摘要
目的探讨全胃切除后不常规应用鼻胃管的可行性及安全性。方法哈尔滨医科大学附属肿瘤医院2009年1月至2010年1月将收治的63例胃癌手术病人随机分为两组,常规插管组(A组)和不常规插管组(B组),记录两组术后恢复情况和并发症。结果与A组相比B组未增加吻合口漏的发生率(P>0.05),两组术后肠鸣音恢复时间、排气时间、进食时间差异无统计学意义(P>0.05),而B组咽部不适感、肺炎、恶心呕吐的发生率低于A组(P<0.05)。结论全胃切除不常规应用鼻胃管对减少病人痛苦及并发症的发生率有重要意义。
Objective To investigate the security and feasibility with none routine use of the nasogastric tube after total gastreclomy.Methods Thirty-three patients accepted gastrectomy were inserted nasogastric decompression tube as control group(A group),meanwhile other 30 with none routine nasogastric decompression tube as the experiment group(B group).All the patieats were performed surgery for gastric cancer between January 2009 and January 2010 at the Tumor Hospital of Harbin Medical University.The ratio of postoperative complications and the state of postoperative recovery were compared.Results Compared with A group,the ratio of anastomotic leak was not increased in B group(P>0.05).The time to bowel sounds and time to flatus and intake time in two groups were with no significant difference^ > 0.05).While the ratio of throat unwell and pneumonia and nausea and vomiting in B group decreased(P < 0.05).Conclusion None routine use of the nasogastric tube after gastrectomy to reduce the incidence of pain and complications in patients are important.
出处
《中国实用外科杂志》
CSCD
北大核心
2011年第S1期16-17,共2页
Chinese Journal of Practical Surgery
关键词
鼻胃管
胃肠减压
全胃切除
并发症
nasogastric tube
gastrointestinal decompression
total gastrectomy
complication
