中国实用外科杂志2026，Vol.46Issue(5)：650-654,5.DOI:10.19538/j.cjps.issn1005-2208.2026.05.10
术后胃肠功能障碍评估与干预策略
Assessment and intervention strategies for postoperative acute gastrointestinal dysfunction
摘要
Abstract
Postoperative gastrointestinal dysfunction(POGD)is a common postoperative complication in patients undergoing general surgery,characterized by gastrointestinal mucosal injury,impaired barrier function,and gastrointestinal dysmotility.Clinical manifestations include nausea,vomiting,abdominal distension,and delayed passage of flatus or stool;in severe cases,it may lead to gut-derived infection and multiple organ dysfunction.The pathogenesis of POGD is complex,and there is currently no standardized diagnostic criterion.Although progress has been made in recent years in understanding and managing POGD,effective therapeutic strategies remain limited.Current approaches for the prevention and treatment of POGD mainly include reducing surgical trauma,implementing multimodal analgesia,optimizing perioperative fluid management,and adopting enhanced recovery after surgery strategies such as early enteral feeding.These measures are often combined with pharmacological interventions,including prokinetic agents,opioid receptor antagonists,as well as traditional Chinese medicine.关键词
胃肠功能障碍/围手术期管理/胃肠道功能评估/普通外科危重症/加速康复外科Key words
postoperative gastrointestinal dysfunction/periop-erative management/gastrointestinal function assessment/sur-gical critical illness/enhanced recovery after surgery分类
医药卫生引用本文复制引用
马欢,蔡常洁..术后胃肠功能障碍评估与干预策略[J].中国实用外科杂志,2026,46(5):650-654,5.基金项目
Guangdong Clinical Research Center for Critical Care Medicine(No.2020B1111170005) 广东省急危重症临床医学研究中心项目(No.2020B1111170005) （No.2020B1111170005）
