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目的探究食管癌、贲门癌术后胃肠功能障碍的临床效果。方法选取2014年2月~2016年2月我院胸外科食管癌贲门癌手术后存在胃功能障碍的患者70例为研究对象,随机分为对照组和观察组,每组35例。对照组给予多潘立酮片,观察组则在对照组的基础上采取保守治疗,主要包括采取半卧位的姿势睡眠,禁食水,利用高渗盐水加激素洗胃,给予早期的营养物质供给等。两组患者的治疗周期均为2周。记录两组患者治疗前后的腹胀,纳差,恶心和早饱方面的评分和疗效指标。结果治疗后,观察组患者在腹胀,纳差,恶心和早饱方面的评分明显低于对照组,差异具有统计学(P<0.05)。观察组患者的临床有效率达到91.43%显著高于对照组的71.43%,差异具有统计学意义(P<0.05)。结论采取禁食,胃肠减压,肠内营养和心理辅导等措施有利于术后胃肠功能的恢复,且临床有效率高,值得临床推广。
Objective To investigate the clinical effect of gastrointestinal dysfunction after esophageal cancer and cardiac cancer. Methods Seventy patients with gastric dysfunction after esophagectomy and cardia cancer surgery in our hospital from February 2014 to February 2016 were selected as study subjects and randomly divided into control group and observation group with 35 cases in each group. The control group was given domperidone tablets. The observation group was treated conservatively on the basis of the control group, mainly including taking sleeping in semi-recumbent position, fasting water, gastric lavage with hypertonic saline plus hormone and early nutrient supply. The treatment period for both groups was 2 weeks. Record before and after treatment of two groups of patients with abdominal distension, anorexia, nausea and early full-score and efficacy indicators. Results After treatment, the scores of patients in the observation group in bloating, anorexia, nausea and early fullness were significantly lower than those in the control group (P <0.05). The clinical effective rate of the observation group reached 91.43%, which was significantly higher than that of the control group (71.43%), the difference was statistically significant (P <0.05). Conclusion The measures of fasting, gastrointestinal decompression, enteral nutrition and psychological counseling are conducive to the recovery of postoperative gastrointestinal function, and the clinical effective rate is worthy of clinical promotion.