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目的探讨全胃切除后不常规应用鼻胃管的可行性及安全性。方法哈尔滨医科大学附属肿瘤医院2009年1月至2010年1月将收治的63例胃癌手术病人随机分为两组,常规插管组(A组)和不常规插管组(B组),记录两组术后恢复情况和并发症。结果与A组相比B组未增加吻合口漏的发生率(P>0.05),两组术后肠鸣音恢复时间、排气时间、进食时间差异无统计学意义(P>0.05),而B组咽部不适感、肺炎、恶心呕吐的发生率低于A组(P<0.05)。结论全胃切除不常规应用鼻胃管对减少病人痛苦及并发症的发生率有重要意义。
Objective To investigate the feasibility and safety of nasogastric tube after total gastrectomy. Methods Totally 63 patients with gastric cancer admitted to Cancer Hospital Affiliated to Harbin Medical University from January 2009 to January 2010 were randomly divided into two groups: conventional intubation group (group A) and unconventional intubation group (group B) Two groups of postoperative recovery and complications. Results Compared with group A, the incidence of anastomotic leakage was not increased in group B (P> 0.05). There was no significant difference between the two groups in postoperative bowel sound recovery time, exhaust time and eating time (P> 0.05) The incidence of throat discomfort, pneumonia and nausea and vomiting in group B were lower than those in group A (P <0.05). Conclusion Total gastrectomy is not routine use of nasogastric tube in reducing the patient’s pain and complications of great significance.