全身麻醉诱导下可视置胃管在胆囊腹腔镜手术中的应用效果  

The application effect of visual nasogastric tube under the general anesthesia induction in the gallbladder laparoscopic surgery

作　　者：巢自莲 刘学红[1] 麦财就 

机构地区：[1]广东省东莞市长安医院手术室,广东东莞523843

出　　处：《中国当代医药》2016年第30期20-22,共3页China Modern Medicine

摘　　要：目的观察全身麻醉诱导下可视置胃管在胆囊腹腔镜手术中的应用效果。方法选择2014年1月-2016年1月本院接诊的90例胆囊腹腔镜手术患者，将其随机分为观察组和对照组，每组45例。比较两组患者置管成功率和置管时间以及置管前后一般指标变化．分析置胃管时不良反应情况。结果观察组一次置管成功率为95．56％，显著高于对照组的68．89％，差异有统计学意义（P〈0．01）。观察组的置管时间短于对照组[（3．40±0．38）minvs（4．26±0．58）min]，差异有统计学意义（P〈0．01）。置管前后，观察组的HR、SPO2、MAP指标比较，差异无统计学意义（P〉0．05）。置管后，对照组的HR、MAP与置管前相比明显升高，且高于观察组置管后，差异有统计学意义（P〈0．05）。对照组总不良反应发生率为17．78％，观察组患者未出现置管不良反应，两组不良反应发生率比较，差异有统计学意义（P〈0．05）。结论全身麻醉诱导下可视置胃管在胆囊腹腔镜手术中的应用效果显著，可提高一次性置管成功率，缩短置管时间，减轻患者痛苦，降低不良反应发生率，值得在临床推广应用。Objective To investigate the application effect of visual nasogastric tube under the general anesthesia induction in the gallbladder laparoscopic surgery.Methods 90 cases of laparoscopic cholecystectomy patients admitted to our hospital from January 2014 to January 2016 were randomly divided into observation group and control group,each group had 45 cases.The success rate and the spending-time of catheterization as well as the general index changes of before and after tube-setting between two groups were compared.The adverse reaction of the nasogastric tube setting was analyzed.Results The success rate of the observation group was 95.56%,which was significantly higher than that of the control group （68.89%）,and the difference was statistically significant （P〈0.01）.The duration of the observation group was shorter than that of the control group[（3.40±0.38）min vs （4.26±0.58）min],the difference was statistically significant （P〈 0.01）.Before and after the intubation,the difference of HR,SPO2,MAP indicators in observation group was not statistically significant （P〉0.05）.After the intubation,the control group of MAP, HR and before the tube was significantly higher,and higher than that of the observation group after the tube,the difference was statistically significant （P〈0.05）.The incidence rate of adverse reaction in the control group was 17.78%,and there was no adverse reaction in the observation group,and the difference was statistically significant between the two groups （P〈0.05）.Conclusion The application of visual nasogastric tube under the general anesthesia induction in the gallbladder laparoscopic surgery has a significant effect and can increase the success rate at the fist-time tube-setting, shorten the time of catheter,relieve pain and reduce the incidence of adverse reactions.It is worthy of clinical application.

关 键 词：胃管 全身麻醉诱导 胆囊 腹腔镜手术 

分 类 号：R614.2[医药卫生—麻醉学]