Effect of different gastrointestinal decompression methods on recovery of gastrointestinal function in patients with gastric carcinoma after radical gastrectomy
10.3760/cma.j.issn.1008-6706.2016.15.038
- VernacularTitle:不同胃肠减压方式对胃癌根治术后患者胃肠功能恢复的影响比较
- Author:
Yibing FENG
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Surgical procedures,operative;
No negative pressure suction;
Sus-tained negative pressure suction;
Gastrointestinal function
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(15):2380-2383
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of continuous negative pressure suction and no negative pressure on functional recovery after radical gastrectomy for gastric cancer.Methods 100 patients with gastric cancer who underwent radical resection for gastric cancer from June to June 2011 were selected as the research objects,The patients were divided into observation group and control group according to the random number table method,the patients were divided into observation group and control group,50 cases.The observation group with no negative pressure continuous gastrointestinal decompression.In the control group,the negative pressure was used to attract the continuous gastrointestinal decompression,observation and comparison of the two groups of the day,2,3,1 days lead flow,Two groups were observed the recovery of gastrointestinal function (bowel sound,anal exhaust time,gastric tube indwelling time).And complications (infection,obstruction,anastomotic leakage,etc.).Results On the day,1,and 2 days after operation,the flow rate of the observation group was (41.6 ±29.67)mL,(62.1 ±39.67)mL,(96.78 ± 56.74)mL,which were significantly lower than the control group which were (55.8 ±31.23)mL,(75.3 ±42.16)mL, (96.78 ±56.74)mL,the differences were statistically significant (t =-2.63,-2.79,-2.40,all P <0.05).The observation group postoperative gastrointestinal function recovery was better than the control group,bowel sound,anal exhaust time (18.68 ±8.21 )h,(69.77 ±7.76)h,which were shorter than the control group (32.6 ±12.43)h, (90.26 ±8.86)h,And after gastric tube indwelling time and the postoperative hospitalization time was (3.43 ± 1.21)d,(12.04 ±1.53)d,shorter than those of the control group (5.56 ±1.76)d,(15.26 ±3.16)d,the difference was statistically significant (t =-2.29,-2.87,-2.60,-2.90,all P <0.05).Compared with the control group (18.0%,16.0%,14.0%),the observation group (6.0%,2.0%,2.0%)was lower in fever,sore throat and lung infection,the difference between the two groups was statistically significant (χ2 =4.82,6.99,4.23,all P <0.05). Conclusion No negative pressure drainage after radical gastrectomy for gastric cancer can promote the recovery of gastrointestinal function,shorten length of hospital stay,reduce the occurrence of postoperative complications,it is worthy of clinical popularization and application.
