摘要
目的:探讨上消化道穿孔修补术不留置胃肠减压管并早期进食的安全性及有效性。方法:选择2009年1月-2011年1月上消化道穿孔行修补术病人66例,术后不留置胃管并早期进食33例作为观察组,对照组33例实施常规留置胃管,并于肛门排气后拔管、进食。观察两组病人的术后肠鸣音恢复时间、肛门恢复排气时间及恶心、呕吐、腹胀等并发症的发生率。结果:观察组较对照组的肠鸣音恢复时间及肛门排气时间均显著提前,恶心显著减少(P<0.01),呕吐和腹胀发生差异均无统计学意义(P>0.05)。结论:在上消化道穿孔行修补术中不留置胃肠减压管并早期恢复进食是安全可行的,有利于病人的快速康复。
Objective：To explore the repair of upper digestive tract perforation of nasogastric decompression tube and early oral feeding safety and effectiveness.Methods：From 2009 January to 2011 January of upper digestive tract in hole line repair in 66 patients,postoperative indwelling gastric tube and early oral feeding in 33 cases as the observation group,33 cases in the control group implemented routine indwelling gastric tube,and in the anal exhaust after extubation,eating.To observe two groups of patients with postoperative borborygmus recovery time,anal exhaust time and recovery of nausea and vomiting,abdominal distension and the incidence of complications.Results：The observation group than in the control group of intestinal peristaltic sound recovery when asked about anal exhaust time significantly ahead of schedule,nausea,significantly reduced（P0.01）,vomiting and abdominal distension of no significant difference（P0.05）.Conclusion：In the upper gastrointestinal tract in hole line repair of nasogastric decompression tube and early oral feeding is safe and feasible,is conducive to the rapid rehabilitation patients.
出处
《医学理论与实践》
2012年第4期379-380,共2页
The Journal of Medical Theory and Practice
关键词
消化道穿孔
修补术
胃肠减压管
效果
Gastrointestinal perforation
Repair
Gastrointestinal decompression
Effect
