腹部外科围手术期胃、尿管留置与术后患者恢复的关系  

The relationship of indwelling time of nasogastric and urinary catheters and patient’s recovery during operative period in abdominal surgery

作　　者：王一峰[1] 梁晓宇[1] 朱理玮[1] 

机构地区：[1]天津医科大学总医院普通外科,天津300052

出　　处：《天津医科大学学报》2008年第4期516-518,共3页Journal of Tianjin Medical University

摘　　要：目的:分析腹部外科中短时程手术围手术期胃、尿管留置时间与术后相关指标,指导术后胃、尿管留置。方法:回顾天津医科大学总医院2007年7月～2008年4月腹部外科病例,记录患者胃、尿管留置时间、排气时间、进食时间及术后住院时间。结果:患者术后住院时间与胃、尿管留置时间呈正相关。早期拔出胃管在排气时间和进食时间方面均早于常规拔出,尿路感染率与尿管留置时间呈正相关。结论:对于腹部外科手术,缩短胃、尿管留置时间,减少胃、尿管相关并发症的发生率,可减少患者住院时间,益于患者恢复。Objective： To study the relationship between the indwelling time of nasogastric and urinary tube and related indicators, and instruct the using of the tubes. Methods： The abdominal surgical cases between July 2007 and April 2008 from Tianjin Medical University General Hospital were collected for a retrospective study. The indwelling time of the nasogastric and urinary tube , exhaust time and the hospitalize time after surgery were record. Results： The indwelling time of the tubes and the length of hosnitalization after surgery were positively correlated. Compared with routine group, the patients who were earlier separated from nasogastric tube could exhaust and eat earlier. The patients who were separated from urinary tube had lower grequency of infections. Conclusion： In abdominal surgery, it is advised to shorten the indwelling time of the nasogastric tube and urinary catheter, because it can shorten the duration of hospitalization after surgery, reduce costs and lower the incidence of the tube-related complications.

关 键 词：胃管 尿管 住院时间 腹部外科学 应激 

分 类 号：R656[医药卫生—外科学] R619[医药卫生—临床医学]