创伤患者剖腹术后胃管拔除时机的探讨  

A Prospective Trial of Early Removal of Nasogastric Tubes in Trauma Patients Having Emergency Celiotomy

作　　者：靳宁 罗敏生 叶毅 

机构地区：[1]深圳市南山区西丽医院外科,广东深圳518055

出　　处：《长江大学学报（自科版）（下旬）》2008年第1期20-21,共2页Journal of Yangtze University

摘　　要：目的:比较创伤患者行急诊剖腹术后早期(24 h)拔除鼻胃管与根据临床上肠功能恢复后拔管,以探讨拔管时机。方法:分析2002年4月至2006年10月共143例因外伤行急诊剖腹术的患者,随机分为观察组和对照组,观察组于术后24 h拔除胃管,对照组则当排便以及胃管引流量减少时拔管。结果:胃管拔除的失败率:观察组失败率总计4.7%,对照组6.2%,全部患者的失败率为5.5%;损伤严重度评分、死亡率以及实验室数据差异无统计学意义,结论:大多数损伤患者在不考虑损伤严重度情况下,24 h内拔除胃管是相对安全的,在钝性损伤中放置更久的胃管尚需要更多外科病例数据的研究结果。Objective:To compare early(24-hour) removal of nasogastric tubes(NGTs) in trauma patients who have undergone emergency celiotomy with removal of nasogastric tubes based on clinical signs of return of bowel function. Method:All trauma patients who underwent emergency celiotomy from April 2002 to October 2006 were randomized into 24-hour NGT removal,or removal when flatus was decreased.Results:Overall failure rate for the study group was 4.7 percent versus 6.2 per cent for the control group.Overall failure for all patients in the study was 5.5 per cent.Injury severity score,morbidity,and lab values were not significantly different in both groups.Conclusion:It is safe to remove NGT in 24 hours for most trauma patients regardless of the severity of injury.Having an NGT longer in blunt trauma remains to be further studied.

关 键 词：腹部创伤 鼻胃管 剖腹术 

分 类 号：R64[医药卫生—外科学]