【摘要】 目的探讨下消化道手术废弃胃肠减压并术后早期进食的安全及有效性。方法对我院胃肠外科进入快速康复的下消化道手术患者共413例,按术前是否常规安置胃肠减压分为研究组(187例)及对照组(226例)。比较两组患者术后死亡率、吻合口漏发生率、肛门排气时间、呕吐、切口感染、肺部感染发生率及术后住院时间。结果两组患者在术后死亡率、肛门排气时间、呕吐、切口感染、吻合口漏发生率及术后住院时间等指标无明显差异。研究组的术后肺部感染率要低于对照组,P<0.05。结论下消化道手术废弃胃肠减压并术后早期进食是安全的。更多还原

【Abstract】 Objective To investigate the safety and effectiveness with none nasogastric decompression tube and early enteral nutrition support after lower gastrointestinal surgery.Methods 226 patients undergoing lower gastrointestinal surgery were inserted nasogastric decompression tube as control group,meanwhile other 187 with none nasogastric decompression tube and early oral feeding according fast track surgery rules as the experiment group.We compared their time to flatus,mortality,and the ratio of postoperative complications including nausea,wound infection,pneumonia,anastomotic leak.and hospital stay.Results The pneumonia of study group was lower than control group(P<0.05).And other postoperative complications were no difference between two groups.Conclusion None nasogastric decompression tube and early oral feeding after lower gastrointestinal surgery was safe and feasible.更多还原