目的 探讨直肠癌低位、超低位前切除并行横结肠预防性造口术后其并发症的护理对策。 方法 对2011年12月－2012年5月收治的43例低位直肠癌行预防性横结肠造口患者的临床资料进行回顾性分析，并就其发生并发症的原因及护理方法予以总结。 结果 43例患者均在直肠癌前切除术后行预防性横结肠袢式造口术。术后拔管时间2～5 d，造口排气时间19～73 h，均未出现吻合口瘘，但发生造口脱垂1例，造口回缩1例，造口周围皮肤疾病2例，经积极治疗护理后均痊愈出院。 结论 术后精心护理对降低横结肠造口术后并发症，提高患者生活质量，改善预后十分重要。
Objective To analyze clinical value of early enteral nutrition following radical resection of gastric cancer. Methods Seventy-six patients with gastric cancer underwent radical resection from May 1, 2016 to July 1, 2016 in the West China Hospital of Sichuan University were included according to the inclusion criteria and exclusion criteria, then were randomly divided into observation group (36 cases) and control group (40 cases). The patients in the observation group received the enteral nutrition on day 2 following the surgery, in the control group received the conventional management. The gastrointestinal recovery and the adverse reaction were compared in these two groups. The preoperative and postoperative laboratory indicators and the body weight of the patients in both groups were analyzed. Results ① The general data such as age, gender, and body weight had no significant differences in these two groups (P>0.05). ② The first anus exhaust time and the first defecation time of the observation group were significantly shorter than those of the control group (P<0.05). ③ The adverse reaction rate of the observation group was significantly lower than that of the control group (P<0.05). ④ On admission, the serum albumin, urea nitrogen, creatinine, and lymphocyte count had no significant differences in these two groups (P>0.05). On day 5 after the operation, the serum albumin of the observation group was significantly higher than that of the control group (P<0.05). ⑤ The body weight had no significant difference in these two groups before the operation (P>0.05), which in the observation group was significantly heavier than that of the control group on day 30 after the operation (P<0.05). Conclusion Preliminary results of limited cases in this study show that early enteral nutrition following radical resection of gastric cancer is safe and effective, it could promote gastrointestinal function resumption and effectively improve nutritional status.