摘要
目的探讨下消化道手术废除胃肠减压并早期肠内营养治疗的效果。方法选取2010年1月-2013年12月收治的胃肠外科下消化道手术患者共210例为研究对象,按术前是否常规安置胃肠减压分为观察组（101例）与对照组（109例）。其中观察组在术前不安置胃肠减压,并在术后24 h开始进食流质饮食;而对照组患者则在术前常规安置胃肠减压,在术后肛门排气后,拔出减压装置,再给予流质饮食。比较两组患者的术后死亡率、术后住院时间、肛门排气时间及并发症情况。结果两组患者在术后死亡率、术后住院时间、肛门排气时间、吻合口漏发生率及其他并发症发生率方面比较,差别无统计学意义（p〉0.05）。结论下消化道手术废除胃肠减压对于患者的影响较小,对防止术后并发症无明显作用,可以尝试早期肠内营养治疗,以有利于患者的恢复。
Objective To investigate the clinical effect of lower gastrointestinal surgery without gastrointestinal decompression and early enteral nutrition therapy. Methods Hospitalized from January 2010 to December 2013 for lower gastrointestinal surgery,210 patients were divided into observation group（ n = 101） and control group（ n =109）. The patients in the observation group did not receive preoperative gastrointestinal decompression,and were fed with liquid diet in postoperative 24 hours. The patients in the control group were managed with routine preoperative gastrointestinal decompression,and pressure- relief devices were pulled out after the postoperative exsufflation,and then they were fed with liquid diet. The postoperative mortality,hospitalization time after operation,time for postoperative anal exsufflation and complications were compared between the two groups. Results The patients in the two groups showed no statistically significant difference in the postoperative mortality,hospitalization time after operation,time for anal exsufflation,the incidence of anastomotic leakage and other complications（ p〈0. 05）. Conclusion Lower gastrointestinal surgery without gastrointestinal decompression has small impact on patients and no obvious effect on preventing postoperative complications. Early enteral nutrition therapy can be applied to improve patient＇ s recovery.
出处
《现代医院》
2014年第11期80-81,共2页
Modern Hospitals
关键词
下消化道手术
胃肠减压
早期肠内营养治疗
Lower gastrointestinal surgery
Gastrointestinal decompression
Early enteral nutrition therapy
