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在接受心脏手术的患者中使用输卵管,试点研究

Mohammad El-Diasty¹, Sarah Paleczny¹, William Khoury¹

¹Department of Surgery, Division of Cardiac Surgery, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada.

Portuguese journal of cardiac thoracic and vascular surgery

|August 31, 2025

概括

在冠状动脉旁路移植手术后,口腔胃管 (OGT) 没有影响即时结果. 然而,OGT使用与患者疼痛增加和阿片类药物需求增加有关.

科学领域:

心血管外科
麻醉学
危急护理医学

背景情况:

冠状动脉旁路移植 (CABG) 手术是一项主要的手术,
术后立即使用口腔管 (OGT) 是常见的,但其对结果的影响尚未完全理解.

研究的目的:

在接受冠状动脉旁路移植 (CABG) 程序的成年患者中,研究口胃管 (OGT) 使用对即时术后结果的影响.

主要方法:

在一所大学医院进行了前性,非盲目的随机研究.
接受CABG手术的78名成年患者被录取并随机分为两个组:OGT插入 (n=39) 和没有OGT (对照组,n=39).
评估结果包括手术后恶心和吐,阿片类药物使用,持续呼吸,胃扩张,主要不良事件和住院时间.

主要成果:

在OGT和对照组之间,没有观察到术后恶心,吐,延长呼吸或胃扩张的发生率的显著差异.
与对照组 (7. 7%) 相比,OGT组的阿片类药物使用量有显著的增加 (p=0. 0054).
两组之间心脏和脑部重大不良事件或其他重大并发症没有显著差异.

结论:

在冠状动脉旁路移植手术 (CABG) 后的立即术后期使用口胃管 (OGT) 并没有对主要临床结果产生不利影响.
在CABG患者中,OGT插入与术后疼痛的增加和阿片类止痛药的更高要求有显著的关联.
在使用OGT的情况下,可能需要进一步研究CABG患者的疼痛管理策略.

关键词:

冠状动脉旁路移植鼻胃管片类药物排卵管肺炎手术后的结果吐情况

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