结直肠癌腹腔镜手术不置胃管护理.doc

结直肠癌腹腔镜手术不置胃管护理.doc:..结直肠癌腹腔镜手术不置胃管护理汤妹娥(四川省成都市第五人民医院 611130)【摘要】目的探讨结直肠癌腹腔镜手术前不置胃管护理方法的可行性。方法选取96例结直肠癌患者,均进行腹腔镜手术治疗,其中40例手术前置胃管为对照组,56例手术前不置胃管为观察组。观察比较两组术后吻合口瘘、肛门排气、肺部感染、咽喉疼痛、恶心、呕吐、住院时间等的情况。结果观察组与对照组相比,住院时间和吻合口瘘的发生差异没有统计学意义(P>),但是,在肛门排气、肺部感染、咽喉疼痛、恶心、呕吐等方面,观察组显著优于对照组(P<)。结论不置胃管进行结直肠癌的腹腔镜手术,不会增加患者的胃胀气、胃内容物潴留等,而且更有利于患者的恢复,应逐渐推广应用。【关键词】结直肠癌不置胃管【中图分类号】 【文献标识码】A【文章编号】1672-5085(2014)19-0079-02[Abstract]objectiveStudythefeasibilitywithouthometubenursingmethodoflaparoscopicoperationforrectalcancerbefore。Weselected96casesofpatientswithcolorectalcancer,underwentlaparoscopicoperationinthetreatmentof40casesofpreoperation,thegastrictubeascontrolgroup,,paredbetweenthetwogroupsofpostoperativeanalexhaust,pulmonaryinfection,sorethroat,nausea,vomiting,hospitalizationtimeof。paredwiththeobservationgroupandthecontrolgroup,thehospitalizationtimeanddifferentanastomoticfistulahadnostatisticalsignificance(P>),but,intheanusexhaust,pulmonaryinfection,sorethroat,nausea,vomitingandsoon,theobservationgroupweresignificantlybetterthanthecontrolgroup(P<)oConclusionLaparoscopicoperationwithouthometubeforcolorectalcancerpatients,doesnotincreasethebloating,stomachcontentsretention,butalsomoreconducivetotherecoveryofpatients,shouldbegraduallypopularized【Keywords】colorectalcancer