胃肠道手术中不常规留置胃肠减压管并早期进食的临床应用研究

Chinese Journal of Practical Surgery ›› 2009, Vol. 29 ›› Issue (04) : 331-332.

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PDF(337 KB)
Chinese Journal of Practical Surgery ›› 2009, Vol. 29 ›› Issue (04) : 331-332.
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Abstract

None routine nasogastric decompression tube and early oral feeding in abdominal surgery WANG Jian-zhong*,JIANG Zhi-wei,BAO Yang,et al. *No.2 Department of General Surgery, the First Affiliated Hospital of Gannan Medical University, Ganzhou 341000, China Corresponding author: JIANG Zhi-wei, E-mail: surgery34@163.com Abstract Objective To investigate the security and feasibility with none routine nasogastric decompression tube and early oral feeding in abdominal fast track surgery. Methods 62 patients who accepted gastrointestinal operation were inserted nasogastric decompression tube as control group(A group), meanwhile other 58 with none routine nasogastric decompression tube and early oral feeding according fast track surgery rules as the experiment group(B group). We compared their time to flatus and the ratio of postoperative complications including throat ache, nausea, atelectasis, wound infection, pneumonia, anastomotic leak. Results To compared 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 were no difference between two groups. There were few patients need to reinsertion of nasogastric decompression tube because of atelectasis in two groups but no significantly difference(P>0.05). Conclusion None routine nasogastric decompression tube and early oral feeding in abdominal fast track surgery was safe and feasibility.

Key words

fast track surgery / nasogastric decompression tube / early postoperative feeding

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