Savassi-Rocha P R, Conceicão S A, Ferreira J T, Diniz M T, Campos I C, Fernandes V A, Garavini D, Castro L P
Gastroenterology, Nutrition and Digestive Surgery Unit, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Surg Gynecol Obstet. 1992 Apr;174(4):317-20.
This prospective, randomized controlled trial was undertaken to evaluate the effect of tube decompression of the stomach after surgical procedure on the digestive tract. One hundred and nine patients were randomly allocated to postoperative treatment with (57 patients) or without (52 patients) nasogastric tubes. No significant differences were found between the two groups in the duration of hospitalization, time to begin peroral fluid intake, occurrence of hiccups, vomiting, nausea, parotiditis, nasal septum necrosis, anastomotic leak and wound dehiscence. Moreover, abdominal distension, pyrosis, otalgia, dysphagia, odynophagia and atelectasis occurred more often in intubated patients as shown by chi-square analysis of the data with Yates correction, with the level of significance at p = less than 0.05. Tube decompression of the stomach does not relieve intestinal paralysis after digestive operations. These data seem to indicate that the routine prophylactic use of a nasogastric tube is unnecessary in gastrointestinal operations.
这项前瞻性随机对照试验旨在评估手术后胃管减压对消化道的影响。109例患者被随机分为术后使用鼻胃管治疗组（57例患者）和不使用鼻胃管治疗组（52例患者）。两组在住院时间、开始经口摄入液体的时间、呃逆、呕吐、恶心、腮腺炎、鼻中隔坏死、吻合口漏和伤口裂开的发生率方面均未发现显著差异。此外，通过对数据进行Yates校正的卡方分析显示，插管患者腹胀、烧心、耳痛、吞咽困难、吞咽疼痛和肺不张的发生率更高，显著性水平为p<0.05。胃管减压并不能缓解消化手术后的肠麻痹。这些数据似乎表明，在胃肠道手术中常规预防性使用鼻胃管是不必要的。
