不同胃管处理方式对胃肠手术患者术后并发症和胃肠恢复的影响分析

Analysis of the effects of different gastric tube treatment on postoperative complications and gastrointestinal recovery of patients undergoing gastrointestinal surgery

目的:观察胃肠手术患者术后采取不同胃管处理方式对于术后并发症进和胃肠功能恢复的影响。方法:将198例胃肠手术患者,分为四组:A组50例不常规留置胃管,B组50例常规留置胃管并于全身麻醉气管导管拔管前5 min拔除,C组49例常规留置胃管并于麻醉完全清醒后6 h拔除,D组49例常规留置胃管并于麻醉完全清醒后12 h拔除。分析四组患者胃肠功能恢复情况(首次排便、排气、肠鸣音恢复时间)与并发症发生率进行比较。结果:四组患者胃肠功能恢复时间由短至长依次为A组、B组、C组、D组,术后并发症由少至多依次为A组、B组、C组、D组,各组组间相比差异具有统计学意义(P<0.05)。结论:对于胃肠道手术患者而言,缩短留置胃管时间,可有效缩短胃肠功能恢复时间,降低术后并发症发生率,效果理想。

Objective To observe the effect of different gastric tube treatments on postoperative complications and gastrointestinal recovery in patients undergoing gastrointestinalsurgery.Method198 cases of gastrointestinal surgery patients were divided into four groups,50 cases in group Awere not routine indwelling gastric tube,50 cases in B group and conventional indwelling gastric tube to general anesthesia tracheal extubation before removal of 5min,C group of 49 casesand conventional indwelling gastric tube anesthesia completely awake after 6 h extraction group D,49 cases of conventional indwelling gastric tube and anesthesia completely awake after 12 h extraction.Of the four groups of patients with gastrointestinal recovery(first defecation,the time of borborygmus)compared the incidence rate and complications.Results Four groups of patients with gastrointestinal function recovery time from short to long were A,B,C and D groups.Postoperative complications werefrom A to B,C and D groups.The difference between the two groups was statistically significant(P<0.05).Conclusion For patients with gastrointestinal surgery,shortening the timeof indwelling gastric tube can effectively shorten the recovery time of gastrointestinal tract and reduce the incidence of postoperative complications,and theeffect is ideal.