浙江医学2017，Vol.39Issue(6)：466-468,492,4.DOI:10.12056/j.issn.1006-2785.2017.39.6.2016-1574
不放置胃管对腹腔镜手术结直肠癌患者术后恢复的影响
Postoperative recovery in colorectal cancer patients undergoing laparoscopic surgery without retaining nasogastric tube
王宗攀 1陈震宏1
作者信息
- 1. 324000 浙江中医药大学附属衢州市人民医院肿瘤外科
- 折叠
摘要
Abstract
Objective To assess the postoperative recovery in colorectal cancer patients undergoing laparoscopic surgery without retaining nasogastric tube.Methods Total 203 colorectal cancer patients undergoing laparoscopy in our hospital were enrolled in the study,including 99 patients without retaining nasogastric tube (study group) and 104 patients with retaining nasogastric tube (control group).The general conditions after surgery,levels of immune globulin and C-reactive protein (CRP),and postoperative complications were compared between two groups.Results The rates of preoperative discomfort,nausea,vomiturition and feeling of impending death were lower in study group than those in control group (all P＜0.05).The first borborygmus,first exhaust and first defecation were earlier,and the hospitalization expense was less in study group than those in control group (all P＜0.05).There was no significant difference in CRP level between two groups before operation (P ＞0.05),the CRP levels in control group at postoperative d1 to d4 were higher than those preoperative(all P＜0.05),and at postoperative d2 to d3 were lower than those in control group (P＜0.05).There are no statistically differences in levels of IgA,IgM and IgG between two groups before surgery (all P ＞0.05),the IgM and IgG levels in study group at postoperative d8 were higher than those in control group (all P＜0.05),but no difference in IgA level (P ＞0.05).The rate of insomnia was lower in study group than that in control group (P＜0.05),while there were no significant differences in rates of nausea,vomit,incision infection,pneumonia and bacteremia between two groups (all P ＞0.05).Conclusion It is little influence on postoperative recovery in colorectal cancer patients undergoing laparoscopic surgery whether nasogastric tube being retained,and decision can be made by assessing the age of patients and whether have gastroesophageal reflux.关键词
胃管置入/腹腔镜/结直肠癌/术后恢复Key words
Nasogastric tube/Laparoscopy/Colorectal carcinoma/Postoperation recovery引用本文复制引用
王宗攀,陈震宏..不放置胃管对腹腔镜手术结直肠癌患者术后恢复的影响[J].浙江医学,2017,39(6):466-468,492,4.
