胃肠道手术中不常规留置胃肠减压管并早期进食的临床应用研究  

None routine nasogastric decompression tube and early oral feeding in abdominal surgery

作　　者：王建忠[1] 江志伟[2] 鲍扬[2] 刘磊[2] 王刚[2] 冷强[2] 

机构地区：[1]赣南医学院第一附属医院普外二科,江西赣州341000 [2]南京军区南京总医院全军普通外科研究所,江苏南京210002

出　　处：《中国实用外科杂志》2009年第4期331-332,共2页Chinese Journal of Practical Surgery

摘　　要：目的探讨胃肠道手术快速康复外科中不常规留置胃肠减压管并早期进食的安全及可行性。方法随机选取南京军区南京总医院2006年11月至2007年12月胃肠道手术病人62例为胃肠减压组(A组),2008年1月至2008年6月病人58例为非胃肠减压并早期恢复进食组(B组)。比较两组病例术后肛门恢复排气时间,咽喉疼痛、恶心、急性胃扩张、切口感染、肺部感染、吻合口漏等术后并发症发生率。结果与A组相比B组肛门恢复排气时间显著提前(P<0.05),两组病人出现急性胃扩张、切口感染、肺部感染、吻合口漏等并发症发生率差异无统计学意义,但A组病人诉咽喉疼痛、恶心呕吐明显较B组增多(P<0.01)。两组均有发生急性胃扩张并发症而需重置胃肠减压管并禁食病例,但差异无统计学意义(P>0.05)。结论不常规放置胃肠减压管并早期恢复进食安全可行,有利于病人的术后康复。Objective To investigate the security and feasibility with none routine nasogastric decompression tube and early oral feeding in abdominal fast track surgery. Methods 62 patients who accepted gastrointestinal operation were inserted nasogastric decompression tube as control group（A group）, meanwhile other 58 with none routine nasogastric decompression tube and early oral feeding according fast track surgery rules as the experiment group（B group）. We compared their time to flatus and the ratio of postoperative complications including throat ache, nausea, atelectasis, wound infection, pneumonia, anastomotic leak. Results To compared A group the time to flatus was advanced in B group（P〈0.05）. While the ratio of throat ache and nausea in A group increased significantly（P〈0.01）. And other postoperative complications were no difference between two groups. There were few patients need to reinsertion of nasogastric decompression tube because of atelectasis in two groups but no significantly difference（P〉0.05）. Conclusion None routine nasogastric decompression tube and early oral feeding in abdominal fast track surgery was safe and feasibility.

关 键 词：快速康复外科 胃肠减压管 术后早期进食 

分 类 号：R6[医药卫生—外科学]