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

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Abstract 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.

Key words： Gastric tube General anesthesia induction Cholecystectomy Laparoscopic surgery

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	CHAO Zi-lian
	LIU Xue-hong
	MAI Cai-jiu

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CHAO Zi-lian,LIU Xue-hong,MAI Cai-jiu. The application effect of visual nasogastric tube under the general anesthesia induction in the gallbladder laparoscopic surgery[J]. 中国当代医药, 2016, 23(30): 20-22.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I30/20

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