肠道手术后不采用胃肠减压的临床研究  

A Clinical Study of Intestina, and Colorectal Surgery without NasogastricDecompression

作　　者：刘伟中[1] 张伟[1] 倪勇[1] 

机构地区：[1]江西省人民医院

出　　处：《现代诊断与治疗》1996年第4期206-207,共2页Modern Diagnosis and Treatment

摘　　要：目的探讨肠道手术后是否须常规胃肠减压。方法７９例肠道手术病人随机分为两组开展前瞩性临床研究。Ⅰ组３８例术后不插胃管，Ⅱ组４１例术前插胃管，术后胃肠减压至肠功能恢复。术后观察指标着重于有和无胃肠减压相关并发症和不适。结果两组病人术后腹胀、呕吐、切口裂开、吻合口漏和急性胃扩张发病率无显著性差异，而Ⅱ组肺部感染、吞咽疼痛、睡眠差、恶心等明显高于Ⅰ组。结论肠道手术后无须常规胃肠减压，安全可靠。ObJective To observe influence of in-testinal and colorectal surgery without nasogastricdecompression on complication and discuss the un-necessarity of the routine use of nasogastric decom-pression. Method A clinical prospectivel researchwas catried on. 79 patients were divided in-to two groups(G1 and G2).G1 group included 38 pa-tients without nasogastric decompression after opera-tion,In G2 group 41 patients had been given nasogas-tric decompression before operation,until their in-testinal function recovering normal.Results Therewas no significant difference between two groups inincidence of distention, vorniting,wound dehiscence,anastomostic leak and gastric dilatation,Rate of pul-monary infection,the pain of swallowingl nausea andsleepless were obviously higher in G2.ConclusionsIt is unnecessary to give routine nasogastric decom-pression on intestinal and colorectal operation.

关 键 词：肠道手术 小肠 结肠 外科手术 胃肠减压 

分 类 号：R656[医药卫生—外科学]