下消化道切除吻合术应用胃肠减压46例临床分析

Clinical Analysis of 46 Cases of Gastrointestinal Resection and Anastomosis Application Under Decompression

目的探究下消化道切除吻合术应用胃肠减压是否具有临床意义。方法选取2013年1月-2014年3月在我院行下消化道切除吻合术的108例患者为研究对象,随机将其分为观察组和对照组,观察组下消化道切除吻合术后应用胃肠减压,对照组术后则未应用胃肠减压,而是将胃管拔除,比较两组各项临床指标和并发症发生情况。结果 108例患者手术后均痊愈出院。观察组进行胃液引流,有胃液排出;观察组术后出现并发症发生率为24.07%,对照组术后出现并发症发生率为9.25%,观察组并发症发生率明显高于对照组,差异具有统计学意义（P〈0.05）。结论下消化道切除吻合术后应用胃肠减压无太大临床意义,反而会增加并发症发生率,不利于患者术后恢复,临床上应尽量避免此项操作。

Objective To investigate the lower digestive tract resection anastomosis decompression is clinically significant. Methods Select January 2013 - March 2014 in our hospital for lower gastrointestinal resection and anastomosis of 108 patients for the study,were randomly divided into observation group and the control group,the group observed postoperative gastrointestinal resection and anastomosis decompression, the control group after decompression is not applied,but the tube removed,the clinical parameters were compared and complications were observed. Results 108 patients were cured after surgery. Observation group gastric drainage,there is juice discharge; observation group postoperative complication rate was 24.07% in the control group,postoperative complication rate was 9.25% in the observation group was significantly higher incidence of complications,the difference statistically significant （P〈0.05）. Conclusion Lower digestive tract resection anastomosis application decompression without much clinical significance,but will increase the complication rate is not conducive to postoperative recovery,this operation should be avoided in clinical practice.