's prevention and health care of nursing of postoperative obstinate hiccup of gastric carcinoma

's prevention and health care of nursing of postoperative obstinate hiccup of gastric carcinoma
Gastric carcinoma is mankind's most common tumour, take the first place of all tumours. The mortality of gastric carcinoma of our country occupies the first place of the mortality of malignant tumour. Gastric carcinoma have illness coming on man to be many than women, men and women than 2.2- 3.6: 1, Age of good hair is 41- 60 years old. The whole gastrectomy and stomach excise, need, hold stomach tube while being postoperative mostly. Frequent hiccup can cause the stomach tube to deviate from after patient's operation, violent diaphragm myospasm can influence the wound to heal. Long-term hiccup can hinder the patient from eating and sleep, it is in poor health to cause, even threaten the life. Successive fast hiccup can cause atrio-ventricular block, can present A - Sri Lankan's syndrome later. In order to prevent and cure hiccup effectively, has observed and attended to postoperative 184 gastric carcinomas patient who moves in my department, will fruit in the report as follows now:
A clinical materials
1. A 184 gastric carcinoma operation patients that general materials our department accepted for medical treatment from February of 1999 to March of 2001, among them the whole stomach excises 72 (54 men, 18 women) ,The stomach excises 112 (82 men, 30 women) mostly ; 29-83 years old. Hold the stomach tube while being postoperative, among them 34 cases of hiccup take place, accounts for 18.5%, 29 men, 5 women. 18 cases of hiccup take place in 72 that the whole stomach excises, incidence is 25%. The stomach is excised mostly 16 cases of hiccup take place in 112, incidence is 14.3%, hiccup take place on postoperative 2- 3 day more, have not made treatment or the good one hiccup sustainable above 72h of curative effect, is closed by neostigmine, vitamin B1, 1.5 kilometers of points of Procaine foot, can relieve within short time, there is not one that recur.
1. 2 methods divide 34 of hiccup take placing into 2 groups, 14 for one, adopt atropine 0.5mg intramuscular injection, observe 72h, records the symptom change, 20 for another group, adopt Procaine 2ml, neostigmine 2ml, vitamin B1100mg to inject the point on 1.5 kilometers of feet, dual side inject half quantity each, make under the needle having sour rough aching, bloated etc., feeling, observe 72h record symptom change.
2 results
14 are treated a patient 30min symptom by the atropine and relieved 3, the number of 1h person who relieves symptom is 4, the number of the person who relieves symptom is 2 after 2h, other 5 are invalid, recur after 6 5hs in 9 patients relieving it, lasting above 72h. 20 are all relieved through therapeutic patient 30min symptom of the point, symptom totally disappears after 12h, observe 72h again, there is not one that recur.
3 is discussed
Hiccup whether one complicated nerve breathe phenomenon, Chinese medicine theory think diet section or the intersection of feeling and the intersection of will and strongly fragrant anger,etc. make the stomach Qi go against mainly. Modern medical science thinks hiccup is diaphragm myospasm, if healthy crowd takes food too fast, satiate or the intersection of food and subcooling, overheated excessively pungent getting drunk or drinking soda, can cause hiccup in a large amount. The temperature is changed, it can also initiate hiccup that the emotion factor is waited for. The operation patient of gastric carcinoma is different from the healthy crowd, operation stimulate, oppress fan to be absent-minded to hold the stomach tube and irritate coat of the stomach and postoperative pain directly after and diaphragm nerve and skill in the course, anxious,etc. can bring out diaphragm myospasm. The Western medicine treatment of hiccup is mainly to remove the cause of disease, use more atropines, stable etc. to solve convulsion and calm etc. to treat. But the intersection of Chinese medicine and point treat the intersection of hiccup and, have certain curative effect really, do it angry to stop the pain, while lowering and going against and adjusting, it is angry to pay the warm kidney, thus the kidney is firmly angry, the temper must rise, the stomach Qi must be lowered, the valve transfers Damien, hiccup is flat. The working technique is simple and convenient, the result arises fast, without side effect, it is difficult to recur, are worth popularizing and applying.
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