CAJ | 학술논문

目的：总结胃癌术后无胃肠减压管的应用经验。方法回顾性分析实施15例术后无胃肠减压管的择期胃癌手术患者的临床资料，术前宣教沟通、术前准备、术中及术后处理方法。结果14例顺利恢复，1例因营养不良未完全纠正发生吻合口瘘。术后平均首次肛门排气时间（48．7±16．4）h，首次排便时间（65．1±5．7）h，术后住院时间（12．4±3．1）d，术后发生恶心呕吐2例、腹泻2例，咽喉疼痛不适3例。结论胃癌术后无胃肠减压管可减少患者的应激损伤，改善术后体验，加快术后康复，并不增加术后并发症的发生率，安全可行。
목적：총결위암술후무위장감압관적응용경험。방법회고성분석실시15례술후무위장감압관적택기위암수술환자적림상자료，술전선교구통、술전준비、술중급술후처리방법。결과14례순리회복，1례인영양불량미완전규정발생문합구루。술후평균수차항문배기시간（48．7±16．4）h，수차배편시간（65．1±5．7）h，술후주원시간（12．4±3．1）d，술후발생악심구토2례、복사2례，인후동통불괄3례。결론위암술후무위장감압관가감소환자적응격손상，개선술후체험，가쾌술후강복，병불증가술후병발증적발생솔，안전가행。
Objective To sum up the experiences of the application of gastric cancer postoperative gastroin-testinal decompression tube.Methods Retrospectively analyzed the implementation of postoperative gastrointestinal decompression tube undergoing elective surgery.The clinical data of 15 cases of gastric cancer,preoperative education communication,preoperative preparation,intraoperative and postoperative treatment were analyzed.Results 14 cases recovered,1 case was not completely correct anastomotic fistula by malnutrition.The average for the first time the anus exhaust time was (48.7 ±16.4)h,for the first time defecation time was (65.1 ±5.7)h,postoperative length of hospi-tal stay was (12.4 ±3.1)d,postoperative nausea and vomiting occurred in 2 cases,diarrhea in 2 cases,sore throat discomfort in 3 cases.Conclusion Postoperative gastric cancer patients with gastrointestinal decompression tube can reduce stress damage,improve postoperative experience,accelerate the postoperative rehabilitation,does not increase the incidence of postoperative complications,it is safe and feasible.