摘要
目的探讨腹腔镜胆囊切除术前留置及术后拔除胃管的最佳时机。方法选择2007年1月-2010年7月行腹腔镜胆囊切除术的102例患者,随机分为观察组53例(全麻后置管,清醒后拔管)和对照组49例(麻醉前置管,排气后拔管),观察两组患者术前后恶心和呕吐发生率,术后24h内肛门排气和12h内下床活动情况。结果观察组术前、术后恶心和呕吐发生率低于对照组,24h内肛门排气和12h内下床活动多于对照组(均P<0.05)。结论腹腔镜胆囊切除术全麻成功后留置胃管可以减轻患者术前恶心和呕吐的发生率;术后麻醉清醒后立刻拔除胃管有利于胃肠道的恢复,使患者早期下床活动。
Objective To study the best opportunity of detaining a gastric tube before the laparoscopic cholecystectomy and pulling it out after the operation.Methods A total of 102 patients who underwent laparoscopic cholecystectomy from January 2007 to July 2010 were randomly divided into the observation and the control group.Gastric tubes were detained after general anesthesia and pulled out after being awake in the observation group,while gastric tubes were detained before general anesthesia and pulled out after evacuating in the control group.The incidence of nausea and emesis before and after the operation,the number of patients who evacuated in 24 hour and who took out-of-bed activities in 12 hour were investigated.Result Compared with those in the control group,the incidence of nausea and emesis were decreased in the observation group,and the time of evacuating and getting off beds were earlier （P〈0.05）.Conclusions It is feasible that detaining a gastric tube after the general anesthesia in the laparoscopic cholecystectomy,which lightened the incidence rate of nausea and emesis.After the operation,the tube can be pulled out when the patient was awaked,which is beneficial to the early ambulation and early gastrointestinal recovery.
出处
《现代临床护理》
2010年第11期10-11,共2页
Modern Clinical Nursing
关键词
腹腔镜胆囊切除术
留置胃管
拔除胃管
laparoscopic cholecystectomy
detaining gastric tube
pulling out gastric tube
