数字化音乐电胃肠多功能治疗仪对食管癌术后患者早期胃肠功能恢复的效果研究

发布时间：2018-01-13 21:25

本文关键词：数字化音乐电胃肠多功能治疗仪对食管癌术后患者早期胃肠功能恢复的效果研究　出处：《河北医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探讨数字化音乐电胃肠多功能治疗仪对食管癌术后患者早期胃肠功能恢复的影响。方法:选取2016年1月至2016年12月在河北省某三级甲等医院胸外科住院处符合标准的患者100例,随机分成对照组和治疗组,每组50例患者。对照组:患者术后给予常规护理,禁食水,胃肠减压,常规补液、抗炎治疗、维持水电解质平衡,鼓励早期活动等措施。治疗组:患者在常规护理的基础上于术后第一天开始给予数字化音乐电胃肠多功能治疗仪进行治疗。两组通过对术后肠鸣音恢复时间、术后首次排气时间、术后首次排便时间、术后胃液引流量、术后胃管拔除时间、术后吻合口瘘以及住院时间的具体表现来进行评价比较,同时应用汉密尔顿抑郁量表对两组患者进行心理因素调查,观察两组患者手术后的心理变化,并分析数字化音乐电胃肠多功能治疗仪的治疗效果。结果:共有95例患者完成了本研究,对照组47例,治疗组48例,两组患者在年龄、性别、手术时间及手术中失血量进行比较差异无统计学意义。手术后对照组患者术后肠鸣音恢复时间为15.30±2.98小时,与治疗组患者术后肠鸣音恢复时间12.11±2.66小时比较明显偏长;手术后对照组患者术后首次排气时间为33.15±3.58小时,与治疗组患者术后首次排气时间26.27±3.32小时比较明显偏长;手术后对照组患者术后首次排便时间为102.88±10.75小时,与治疗组患者术后首次排便时间87.67±9.94小时比较明显偏长;手术后对照组患者术后胃液引流量为1530±91.76毫升,与治疗组患者术后胃液引流量923.6±112.41毫升比较明显偏多;手术后对照组患者术后胃管拔除时间为98.57±4.82小时,与治疗组患者术后胃管拔出时间78.82±6.03小时比较明显偏长;手术后对照组患者住院时间为14.70±0.55天,与治疗组患者住院时间12.63±0.53天比较明显偏长;术后对照组出现了2例吻合口瘘患者,治疗组中出现了1例吻合口瘘患者,两组患者经保守治疗后痊愈,对照组与治疗组比较出现吻合口瘘的例数无明显差异;两组患者在治疗后进行了心理状态的评估,对照组中轻度抑郁状态患者有3人,中度抑郁患者有10人,重度抑郁的患者有5人。治疗组中轻度抑郁患者有2人,中度抑郁患者有4人,重度抑郁患者有2人。对照组与治疗组比较中度和重度抑郁患者人数明显偏高,Wilcoxon符号秩和检验结果表明两组患者的心理状态有统计学差异。结论:数字化音乐电胃肠多功能治疗仪通过肠道起搏、足三里电针治疗和心理状态平复的治疗能够有效促进食管癌患者术后早期胃肠功能恢复。
[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 卤2.98 hours after operation. Compared with the patients in the treatment group, the recovery time of the bowel sounds was 12.11 卤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 卤3.58 hours after operation, which was significantly longer than that in the treatment group (26.27 卤3.32 hours). The postoperative first defecation time in the control group was 102.88 卤10.75 hours, which was significantly longer than that in the treatment group (87.67 卤9.94 hours). The postoperative gastric juice drainage volume in the control group was 1530 卤91.76 ml, which was significantly higher than that in the treatment group (923.6 卤112.41 ml). The extubation time of gastric tube in the control group was 98.57 卤4.82 hours after operation, which was significantly longer than that in the treatment group (78.82 卤6.03 hours). The hospitalization time of the patients in the control group was 14.70 卤0.55 days after operation, which was significantly longer than that in the treatment group (12.63 卤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.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73

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