胃液胆汁返流与鼻胃管拔除时机的关系探讨

目的准确判断病人的胃肠道功能恢复状况 ,选择最佳的拔除胃管时机 ,提高拔管成功率。方法选择我院普通外科住院的粘连性肠梗阻、腹腔炎症所致的肠梗阻、肠道肿瘤所致的肠梗阻病人以及行胃肠手术而留置胃管的病人 1 0 0例 ,进行随机分组 ,5 0例为对照组 ,采用传统方法 ;5 0例为实验组 ,通过监测胃液常规的胆红素水平 ,了解胃液中胆汁返流的情况 ,来判断病人胃肠道功能的恢复情况 ,以决定拔除胃管的时机。结果实验组 :采用监测胃液中胆红素水平指标判断拔管时机 ,拔管成功率为 94 % ;对照组采用传统方法 ,拔管成功率为 80 % ,差异有显著性意义 (P <0 0 5 )。结论胃液胆红素水平表达了胃肠功能的恢复状态 ,应用胃液常规检测病人胃液中胆红素水平 ,可以准确地判断肠梗阻病人和胃肠手术病人胃肠道通畅程度及功能恢复状况 ,确定拔管的最佳时机 ,提高拔管成功率 ,减轻病人的痛苦 ,降低治疗费用 ,提高护理质量 ,具有临床实用价值

To discuss the relation between the reflux of gastric Juice or bile and the time of removing stomach tube

Objective To accurate judge the state of gastrointestinal function,select the best time to remove the stomach tube and improve success rate. Methods Selecting one hundred cases of intestinal obstruction which caused by adhesion,inflammation of abdominal obstruction which caused by adhesion,inflammation of abdomiral cavity,cancer of intestinal and after operation of gastrointestinal,were divided randomly into two group:control group( n =50) were adopted to traditiond method and treatment group( n =50) were adopted to judge the function regain of gastrointestinal by inspecting the level of Bilirubin in the gastric juice,thereby confirm the time of removing stomach tube.Results The success rate of treatment group(94%) were higher than control group(80%)( P <0.05).Conclusions The state of gastrointestinal function were mornitored by inspecting the level of bilirubin in gastric juice,accurate judge degree of gastrointestinal cobstructed and function regain,thereby confirm the best time of removing stomach tube so as to improve the success rate.It is of clinical value to decrease the suffering and cost of the patients and improve the quality of mursing.