经鼻型肠梗阻导管在术后早期炎性肠梗阻中的作用

Effect of via-nasal ileus tube in the treatment of early postoperative inflammatory small bowel obstruction

目的:探讨经鼻肠梗阻导管在术后早期炎性肠梗阻保守治疗中的作用。方法:将40例入院诊断为术后早期炎性肠梗阻的患者随机行经鼻肠梗阻导管(鼻肠管组,n=20)、鼻胃管(鼻胃管组,n=20)减压治疗,分别观察腹围、胃肠减压量、排气排便时间、气液平面消失时间,对结果进行分析比较。结果:经鼻型肠梗阻导管的腹围减少(15.5±5.2)cm较鼻胃管组(5.8±3.4)cm更明显,胃肠减压量(1036.5±258.8)ml/d较鼻胃管组(658±315.2)ml/d明显增多,排气排便时间(4.8±3.1)d和气液平消失时间(10.7±8.3)均较鼻胃管组排气排便时间(8.2±4.1)d和气液平消失时间(15.8±10.6)d明显缩短,差异有统计学意义(P<0.05)。结论:经鼻型肠梗阻导管在术后早期炎性肠梗阻中的保守治疗中较鼻胃管更具优势。

Objective To investigate the effect ol vianasal lleus tube m the conservative treatment oi early postoperative lntlammatory small bowel obstruction （EPISBO）. Method Total 40 patients of EPISBO were randomly managed with vianasal ilues tube （ n = 20） and with nasogastrie tube （n = 20）. Abdominal circumference ,gastrointestinal decompression amounts ,the passage time of flatus and the disap- pearing time of air fluid level was observed and compared. Results The ilues tube reduced patients＇ abdominal circumference more markly （ 15.5 ± 5.2） cm vs. （5.8 ±3.4） cm. The ilues tube had a more significant effect on draining digestive juice （ 1 036.5 ± 258. 8 ） ml/d vs. nasogastrie tube （658 ±315.2） ml/d, the passage time of flatus （4. 8 ± 3.1 ） and the disappearing time of air fluid level （ 10. 7± 8. 3 ） in the ileus tube group was more shorter than the time of flatus （ 8. 2 ± 4. 1 ） and disappearing time of air fluid level （ 15.8 ±10. 6） in the nasogatric tube group （ P 〈 0. 05 ）. Conclusion The ilues tube has a notably treatment effect to the patients with early postoperative inflammatory small bowel obstruction.