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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

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【作者】 刘伟中张伟倪勇

【Author】 Liu Welzhong; Zhang Wei; Ni Yong;(Department of Surgery, Peope’s Hospital of Jiangxi Prouince,Nanchang 330006)

【机构】 江西省人民医院

【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。

【Abstract】 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.

  • 【文献出处】 现代诊断与治疗 ,MODERN DIAGNOSIS & TREATMENT , 编辑部邮箱 ,1996年04期
  • 【分类号】R656.7
  • 【被引频次】2
  • 【下载频次】47
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