胃肠减压与进食活动对膀胱全切回肠膀胱术后病人肠道功能恢复的影响

[目的]观察胃肠减压与进食活动对膀胱全切回肠膀胱术后病人肠道功能恢复的影响。[方法]将105例行膀胱全切回肠膀胱术的病人分为实验组(肛门排气后继续胃肠减压2d或3d、禁食)和对照组(肛门排气后即拔除胃管并进流质饮食),观察腹胀及肠梗阻的发生率。[结果]实验组肠梗阻的发生率低于对照组,P<0.01。[结论]肠道排气后适当延长胃肠减压及进食时间可降低肠梗阻的发生率。

Influence of gastrointestinal decompression and eating activity on recovery of intestinal tract function of patients after underwent total cystectomy and Bricker operation

Objective:To observe the influence of gastrointestinal decompression and eating on the postoperative patients after radical cystectomy and Bricker operation. Methods:105 patients were randomly divided into 2 groups.Group A remain gastrointestinal decompression 2 or 3 days and prohibit eating after recovery of gastrointestinal function.Group B remove gastric tubes and receive liquid food after recovery of gastrointestinal function. Results:The incidence of bowel obstuction of group A were significantly lower than those in controls(P<0.01). Conclusion:Properly prolong the time of gastrointestinal decompression and eating can reduce the incidence of bowel obstruction of patients.