食管癌手术患者留置胃管和鼻肠管置入时机的比较

Comparative analysis on inserting time of indwelling gastric tube and nasal tube for operation of esophageal cancer patients

目的探讨食管癌手术的患者置入胃管和鼻肠管的最佳时机。方法100例食管癌手术患者随机分为两组：麻醉后置管组、麻醉前置管组。麻醉后置管组均在全身麻醉气管插管后、摆置手术体位前留置胃管和鼻肠管，麻醉前置管组均在麻醉前留置胃管和鼻肠管。结果两组患者在舒适度、护理操作的难度和时间、置管首次的成功率、患者置管出现的各种并发症等方面差异有极显著性（P〈0．01）。结论食管癌手术患者留置胃管、鼻肠管置入的最佳时机在全身麻醉气管插管后、摆置手术体位前。

Objective To explore the optimal timing of nasointestinal tube for operation of esophageal carcinoma patients. Methods 100 cases of esophageal cancer were randomly divided into two groups： tube after anesthesia group, anesthesia preposition pipe group. Anesthesia after tube group was in general anesthesia with tracheal intubation, after placing operation posture of indwelling stomach tube and nasal tube, anesthesia preposition pipe group placed nasal tube and indwelling gastric tube before anesthesia. Results Between the two groups, the comfort degree, nursing operation difficulty and the time, the first success rate of catheter and various complications appearing during catheter placement were significantly different （P〈 0.01）. Conclusion The optimal timing of indwelling gastric tube and nasal tube placement for the operation of esophageal cancer patients should be after general anesthesia with tracheal intubation and before surgical position of operation.