小儿先天性心脏病术后早期置胃管对胃肠道并发症发生的影响

The effect of early placed gastric tube after the operation on gastrointestinal complication in children patinets with congenital heart disease

目的:探讨小儿先天性心脏病术后早期留置胃管对胃肠道并发症发生的影响。方法:将66例先天性心脏病患儿随机分为观察组与对照组。观察组36例在患儿术后入ICU同时放置胃管,行间断减压及排气,至拔除气管插管后无明显胃肠道并发症后再拔除胃管;对照组30例患儿做常规处理,不留置胃管。结果:观察组患儿恶心、呕吐、腹胀和应激性溃疡等胃肠道并发症的发生率低于对照组,两组比较有显著性差异(P<0.01?。结论:小儿先天性心脏病术后早期置胃管可降低胃肠道并发症的发生率,促进患儿术后恢复。

Objective：To research the effect of early placed gastric tube after the operation in children with congenital heart disease how to affect the gastrointestinal complication of gastrointestinal complications. Methods：66 children patients with congenital heart disease were randomly divided into the observation group （36 cases） and the control group （30 cases）. The children in the observation group were placed gastric tube while they were sent into the ICU after the operation,had intermittent decompression and exhaust. To remove the gastric tube if the children had no significant gastrointestinal complications after removing the trachea spiles.The children in control group had conventional treatment,no indwelling gastric tube.Results：The incidence of gastrointestinal complications such as nausea,vomiting,abdominal distension and stress ulcer and so on in the children of observation group were more lower than that in the control group.The two groups had significant difference（P0.01）.Conclusion：Early placed gastric tube after the operation in children with congenital heart disease can reduce the incidence of gastrointestinal complications to promote postoperative recovery of the children.