正颌外科术后鼻饲葡萄糖氯化钠溶液对减轻患者胃部不适的效果

摘要

目的 探讨以5％葡萄糖氯化钠溶液经鼻胃管清洗患者胃部,并首次鼻饲5％葡萄糖氯化钠溶液对减轻患者术后胃部不适的效果.方法 将行正颌外科手术的患者120例分为两组,试验组(n=60)术后第1天使用5％葡萄糖氯化钠溶液清洗胃部并鼻饲,对照组(n=60)按常规护理.观察并记录两组术后第1次进食后及术后3d内胃部不适症状及有无呕吐等情况.结果 第1次喂食后和术后第1天,试验组呕吐次数少于对照组,差异有统计学意义(P＜0.01).结论 正颌外科术后给予5％葡萄糖氯化钠溶液清洗患者胃部并首次鼻饲5％葡萄糖氯化钠溶液,能减轻患者术后胃部不适.%Objective To evaluate the efficacy of nasogastric feeding with 5% glucose in normal saline to relieve stomach discomfort after orthognathic surgery. Method Totally 120 patients after orthognathic surgery were divided into two groups. In the experimental group,5% glucose in normal saline was used to irrigate the stomach by nasogastric tube on the first day after surgery. The symptoms of stomach discomfort and the times of vomiting after the first ingestion and in three days after surgery were recorded. Result The times of vomiting in the experimental group was significantly fewer than that of the control group (P<0.01). Conclusion The use of 5% glucose in normal saline irrigation by nasogastric tube can relieve stomach discomfort in patients after orthognathic surgery.