Olesen K L, Birch M, Bardram L, Burcharth F
Acta Chir Scand. 1984;150(3):251-3.
To evaluate the effect of tube decompression of the stomach after elective colorectal operations, 97 patients were randomly allocated to postoperative treatment with or without nasogastric tubes. Flatus passed earlier in the patient group without tubes. However, no significant differences were found between the two groups with respect to duration and severity of postoperative paralysis, as measured by occurrence and duration of nausea and vomiting, postoperative peroral fluid intake and time for defecation. The frequencies of postoperative complications were small in both groups and without any difference between groups. Tube decompression of the stomach does not relieve intestinal paralysis after elective colorectal operations. Tube decompression should be used only in patients with paralytic ileus.
为评估择期结直肠手术后胃管减压的效果，将97例患者随机分为术后使用或不使用鼻胃管的治疗组。未插胃管组患者排气更早。然而，根据恶心呕吐的发生情况和持续时间、术后经口液体摄入量和排便时间衡量，两组在术后麻痹的持续时间和严重程度方面未发现显著差异。两组术后并发症的发生率均较低，且组间无差异。择期结直肠手术后，胃管减压并不能缓解肠道麻痹。胃管减压仅应用于麻痹性肠梗阻患者。
