CAJ | 학술논문

目的：研究早期拔除胃管并早期进食对结直肠癌病人术后恢复的影响。方法将120例择期结直肠手术患者,随机分为对照组和观察组,每组各60例。对照组按照常规于患者肛门排气后拔除胃管并进食流质,观察组则于术后第1天拔除胃管并早期恢复流质饮食。观察比较两组患者术后恢复情况、并发症的发生情况及患者的舒适度。结果观察组的肛门排气时间缩短、首次下床活动时间提早(P<0.01),72 h 腹胀减轻(P<0.05),与对照组相比,差异有统计学意义；两组切口裂开/感染、吻合口瘘发生情况比较,差异无统计学意义(P>0.05)；而恶心呕吐、咽喉部疼痛、咳嗽、咳痰、肺部并发症的情况比较,差异有统计学意义(P<0.01)；两组舒适度比较,差异有统计学意义(P<0.01)。结论留置胃管不能减少术后切口裂开、吻合口瘘的发生,相反与留置胃管直接有关的并发症如：恶心呕吐、咽喉部疼痛、咳嗽、咳痰、肺部并发症等却发生较多。而早期拔除胃管并早期进食,能促进肠功能恢复,减轻患者的痛苦。
목적：연구조기발제위관병조기진식대결직장암병인술후회복적영향。방법장120례택기결직장수술환자,수궤분위대조조화관찰조,매조각60례。대조조안조상규우환자항문배기후발제위관병진식류질,관찰조칙우술후제1천발제위관병조기회복류질음식。관찰비교량조환자술후회복정황、병발증적발생정황급환자적서괄도。결과관찰조적항문배기시간축단、수차하상활동시간제조(P<0.01),72 h 복창감경(P<0.05),여대조조상비,차이유통계학의의；량조절구렬개/감염、문합구루발생정황비교,차이무통계학의의(P>0.05)；이악심구토、인후부동통、해수、해담、폐부병발증적정황비교,차이유통계학의의(P<0.01)；량조서괄도비교,차이유통계학의의(P<0.01)。결론류치위관불능감소술후절구렬개、문합구루적발생,상반여류치위관직접유관적병발증여：악심구토、인후부동통、해수、해담、폐부병발증등각발생교다。이조기발제위관병조기진식,능촉진장공능회복,감경환자적통고。
Objective To explore the effect of early extubation and early diet on postoperative recovery of pa-tients with colorectal cancer surgery. Methods 120 cases of selective colorectal operation patients were randomly divid-ed into control group and observation group, 60 cases in each group. Patients in the control group were treated with extu-bation and fluidity after anal exsufflation, in the observation group were treated with early fluidity diet at postoperative 1 day extubation. Postoperative recovery, complications and patient comfort were observed and compared between the two groups. Results Compared with control group, anal exhaust time shortened, the first ambulation time was in advance (P<0. 01) 72 h distension weaken (P<0. 05), there were significant differences between the two groups. There were no significant differences in incision dehiscence / infection, anastomotic leakage between the two groups (P>0. 05) . There were significant differences in nausea and vomiting, throat pain, cough expectoration, pulmonary complications between the two groups (P<0. 01) . There was significant difference in degree of comfort between the two groups (P<0. 01) . Conclusions Indwelling gastric tube can reduce postoperative wound dehiscence, anastomotic leakage, in contrast with indwelling gastric tube directly related complications such as: nausea and vomiting, throat pain, cough, expectoration, pulmonary complications are more frequent. Early extubation and early oral feeding can promote the re-covery of intestinal function and reduce the pain of patients.