腹部手术前胃肠减压管插入长度的研究

The clinical study on dissmilar insertion length of gastrointestinal decompresstion tube for patients with abdominal operation

目的 探讨腹部手术前患者胃肠减压管插入的最佳长度。方法 将32 6例需行胃肠减压的腹部手术患者随即分成两组:对照组16 0例,胃肠减压管插入长度为5 0～5 5 cm,试验组16 6例,胃肠减压管插入长度为5 5～70 cm。结果 两组减压效果(包括胃液引流量、腹胀情况及肠蠕动恢复时间) ,术后主要并发症(包括反流性食管炎、肠梗阻、肺炎及刀口裂开) ,两组住院时间及费用均有极显著性差异(P均<0 .0 1)。结论 胃肠减压时胃管插入长度应由传统的5 0～5 5 cm延长到5 5～70 cm,不仅减压效果好,且利于手术野的显露及术后患者的恢复。

Objective To investigate the optimal depth of gastrointestinal decompression tube before abdominal operation.Methods 326 cases of gastrointestnal decompression with abdominal operation were randomly divided into control group(n=160) and experimental group(n=166),the insertion depth of gastrointestinal deconpression tube of which were 5~55cm and 55~70cm respectively.Results The effects of gastrointestinal decompression (gastric juice drainage,abdominal distension,recovery time of peristalsis),major complications (reflux esophagitis,intestinal obstruction,pneumonia,incision dehiscence),the hospitalization stay days and expenses have no significant difference between two groups(P<0.01).Conclusions Insertion depth of gastrointestinal decompression tube at 55~70cm may be beneficial to the appearance of operation field and postoperative recovery in patients with abdominal operation.