不留置胃肠减压管并早期进食在上消化道穿孔修补术中的应用

目的: 探讨上消化道穿孔修补术时不常规留置胃肠减压管并早期进食的安全性及有效性。方法: 随机选取2008年2月至2010年9月上消化道穿孔行修补术患者28例作为观察组,术后不留置胃管并早期进食;2003年5月到2008年1月上消化道穿孔行修补术患者31例作为对照组,常规留置胃管,并于肝门排气后拔管、进食。比较2组患者术后肠鸣音恢复时间、肛门恢复排气时间及恶心、呕吐、腹胀等并发症发生率。结果: 观察组较对照组的肠鸣音恢复时间及肛门排气时间均显著提前,恶心显著减少(P < 0.01),呕吐和腹胀发生差异均无统计学意义(P > 0.05)。结论: 在上消化道穿孔行修补术中不留置胃肠减压管并早期恢复进食是安全可行的,有利于患者的快速康复。

Application of early feeding and no nasogastric tube decompression in upper gastrointestinal tract perforation repair

Objective：To investigate the safety and effect of early feeding and no nasogastric tube decompression in upper gastrointestinal tract perforation repair.Methods：Thirty-one cases of routine nasogastric decompression were selected randomly as control group,and 28 cases of early feeding and no nasogastric tube decompression selected as trial grpup.The recovery time of bowel sounds,rectal discharge,complication rates of nausea,vomiting,and distention were compared between the two groups.Results：The recovery time of bowel sounds and rectal discharge in trial group was much earlier than that in control group（P0.01）.Cases of vomiting and distention showed no statisticus difference in two groups（P0.05）.Conclusions：It is safe and benefictial for the patient′s quick recovery to apply early feeding without routine nasogastric decompression for upper gastrointestinal perforation repare.