摘要
目的对比不置鼻胃管和置鼻胃管行腹腔镜胆囊切除术(Laparoscopic Cholecystectomy,LC)对患者的术前睡眠状况、术中情况和术后恢复情况的影响,探讨LC手术放置鼻胃管的必要性与合理性。方法对42例LC手术患者进行调查,其中不置管组18例,置管组24例,对比两组患者的术前睡眠状况、术中情况和术后恢复情况。结果不置管组与置管组在术前睡眠状况及术中情况方面均无明显差异(P>0.05);在术后恢复中,不置管组患者的排气时间明显早于置管组,且差异有统计学意义(P<0.05);两组均未发生并发症;出现腹胀、恶心、呕吐及首次进食时间、食欲、首次进食后出现恶心、腹胀不适、首次下床活动时间、首次下床活动后出现伤口疼痛、头晕、疲乏不适及术后住院时间,两组差异无意义(P>0.05)。置管组24例患者中多数出现恶心、咽喉部疼痛等不适反应且不愿接受此项操作。结论LC手术术前不常规放置鼻胃管是可行的。
Objective To compare with the patients＇ sleep status before the operation, the complexion during the operation and the healing status after the operation for patients with nasal-gastric tubes or without nasal-gastric tubes during I.aparoscopic Cholecystectomy （ LC ） . To discuss the nasal-gastric tubes＇ rationality and need to the patients who have the LC. Methods 42 patients who have the LC were investigated,18 of which hadn＇t the nasogastric tubes and 24 of them had the nasal-gastric tubes, the patients＇ sleep status before the operation, the complexion during the operation and the healing status after the operation for the group were compared. Results The two group patients＇ sleep status before the operation and the complexion during the operation didn＇t have distinct discrepancy （P〉0.05）. During the healing process after the operation, the group who hadn＇t the nasal-gastric tubes exhausted earlier than the other team who had the nasal-gastric tubes, there is significant difference between the two group （P〈0.05）, the occurrence of complication, windiness, nausea and vomit are the same between the group （P〉0.05）. the wound ache, faint and fatigue during the time of activity. Most of the 24 patients had the nasal-gastric tubes had nausea, sore throat. They also didn＇t like to accept the nasal-gastric tubes. Conclusion It is feasible to seldom insert the nasal-gastric tubes before the LC.
出处
《护士进修杂志》
北大核心
2005年第9期780-782,共3页
Journal of Nurses Training
关键词
腹腔镜胆囊切除术
鼻胃管
Laparoscopic cholecystectomy
Nasal-gastric tube
