CAJ | 학술논문

目的：对比分析胃癌术后不同胃肠减压方式对胃肠功能恢复的影响。方法选取2014年5月~2015年4月期间在我院行胃癌根治术的胃癌患者103例分成两组；研究组(51例)实施无负压自然引流胃肠减压，对照组(52例)实施持续负压吸引胃肠减压，比较两组患者术后3 d平均每日胃液引流量、术后恢复情况、不良反应发生率及并发症发生率。结果研究组排气时间、胃管留置时间、术后住院时间与对照组比较均明显较短，差异有统计学意义(P<0.05)；研究组术后3 d平均每日胃液引流量、不良反应总发生率及并发症总发生率与对照组比较差异无统计学意义(P>0.05)。结论胃癌术后给予无负压自然引流胃肠减压效果较好，引流量与持续负压吸引胃肠减压相近，但可促进患者康复，缩短住院时间，可在临床推广应用。
목적：대비분석위암술후불동위장감압방식대위장공능회복적영향。방법선취2014년5월~2015년4월기간재아원행위암근치술적위암환자103례분성량조；연구조(51례)실시무부압자연인류위장감압，대조조(52례)실시지속부압흡인위장감압，비교량조환자술후3 d평균매일위액인류량、술후회복정황、불량반응발생솔급병발증발생솔。결과연구조배기시간、위관류치시간、술후주원시간여대조조비교균명현교단，차이유통계학의의(P<0.05)；연구조술후3 d평균매일위액인류량、불량반응총발생솔급병발증총발생솔여대조조비교차이무통계학의의(P>0.05)。결론위암술후급여무부압자연인류위장감압효과교호，인류량여지속부압흡인위장감압상근，단가촉진환자강복，축단주원시간，가재림상추엄응용。
Objective To compare the effect of gastrointestinal function recovery of Gastric surgery treated Different ways Gastrointestinal decompression. Methods A total of 103 cases with gastric cancer patients were collected from May 2014 to April 2015 in our hospital for radical gastrectomy, all the patients were divided into two groups, there were 51 cases in the study group,all of them implemented no negative natural drainage decompression, there were 52 cases in the control group, all of them implemented continuous suction decompression. The postoperative gastric 3 d daily average drainage,postoperative recovery,adverse reaction rates and complication rates of two groups were com-pared. Results In the study group,the exhaust time,stomach retention time,postoperative hospital stay time were sig-nificantly shorter than the control group, the difference was statistically significant (P<0.05). There was no significant difference in 3d average daily gastric drainage, the overall incidence of adverse reactions and the overall incidence of complications between the study group and the control group (P>0.05). Conclusion After giving no negative gastric decompression better natural drainage, drainage and continuous suction decompression similar, but can promote the rehabilitation of patients,shorter hospital stay,clinical application can be in.