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Evaluation of clinical necessity of gastrointestinal decompression after excision and anastomosis of lower digestive tract
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 3
- DOI:
- 10.3760/cma.j.issn.1671-0274.2005.03.004
- Key Word:
- 胃肠减压;下消化道;吻合术 ,外科
Abstract： 目的评价术后应用胃肠减压在下消化道手术中的必要性.方法将 368例下消化道切除吻合术患者随机分为术后胃肠减压组与术后无胃肠减压组,比较两组的临床治疗效果及并发症发生情况.结果减压组术后每天胃液量 10～ 520 ml,第 1天低于术后第 2、 3天.术前、术后平均腹围两组间差异无统计学意义( P >0.05),但两组术前腹围均小于术后( P< 0.001).两组肛门排气排便时间差异无统计学意义( P >0.05).减压组并发症发生率 (28 0% )明显高于无减压组( 8.2% ), P< 0.001, 其中咽喉炎发病率达 23.1%.术后平均住院天数两组间差异无统计学意义( P >0.05).结论下消化道切除吻合手术后不置胃肠减压更有利于患者的恢复.
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