摘要
目的探讨胃癌全胃切除术后不置胃管的安全性和可行性。方法 160例胃癌患者随机分成置胃管组和不置胃管组,对两组术后肠功能恢复时间、进食时间、下床活动时间、腹胀、呼吸道感染、吻合口瘘等因素进行分析。结果不置胃管组肠功能恢复时间短、术后进食时间早,差别具有统计学意义(P<0.05);不置胃管组术后咽喉疼痛、恶心呕吐、肺部感染发生率低,两组差别具有统计学意义(P<0.01);两组术后吻合口瘘、腹胀发生的差别无统计学意义(P>0.05)。结论胃癌全胃切除术后不置胃管是安全可行的,不置胃管可减少术后并发症,有利于术后恢复。
Objective To explore the. feasibility without nasogastric tube placement in Gastric cancer surgery. Methods 160 cases of gastric cancer were randomly divided into two groups： nasogastric tube placement and without nasogastric tube placement. Postoperative recovery of gastrointestinal function of time, eating time, and getting out of bed time, abdominal distension, lung infection, anastomotic leakage and other factors were analyzed. Results Without nasogastric tube placement got rapid recovery of intestinal function, eating time earlier （P 〈 0. 05 ） ; and that sore throat, nausea, vomiting, low incidence of lung infection （ P 〈 0. 01 ）, but postoperative anastomotic leakage, abdominal distension was no significant difference occurred （ P 〉 0. 05）. Conclusions Without nasogastrie tube decompression after total gastrectomy for gastric cancer is safe and feasible, can reduce postoperative complications and accelerate the postoperative recovery.
出处
《齐齐哈尔医学院学报》
2013年第2期297-298,共2页
Journal of Qiqihar Medical University
基金
合肥市科技局重大课题(2008-46
2010-25)
关键词
胃癌
全胃切除术
胃管
Gastric carcinoma
Total gastrectomy
Nasogastric tube
