摘要
目的比较手术麻醉前后留置胃管对患者生理的干扰程度,探讨无痛留置胃管的可行性。方法选择择期胃肠道手术患者84例,随机分成实验组和对照组各42例,实验组患者进入手术室全麻后留置胃管,对照组患者于麻醉前在病房清醒状态下按常规方法留置胃管,分析两组患者留置胃管过程中恶心、呕吐程度,生命体征的波动情况,一次性插管成功率。结果实验组患者插管后留置胃管无恶心、呕吐症状,心率、血压无明显波动,一次性插管成功率为100%。对照组患者在留置胃管过程中出现明显恶心症状,少数患者出现呕吐,患者的心率、血压波动明显,且一次性留置胃管成功率为88%,较第一组低。结论在留置胃管过程中应用全麻后留置胃管可有效减轻留置胃管过程对患者的生理干扰,提高舒适度,体现了人性化护理的真正含义,明显改善护理服务质量。
Objective To compare the physiological interference degree of surgical patients who were re tained gastric tube before or after anesthesia, and to discuss the feasibility of retaining gastric tube painlessly. Methods Eighty-four patients scheduled for gastrointestinal surgery were randomly divided into the study group and the control group, with 42 cases in each group. Patients in the study group received gastric tube after general anesthesia, while those in control group were retained gastric tube according to the conventional methods before anesthesia. The nausea and vomiting degree, vital signs fluctuations, one-time mission success rate of the process were compared be- tween the two groups. Results In the study group, the patients showed no symptoms of nausea and vomiting, nor ap- parent fluctuations of heart rate, blood pressure, with the one-time mission success rate of 100%. Patients in the control group showed obvious symptoms of nausea and vomiting, as well as significant fluctuations in heart rate and blood pressure, with the one-time mission success rate of 88%. Conclusion The application of gastric tube after general anesthesia can effectively reduce the physiological interference degree in patients, and improve the comfort degree and the quality of nursing service.
出处
《海南医学》
CAS
2012年第15期151-153,共3页
Hainan Medical Journal
关键词
留置胃管
麻醉
无痛
Retaining gastric tube
Anesthesia
Painless
