摘要
目的评价综合疗法治疗右半结肠切除术后胃瘫的疗效。方法方便选取2015年5月—2017年2月,医院收治的右半结肠切除术后胃瘫患者66例入组,根据患者及其家属的意愿分组,对照组、观察组各入组33例。对照组安排禁食等常规治疗。观察组安排常规治疗基础上综合治疗,包括善宁、胃镜下安置导管、心理治疗、穴位按摩、针灸。对比症状改善以及康复情况,相关并发症发生情况。结果观察组腹胀消失、恶心消失、肠内营养支持开始、静脉营养支持停止时间分别为(15.6±1.6)h、(10.4±3.6)h、(3.2±1.1)d、(6.2±1.6)d低于对照组(24.4±1.5)h、(13.5±4.3)h、(4.4±1.6)d、(7.5±1.4)d,差异有统计学意义(t=8.42、5.11、2.97、3.10,P=0.000、0.000、0.025、0.015<0.05)。结论右半结肠切除术后胃瘫常规疗法疗效尚可,综合治疗可以加速康复,其可能适合那些病情较严重、并发症发生风险较高的对象。
Objective This paper tries to evaluate the efficacy of comprehensive therapy for gastric fistula after right hemicolectomy. Methods From May 2015 to February 2017, 66 patients with gastric cramps after right hemicolectomy were selected conveniently and admitted to the hospital. According to the wishes of the patients and their families, the control group and the observation group received 33 cases each. The control group arranged conventional treatments such as fasting.The observation group arranged comprehensive treatment on the basis of conventional treatment, including good acupuncture, catheter placement under gastroscope, psychotherapy, acupressure, and acupuncture. Contrast the improvement of symptoms and recovery, the occurrence of related complications. Results The bloating disappeared, the nausea disappeared,the start of enteral nutrition support and the time of venous nutritional support stop in the observation group were（15.6±1.6）h,（10.4 ±3.6）h,（3.2 ±1.1）d,（6.2 ±1.6）d, lower than that of（24.4 ±1.5）h,（13.5 ±4.3）h,（4.4 ±1.6）d,（7.5 ±1.4） days in the control group, respectively. The difference was statistically significant（t =8.42, 5.11, 2.97, 3.10, P =0.000, 0.000, 0.025, 0.015 0.05）. Conclusion The efficacy of conventional therapy for gastric fistula after right hemicolectomy is acceptable, and comprehensive treatment can accelerate recovery, which may be suitable for those subjects with severe disease and high complication risk.
作者
林庚
LIN Geng(Department of General Surgery,Fujian Provincial Hospital South Hospital（Fujian Provincial Jinshan Hospital）,Fuzhou,Fujian Province,350028 China)
出处
《中外医疗》
2018年第19期36-37,40,共3页
China & Foreign Medical Treatment
关键词
右半结肠切除术
胃瘫
综合治疗
Right colon resection
Stomach cramps
Comprehensive treatment
