Sandler A D, Evans D, Ein S H
Department of Surgery, 1562 JCP, University of Iowa Hospital, 200 Hawkins Drive, Iowa City, Iowa 52242, USA.
Pediatr Surg Int. 1998 Jul;13(5-6):411-3. doi: 10.1007/s003830050351.
The purpose of this study was to evaluate the role of nasogastric (NG) decompression after laparotomy in pediatric surgical practice: 94 children who underwent abdominal surgery by a single surgeon were consecutively prospectively managed without postoperative NG tubes. Patients with either bowel obstruction or intra-abdominal infection were excluded from the study. These children were compared with 94 retrospective, matched controls who were routinely managed with postoperative NG decompression by the same surgeon. Data were analyzed with regard to patient, operative, and outcome variables. There was no difference in gender, age (3.8 +/- 0.5 vs 3.5 +/- 0.4 years, P > 0.7), or postoperative complications (P > 0.8) between the two groups. However, there was a higher incidence of postoperative vomiting (22% vs 11%, P > 0.05) in the children who did not have postoperative NG decompression. Nevertheless, a significant decrease in time to first feed, first stool, and discharge was noted in the group of patients managed without NG tubes (P < 0.05). NG decompression thus need not be routinely used in the pediatric patient undergoing abdominal surgery, as there is no difference in postoperative complications and the hospital stay is shortened.
本研究的目的是评估剖腹术后鼻胃管（NG）减压在小儿外科手术中的作用：94例接受腹部手术的儿童由同一位外科医生连续前瞻性管理，术后未使用NG管。肠梗阻或腹腔内感染患者被排除在研究之外。将这些儿童与94例回顾性匹配对照进行比较，这些对照由同一位外科医生常规进行术后NG减压管理。对患者、手术和结果变量进行数据分析。两组之间在性别、年龄（3.8±0.5岁 vs 3.5±0.4岁，P>0.7）或术后并发症（P>0.8）方面没有差异。然而，未进行术后NG减压的儿童术后呕吐发生率较高（22% vs 11%，P>0.05）。尽管如此，未使用NG管管理的患者组首次进食、首次排便和出院时间显著缩短（P<0.05）。因此，在接受腹部手术的小儿患者中无需常规使用NG减压，因为术后并发症没有差异且住院时间缩短。
