Gut fanction study of simo decotion though nasojejunal nutrition treatment in early recovery of gastric cancer operation
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摘要:
目的探讨早期经鼻肠营养管给予四磨汤对胃癌术后患者胃肠功能恢复的影响。 方法将50例胃癌手术患者分为实验组和对照组各25例，实验组术后6 h开始每隔8 h经鼻肠营养管注入20 mL四磨汤，再用20 mL温生理盐水冲管；对照组术后6 h开始，每隔8 h经鼻肠营养管注入40 mL温生理盐水，比较两组患者术后肠鸣音恢复时间、肛门排气时间及腹胀发生率。 结果实验组肠鸣音恢复时间为22.96±4.69 h，肛门首次排气时间为36.64±4.19 h，均明显短于对照组的29.44±4.26 h、41.84±4.00 h（P < 0.01），实验组（1/25）腹胀发生率明显低于对照组（7/25）（P < 0.01）。 结论早期经空肠营养管给予四磨汤有助于胃癌术后肠功能的恢复。 Abstract:ObjectiveTo investigate the effect of Simotang given by nose jejunal nutrition tube on early recovery of gastrointestinal function in patients with gastric cancer. MethodsA total of 50 patients with gastric cancer after operation were divided into the Simotang group (25 cases) and the control group (25 cases). The patients in Simotang group were given 20 mL Simotang every 8 h and then given 20 mL saline to wash the tubes. The patients in control group were treated with 40 mL saline every 8 h. The bowel sound recovery time, the first anal exhaust time and the incidence of abdominal distension were compared between the groups. ResultsThe bowel sound recovery time (22.96±4.69 h) of the Simotang group was significantly shorter than the control group(29.44±4.26 h). The first anal exhaust time(36.64±4.19 h) of Simotang group was significantly shorter than the control group(41.84±4.00 h). Both the differences between 2 groups were statistically significant(P < 0.01). ConclusionEarly given Simotang by nose jejunal nutrition tube can benefit the recovery of gastrointestinal function in patients with gastric cancer after operation. -
Key words:
- gastric cancer /
- nasojejunal nutrition treatment /
- simo decotion /
- gat fanction
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表 1 两组患者术后肠鸣音恢复时间和首次肛门排气时间比较（n=25, x±s, h）
组别 肠鸣音恢复时间 肛门首次排气时间 实验组 22.96±4.69 36.64±4.19 对照组 29.44±4.26 41.84±4.00 t 5.11 4.49 P < 0.05 < 0.05 
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表 2 两组患者术后出现腹胀例数比较（例）
组别 腹胀 无腹胀 无腹胀 对照组 7（4） 18（21） 18（21） 实验组 1（4） 24（21） 24（21） 合计 8 42 42 P P < 0.05
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