摘要
目的探讨远端胃癌根治手术时是否需常规留置鼻胃管。方法将108例胃窦癌患者随机分为两组,54例常规留置鼻胃管(A组),54例不常规留置鼻胃管(B组)。观察两组术后恢复情况及术后并发症,并对其进行比较分析。结果 B组比A组肛门恢复排气时间显著提前(P<0.05),两组术后胃瘫、切口感染、肺部感染、吻合口漏等并发症差异无统计学意义(P>0.05),A组咽喉疼痛较B组增多(P<0.01)。结论远端胃癌根治术中不常规放置鼻胃管是安全可行的。
Objective To investigate the security and feasibility with nonroutine gastrointestinal decompression after distal gasteetomy. Methods Fifty-four patients were received gastrointestinal decompression as control group （A group）, mean- while other fifty-four cases with nonroutine gastrointestinal decompression according fast track surgery assigned as the ex- perimental group （B group）. We compared the ratio of postoperative complications including throat ache, nausea, pulmonary infection, wound infection, anastomotic leak. Results Compared with 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 such as pulmonary infection, wound infection and anastomotic leak were no difference between two groups. There were few patients need to reinsertion of gastrointestinal decompression tube because of gastroplegia in two groups but no significantly difference （P 〉 0.05）. Conclusion Nonroutine gastrointestinal decompression after distal gastectomy has se- curity and feasibility.
出处
《中国现代医生》
2012年第14期148-150,共3页
China Modern Doctor
关键词
远端胃癌根治术
鼻胃管
胃肠减压
Distal gastectomy
Nasogastric tube
Gastrointestinal decompression
