胃大部份切除术后残胃无力症的原因及治疗

目的:观察探讨胃大部份切除术后残胃无力症的原因,总结其临床治疗方法及治疗效果.方法:选取我院2009年2月～2011年2月胃大部份切除术后残胃无力症的患者32例,均经X线及相关检查诊断为功能性残胃无力症,随机分为观察组和对照组,对照组在对其发病原因进行综合性分析后对症给予胃肠外营养支持、胃肠减压等治疗,观察组在对照组常规治疗的基础上给予中医治疗,观察对比两组治疗效果.结果:经对症治疗后,32例患者术后在18～46d内症状基本消失,能恢复流质饮食,所有患者均痊愈出院,住院时间平均为31.5d,两组疗效对比差异显著(P＜0.05),具有统计学意义.结论:胃大部份切除术后残胃无力症的原因多以术后饮食改变、精神紧张、高龄、炎症刺激、糖尿病等为主要诱因,一旦经X线确诊后,应及时对症治疗,以保守治疗为原则,尽量缓解患者的精神紧张情绪、给予合理的胃肠外营养支持,避免采取手术治疗,加以中医辅助治疗能促进残胃功能恢复,具有重要的临床意义.

The Majority of Stomach Resection of the Remnant Stomach Causes and Treatment of Glanzmann

Objective:Summary of clinical treatment and treatment observation of gastric partial resection of gastric remnant after Glanzmann reason.Methods:32 cases of patients in our hospital from February 2009 to February 2011 the majority of stomach resection of the gastric remnant Glanzmann Glanzmann functional residual stomach,and were confirmed by X-ray and related diagnosis randomly divided into two symptomatic given parenteral nutritional support,gastrointestinal decompression treatment and control groups,control group comprehensive analysis of its causes in the observation group in the Chinese medicine treatment on the basis of the control group conventional treatment,observation of the two groups were compared therapeutic effect.Results:After symptomatic treatment,32 cases of patients 18 to 46 days symptoms disappeared,can recover the liquid diet,all patients were cured,the average hospital stay was 31.5 days,the two effects were compared significant differences(P<0.05),with statistical significance.Conclusion:The majority of stomach after resection of the gastric remnant Glanzmann causes more postoperative dietary changes,mental stress,old age,inflammation,diabetes,etc.as the main incentive,once diagnosed by X-ray,it is timely symptomatic treatment,a conservative treatment principle,try to ease the patient’s mental tension,given a reasonable parenteral nutrition support,to refrain from surgery,to traditional Chinese medicine adjuvant therapy for gastric remnant functional recovery,has important clinical significance.