拔胃管时机的选择对LC患者全麻苏醒期燥动影响的研究

STUDY ON THE EFFECT OF TUBE EXTUBATION TIMING OF LC ANESTHESIA PATIENTS AGITATION

目的比较两种不同时机拔胃管对LC患者全麻苏醒期躁动的影响,探讨LC患者术后胃管拔管的最佳时机。方法将120例LC手术患者随机分为实验组60例和对照组60例,实验组在手术结束后麻醉减浅,麻醉拔气管导管前5min由巡回护士拔胃管。对照组在麻醉完全苏醒,胃肠功能恢复、无恶心、呕吐、肛门排气后由病房护士拔胃管。比较两种不同时机拔胃管对LC患者全麻苏醒期血压、心率、恶心、呕吐以及苏醒期躁动的影响。结果两组患者全麻苏醒期血压、心率、恶心、呕吐的次数以及苏醒期躁动的评分等均有显著的差异(P﹤0.01)。结论 LC术后早期拔除胃管可以减少不必要的刺激而引发的躁动,避免因留置胃管而引起的并发症发生;减轻病人的痛苦;提高了护理的质量。

Objective： To discuss the best timing of tube extubation by comparing the effect of two different tube extubation timing on the agitation of LC patients in general anesthesia revival period. Methods： 120 LC patients were divided into treatment and control groups （60 patients per group）. When the treatment group anesthesia becomes light after surgery, tube extubation was executed five minutes before tracheal extubation by the roving nurse. In the cotrol group, tube extubation was excuted by the ward nurse after the patients were fully awaked, recovered gastrointestinal function, had no nausea, vomiting, flatus. Effect of two different tube extubation timing on the blood pressure, heart rate, nausea, vomiting times and agitation degree was compared. Results： The blood pressure, heart rate, nausea, vomiting times and agitation degree of two groups show significant difference （P 〈 0.01）. Conclusion： Early tube extubation timing can effectively reduce the occurrence of agitation of Lc anesthesia patients, avoid the complication caused by indwelling stomach tube, alleviate the patients＇ pain and increase nursing quality.