摘要
目的探讨食管、贲门癌术后留置胃肠减压时间与吻合口瘘发生、治愈间的关系,同时找出较合适的胃肠减压时间,以降低食管、贲门癌术后吻合口瘘的发生率及已经发生吻合口瘘的治愈率。方法按入院时间先后顺序,分为观察组与对照组。观察组胃肠减压时间7-10d,重点观察胃肠减压液色、质、量,查胃液常规、pH值,了解胃-食管返流情况。对照组遵医嘱术后持续胃肠减压24-36h。结果观察组吻合口瘘发生率0.47%,明显低于对照组3.87%,两组经x2检验有显著差异(P<0.01)。观察组吻合口瘘治愈率100%。对照组治愈率61.05%明显低于观察组。结论适当延长胃肠减压时间,可明显降低食管、贲门癌术后吻合口瘘的发生率及提高已发生吻合口瘘的治愈率。同时这一技术不需特殊设备,不增加病人痛苦,简便实用、易推广。
Objective To explore the relationship between esophagus, time of retained gastric intestinal decompression after cardia cancer operation and occur of anastomose fistula and it's recovery time, to find out suitable time of decompression their treatment and prevention. Method Based on the time of hospitalization, the patients were randomly divided into observation and control groups. Gastric intestinal decompression was conducted for 7 -10 days, the color, quantity and quality of gastric intestinal fluid was observed, routine check and Ph measure was done also, gastric intestinal decompression was conducted for 24-36 h after operation. Result The occurrence rate of anastomose fistula in observation group was 0. 47%, there is significant difference compared with control group (3. 87%). (P<0. 01). The recover rate in observation group is 100%, it's higher than that of control group (61. 05%). Conclusion The occurrence rate of anastomose fistula could been reduced , and recovery rate improved by prolong the time of gastric mtestinal decompression after esophagus and cardia cancer operation. It's simple, painless, practicable and easy popularize.
出处
《护士进修杂志》
北大核心
2005年第7期591-592,共2页
Journal of Nurses Training
关键词
食管贲门癌
胃肠减压
吻合口瘘
Esophagus and cardia cancer Gastric intestinal decompression Anastomose fistula
