| [OBJECTIVE]1To explore the effect of vacuum sealed drainage on the drainage of the gastric fluids, the recovery of gastrointestinal function, the incidence of discomfort and complications in gastric cancer patients after radical gastrectomy.2To explore the clinical value of the routine continuous gastrointestinal decompression.[METHODS]120gastric cancer patients who received radical gastrectomy in the gastroenterological department of Tianjin Medical University Cancer Institute and Hospital between May2010and May2011were divided into2groups randomly. Each group has60patients. The patients in the control group received routine continuous gastrointestinal decompression to drain the gastric juices, while the patients in the observation group received vacuum sealed drainage to drain the gastric juices after radical gastrectomy. There were no statistical significant differences between the two groups in gender, age, pathological stage, the scope of operation and postoperative enteral nutrition and other basic information (p>0.05). The variables shown in the following were compared postoperatively between the2groups, the amount of gastric juices the first, second, and the third day after the operation, bowel sound recovery time, time of first flatus, the indwelling time of gastric tube, the days of hospitalization., and discomfort symptoms, such as dry mouth, nausea, vomiting, abdominal distension, and complications, such as anastomotic leakage, intestional obstruction, wound infection, pulmonary infection, fever and pharyngitis. We used SPSS13.0to analyze the data.[RESULTS]The difference of the amount of gastric juices between the two groups of patients was statistical different on the day of surgery (p<0.05), the amount was more in the observation group than in the control group, which was40.04±39.99ml and54.63±41.71ml respectively. The differences of the amount of gastric juices between the two groups of patients were statistical different on the first3days after the surgery (p>0.05), the amount were less in the observation group than in the control group, which were59.87±42.99ml,79.63±69.87ml,90.13±133.41ml respectively in the observation group and72.01±53.77ml,99.37±89.66ml, and130.14±149.79ml respectively in the control group. The difference of the total amount of gastric juices between the two groups of patients was statistical different (p>0.05), the amount was less in the observation group than in the control group.There were significant differences in bowel sound recovery time, time of first flatus, the indwelling time of gastric tube, the days of hospitalization between the2groups. The time for these variables was much shorter in the treatment group than in the control group (p<0.05), which were19.44±7.49hours,74.68±2.57hours,3.62±1.34days and14.97±2.14days respectively in the observation group and29.07±9.83hours,87.58±2.40hours,5.05±1.68days and13.08±1.73days respectively in the control group.There were significant differences in dry mouth and abdominal distension between the2groups (p<0.05). The incidence rate were lower in the in the treatment group than in the control group, which was45%and85%respectively. There were no significant differences in nausea and vomiting between the2groups (p>0.05). The incidence rate were higher in the in the treatment group than in the control group, which was21.67%and85%respectively.The incidence rate of anastomotic leakage, would infection and intestinal obstruction is1.67%、5%、3.33%respectively in observation group, while3.33%、8.33%、6.67%respectively in control group, and there were no statistical differences (p>0.05). The incidence rate of fever, pulmonary infection and pharyngitis was6.67%、3.33%、3.33%respectively in observation group, while15%、10%、18.33%respectively in control group, and there were statistical differences (p<0.05).[CONCLUSION]1The vacuum sealed drainage used in gastric cancer patients after the radical gastrectomy can not affect postoperative gastric juices drainage.2The vacuum sealed drainage used in gastric cancer patients after the radical gastrectomy can accelerate the recovery of gastrointestinal function as a part of the gastric juices could enter into the gastric tube. It also can shorten hospitalization time, cut down the cost of patients.3The vacuum sealed drainage used in gastric cancer patients after the radical gastrectomy can reduce the postoperative complications such as dry mouth and thirsty. There were nausea and vomiting in these two groups of patients, the irritation of the gastric tube in the observation group was shorter than in the control group. It also can accelerate the recovery of gastrointestinal function and reduce postoperative abdominal distension.4The vacuum sealed drainage used in gastric cancer patients after the radical gastrectomy had nothing to do with the incidence of anastomotic leakage, would infection and intestinal obstruction, while it could reduce the incidence of fever, pulmonary infection and pharyngitis. |
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