患者术前不留置胃管可明显缩短术后排气时间及术后住院时间,但明显增加了腹胀、恶心呕吐等消化道症状,建议结、直肠癌手术患者需根据实际情况,遵循个体化原则进行胃管留置。
목적：탐토류치위관재결직장암환자쾌속강복치료중적유효성급현존문제。방법선취2013년3월—2014년4월입원적94례결직장암환자,안조수궤수자표법분위쾌속강복조( FTS조)여대조조,FTS조술전불류치위관,대조조상규류치위관,비교량조환자술후배기시간、주원시간、술후병발증발생솔등지표적차이。결과상비대조조,FTS조환자적술후배기시간、주원시간분별위(3.49±1.78),(12.06±3.22)d,명현단우대조조적(5.25±1.93),(14.83±4.39)d,차이구유통계학의의(t치분별위2.6672,3.2279；P<0.05)。 FTS조환자출현복창、복사、악심、구토등소화도증상유12례,고우대조조적2례,차이구유통계학의의(χ2=12.536,P<0.05)。량조재술후병발증적발생솔방면차이무통계학의의(P>0.05)。결론여류치위관적환자상비,결직장암환자술전불류치위관가명현축단술후배기시간급술후주원시간,단명현증가료복창、악심구토등소화도증상,건의결、직장암수술환자수근거실제정황,준순개체화원칙진행위관류치。
Objective To investigate the rapid recovery effectiveness of colorectal cancer patients with retaining stomach tube and existing problems. Methods Ninety-four patients with colorectal cancer in the hospital from March 2013 to April 2014 were randomly divided into fast track surgery group ( FTS group) without stomach tube and control group with retaining stomach tube, and two groups of postoperative exhaust time, length of hospital stay, and postoperative complications were compared. Results Compared with control group (5. 25 ± 1. 93) d, (14. 83 ± 4. 39)d, FTS group had shorter postoperative exhaust time (3. 49 ± 1. 78) d and <br> length of hospital stay (12. 06 ± 3. 22) d after surgery (t=2. 667 2, 3. 227 9;P<0. 05). The rate of digestive tract symptoms were significantly lower than the control group (χ2 =12. 536,P<0. 05). There were 12 cases suffered some digestive symptoms such as abdominal distension, diarrhea, nausea, vomiting in FTS group higher than 2 cases in the control group (χ2 =12. 536,P<0. 05). There were no significantly difference between the two groups in the postoperative complications (P >0. 05). Conclusions Colorectal cancer patients without gastric tube can obviously increase the incidence of gastrointestinal symptoms such as nausea and vomiting, but shorten the exhaust time and postoperative hospital stay, then the use of the gastric tube should follow the principle of individualization.