不留置胃管在腹腔镜结直肠癌手术中临床疗效的单盲对照研究

A single-blind controlled study of the clinical curative effect for non-gastrointestinal decompression in laparoscopic colorectal surgery

目的评价不留置胃管在腹腔镜结直肠癌手术中的临床应用疗效。方法采用单盲、前瞻性的研究方法把研究者分为试验组和对照组,通过疗效观察评定两组间的手术时间、术后胃肠功能恢复时间、不良反应、并发症及术后住院日。结果两组一般资料比较无显著差异,各自需要的手术时间、术后胃肠功能恢复时间及术后并发症等比较均无差异,试验组咽喉疼痛及咳嗽咳痰困难的发生率较对照组明显降低(分别为16.0%vs 77.7%和8.0%vs 50.0%,P<0.05),而恶心、呕吐及术后腹胀的发生率无差异(P>0.05)。结论围手术期不留置胃管在接受腹腔镜结直肠癌手术的患者中是安全、可行的。

Objective To estimate the curative effect of non-gastrointestinal decompression in laproscopic colorectal surgery. Methods By using the single-blind-random test and prospective study, 55 patients were divided into two groups, experimental group and matched group. The difference of operating time, gastrointestinal function recovery time, adverse effect, complication, average length of hospital stay between two groups were observed and evaluated. Results The difference of operating time, gastrointestinal function recovery time, adverse effect, complication, average length of hospital stay between two groups were not statistically significant （P〉0.05）. The incidence rate of sore throat and cough and expectoration difficulty after operation was significantly lower in the experimental group （the rate was respectively 16.0% vs 77.7% and 8.0% vs 50.0,P〈0.05）. However, The incidence rate of nausea and vomiting, abdom- inal distension was not statistically significant （P〉0.05）. Conclusion In the perioperative period of laproscopic colorectal surgery, non-gastrointestinal decompression appears to be security and feasible.