【摘要】 目的探讨腹腔镜胆囊切除胃肠减压的最佳方法。方法将216例2002年1月~2003年1月期间腹腔镜胆囊切除的病人,采用随机对照法分成3组:不插胃管组、常规插胃管组、全麻插管后插胃管组。对病人的舒适度、手术野显露情况、术后呕吐情况进行分析。结果3组病人的舒适度分别为95.12%、2.70%、53.33%;手术暴露分别为4.88%、4.05%、3.33%;术后呕吐分别为13.41%、13.51%、13.33%。结论腹腔镜胆囊切除不插胃管既减轻了病人痛苦,又减轻了病人对插胃管的心理压力,提高了舒适度,病人容易接受。更多还原

【Abstract】 [Objective] To investigate the optimal method for gastrointestinal decompression in laparoscopic cholecystectomy. [Methods] In the randomized, controlled trial, assign 216 patients with laparoscopic cholecystectomy from Jan 2002 to Jan 2003 into three groups: a group without stomach cannula, a group with common stomach cannula, and a group with stomach cannula after general anesthesia. Conduct analysis on patients′ comfort degree, operational exposure, and post-operational vomiting rate. [Results] Of patients in the three groups, the comfort degrees were 95.12%, 2.70%, and 53.33% respectively; the operational exposures were 4.88%, 4.05%, and 3.33% respectively; and post-operational vomiting rates were 13.41%, 13.51%, and 13.33%. [Conclusions] No stomach cannula in laparoscopic cholecystectomy may relieve both patients′ agony and their mental stress in conducting stomach cannula, enhance their comfort degrees, and be easily accepted and tolerated by patients.更多还原