本文關(guān)鍵詞：數(shù)字化音樂電胃腸多功能治療儀對食管癌術(shù)后患者早期胃腸功能恢復(fù)的效果研究　出處：《河北醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 食管癌 胃腸功能紊亂 治療分析 胃腸起搏器 胃腸動力

【摘要】：目的:探討數(shù)字化音樂電胃腸多功能治療儀對食管癌術(shù)后患者早期胃腸功能恢復(fù)的影響。方法:選取2016年1月至2016年12月在河北省某三級甲等醫(yī)院胸外科住院處符合標(biāo)準(zhǔn)的患者100例,隨機分成對照組和治療組,每組50例患者。對照組:患者術(shù)后給予常規(guī)護理,禁食水,胃腸減壓,常規(guī)補液、抗炎治療、維持水電解質(zhì)平衡,鼓勵早期活動等措施。治療組:患者在常規(guī)護理的基礎(chǔ)上于術(shù)后第一天開始給予數(shù)字化音樂電胃腸多功能治療儀進行治療。兩組通過對術(shù)后腸鳴音恢復(fù)時間、術(shù)后首次排氣時間、術(shù)后首次排便時間、術(shù)后胃液引流量、術(shù)后胃管拔除時間、術(shù)后吻合口瘺以及住院時間的具體表現(xiàn)來進行評價比較,同時應(yīng)用漢密爾頓抑郁量表對兩組患者進行心理因素調(diào)查,觀察兩組患者手術(shù)后的心理變化,并分析數(shù)字化音樂電胃腸多功能治療儀的治療效果。結(jié)果:共有95例患者完成了本研究,對照組47例,治療組48例,兩組患者在年齡、性別、手術(shù)時間及手術(shù)中失血量進行比較差異無統(tǒng)計學(xué)意義。手術(shù)后對照組患者術(shù)后腸鳴音恢復(fù)時間為15.30±2.98小時,與治療組患者術(shù)后腸鳴音恢復(fù)時間12.11±2.66小時比較明顯偏長;手術(shù)后對照組患者術(shù)后首次排氣時間為33.15±3.58小時,與治療組患者術(shù)后首次排氣時間26.27±3.32小時比較明顯偏長;手術(shù)后對照組患者術(shù)后首次排便時間為102.88±10.75小時,與治療組患者術(shù)后首次排便時間87.67±9.94小時比較明顯偏長;手術(shù)后對照組患者術(shù)后胃液引流量為1530±91.76毫升,與治療組患者術(shù)后胃液引流量923.6±112.41毫升比較明顯偏多;手術(shù)后對照組患者術(shù)后胃管拔除時間為98.57±4.82小時,與治療組患者術(shù)后胃管拔出時間78.82±6.03小時比較明顯偏長;手術(shù)后對照組患者住院時間為14.70±0.55天,與治療組患者住院時間12.63±0.53天比較明顯偏長;術(shù)后對照組出現(xiàn)了2例吻合口瘺患者,治療組中出現(xiàn)了1例吻合口瘺患者,兩組患者經(jīng)保守治療后痊愈,對照組與治療組比較出現(xiàn)吻合口瘺的例數(shù)無明顯差異;兩組患者在治療后進行了心理狀態(tài)的評估,對照組中輕度抑郁狀態(tài)患者有3人,中度抑郁患者有10人,重度抑郁的患者有5人。治療組中輕度抑郁患者有2人,中度抑郁患者有4人,重度抑郁患者有2人。對照組與治療組比較中度和重度抑郁患者人數(shù)明顯偏高,Wilcoxon符號秩和檢驗結(jié)果表明兩組患者的心理狀態(tài)有統(tǒng)計學(xué)差異。結(jié)論:數(shù)字化音樂電胃腸多功能治療儀通過腸道起搏、足三里電針治療和心理狀態(tài)平復(fù)的治療能夠有效促進食管癌患者術(shù)后早期胃腸功能恢復(fù)。
[Abstract]:Objective: to investigate the effect of digital music electrogastroenteric multifunctional therapy instrument on the early recovery of gastrointestinal function in patients with esophageal carcinoma after operation. From January 2016 to December 2016, 100 patients who met the criteria in thoracic surgery department of a third class A hospital in Hebei province were selected. The patients in the control group were given routine nursing, fasting water, gastrointestinal decompression, routine fluid resuscitation, anti-inflammatory therapy and maintenance of water and electrolyte balance. To encourage early activity and other measures. Treatment group: patients on the basis of routine nursing on the first day after operation began to give digital music and gastrointestinal multifunctional therapy instrument. The two groups through the recovery time of postoperative bowel sounds. The first time of exhaust after operation, the time of first defecation after operation, the drainage of gastric juice after operation, the time of gastric tube extubation, the postoperative anastomotic fistula and the length of hospitalization were evaluated and compared. At the same time, Hamilton Depression scale was used to investigate the psychological factors of the two groups of patients, to observe the psychological changes of the two groups after surgery. Results: a total of 95 patients completed the study, 47 patients in the control group, 48 patients in the treatment group, two groups of patients in age and sex. There was no significant difference in the time of operation and the amount of blood lost during operation. The recovery time of bowel sound in the control group was 15.30 鹵2.98 hours after operation. Compared with the patients in the treatment group, the recovery time of the bowel sounds was 12.11 鹵2.66 hours after operation, which was significantly longer than that in the treatment group. The time of the first exsufflation in the control group was 33.15 鹵3.58 hours after operation, which was significantly longer than that in the treatment group (26.27 鹵3.32 hours). The postoperative first defecation time in the control group was 102.88 鹵10.75 hours, which was significantly longer than that in the treatment group (87.67 鹵9.94 hours). The postoperative gastric juice drainage volume in the control group was 1530 鹵91.76 ml, which was significantly higher than that in the treatment group (923.6 鹵112.41 ml). The extubation time of gastric tube in the control group was 98.57 鹵4.82 hours after operation, which was significantly longer than that in the treatment group (78.82 鹵6.03 hours). The hospitalization time of the patients in the control group was 14.70 鹵0.55 days after operation, which was significantly longer than that in the treatment group (12.63 鹵0.53 days). There were 2 cases of anastomotic fistula in the control group and 1 case in the treatment group. The two groups were cured after conservative treatment. There was no significant difference in the number of cases of anastomotic fistula between the control group and the treatment group. The psychological status of the two groups was evaluated after treatment. There were 3 patients with mild depression and 10 patients with moderate depression in the control group. There were 5 patients with severe depression. In the treatment group, there were 2 patients with mild depression, 4 patients with moderate depression and 2 patients with severe depression. The number of patients with moderate and severe depression in the control group was significantly higher than that in the treatment group. The results of Wilcoxon sign rank sum test showed that there was a statistical difference between the two groups in psychological state. Conclusion: digital music electrogastroenteric multifunctional therapy instrument through the intestinal tract pacing. Zusanli electroacupuncture and mental state therapy can effectively promote the early recovery of gastrointestinal function in patients with esophageal cancer.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.73

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