Petrelli N J, Stulc J P, Rodriguez-Bigas M, Blumenson L
Department of Surgical Oncology, Roswell Park Cancer Institute, Buffalo, New York 14263.
Am Surg. 1993 Oct;59(10):632-5.
A prospective, randomized study was conducted to determine the need for nasogastric decompression following elective colorectal surgery for malignant and premalignant lesions. Seventy-seven consecutive patients were randomly assigned to one of two groups: Group 1--nasogastric decompression was maintained postoperatively until resumption of bowel function; Group 2--the nasogastric tube was removed in the recovery room. Forty patients were assigned to Group 1 (21 males, 19 females) and 37 to Group 2 (22 males and 15 females). Eleven patients in Group 1 (28%) developed nausea postoperatively, with six patients (15%) having an average of less than two emeses and five (12%) requiring nasogastric reintubation. Thirteen patients in Group 2 (35%) developed nausea, with 10 patients (27%) having an average of two emeses and three (8%) requiring nasogastric intubation (P = 0.80). Abdominal distention was observed in 13 patients (32%) in both Group 1 (32%) and Group 2 (35%). Two of the latter patients required nasogastric reintubation. Postoperative fever was noted in 23 patients (58%) in Group 1 and 14 (38%) in Group 2 (P = 0.13); atelectasis was diagnosed in 38 per cent of patients in Group 1 and 14 per cent in Group 2 (P = 0.03). These data support that nasogastric decompression is not necessary following elective colorectal surgery for malignant and premalignant lesions.
进行了一项前瞻性随机研究，以确定恶性和癌前病变的择期结直肠手术后是否需要鼻胃减压。77例连续患者被随机分为两组：第1组——术后持续进行鼻胃减压直至肠功能恢复；第2组——在恢复室拔除鼻胃管。40例患者被分配到第1组（男21例，女19例），37例被分配到第2组（男22例，女15例）。第1组有11例患者（28%）术后出现恶心，其中6例患者（15%）平均呕吐少于2次，5例（12%）需要重新插入鼻胃管。第2组有13例患者（35%）出现恶心，其中10例患者（27%）平均呕吐2次，3例（8%）需要插入鼻胃管（P = 0.80）。第1组和第2组均有13例患者（32%）出现腹胀。后一组中有2例患者需要重新插入鼻胃管。第1组有23例患者（58%）术后发热，第2组有14例（38%）（P = 0.13）；第1组38%的患者被诊断为肺不张，第2组为14%（P = 0.03）。这些数据支持，对于恶性和癌前病变的择期结直肠手术，术后无需进行鼻胃减压。
