Schwartz C I, Heyman A S, Rao A C
Department of General Surgery, Wyckoff Heights Medical Center, Brooklyn, NY, USA.
South Med J. 1995 Aug;88(8):825-30. doi: 10.1097/00007611-199508000-00006.
To evaluate the need for routine prophylactic nasogastric tube decompression following gastrointestinal surgery, we retrospectively reviewed the cases of 177 patients. The patients were classified as those not receiving nasogastric tubes, those whose tubes were removed within 48 hours postoperatively, and those whose tubes remained for more than 48 hours. No significant differences were noted in duration of hospital stay, time for return of adequate bowel function, or time before beginning an oral diet. Further, there were no differences in the frequency of wound complications, anastomotic leakage, or mortality. Patients without tubes had no greater incidence of vomiting, and despite a more frequent occurrence of abdominal distention and nausea, only 8% required insertion of a tube for persistent symptoms. Intubated patients had a greater frequency of respiratory complications. The results indicate that routine prophylactic use of nasogastric decompression is unnecessary and may be safely eliminated in patients having gastrointestinal surgery.
为评估胃肠手术后常规预防性鼻胃管减压的必要性，我们回顾性分析了177例患者的病例。患者被分为未接受鼻胃管的患者、术后48小时内拔除鼻胃管的患者以及鼻胃管留置超过48小时的患者。在住院时间、肠道功能恢复时间或开始经口饮食的时间方面，未观察到显著差异。此外，伤口并发症、吻合口漏或死亡率的发生率也无差异。未留置鼻胃管的患者呕吐发生率并不更高，尽管腹胀和恶心的发生率更高，但只有8%的患者因持续症状需要插入鼻胃管。留置鼻胃管的患者呼吸并发症发生率更高。结果表明，胃肠手术患者常规预防性使用鼻胃管减压并无必要，可安全取消。
