中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
8期
912-914
,共3页
雍琪%魏建华%马婕%陈欢%何英莲
雍琪%魏建華%馬婕%陳歡%何英蓮
옹기%위건화%마첩%진환%하영련
丁卡因%表面麻醉%鼻饲%正颌手术
丁卡因%錶麵痳醉%鼻飼%正頜手術
정잡인%표면마취%비사%정합수술
Tetracaine spray%Topical anesthesia%Gastrogavage%Orthognathic surgery
目的 观察0.1％丁卡因表面麻醉用于正颌术后患者胃管置入过程中,对置管不适的效果和一次置管成功率的影响.方法 将80例双颌接受正颌外科手术的患者采用随机数字表法分为对照组以及干预组,每组40例.两组均于术后第1天采用半卧位经鼻留置胃管,对照组用传统方法留置胃管,干预组置管前3 min应用0.1％的丁卡因给予咽腔喷雾表面麻醉,分别测量置管时间和一次性置管成功率,并对置管不适情况进行评估.结果 干预组置管时间显著短于对照组(2.7 ±0.8 min vs 4.2±1.1 min),一次性置管率高于对照组(97.5％vs 85.0％),置管疼痛不适程度明显减轻,差异均有统计学意义(t =2.892,x2=3.914,Z =2.660;P ＜0.05).结论 胃管置管时应用0.1％丁卡因表面麻醉可有效减轻患者置管痛苦,提高了一次性置管成功率.
目的 觀察0.1％丁卡因錶麵痳醉用于正頜術後患者胃管置入過程中,對置管不適的效果和一次置管成功率的影響.方法 將80例雙頜接受正頜外科手術的患者採用隨機數字錶法分為對照組以及榦預組,每組40例.兩組均于術後第1天採用半臥位經鼻留置胃管,對照組用傳統方法留置胃管,榦預組置管前3 min應用0.1％的丁卡因給予嚥腔噴霧錶麵痳醉,分彆測量置管時間和一次性置管成功率,併對置管不適情況進行評估.結果 榦預組置管時間顯著短于對照組(2.7 ±0.8 min vs 4.2±1.1 min),一次性置管率高于對照組(97.5％vs 85.0％),置管疼痛不適程度明顯減輕,差異均有統計學意義(t =2.892,x2=3.914,Z =2.660;P ＜0.05).結論 胃管置管時應用0.1％丁卡因錶麵痳醉可有效減輕患者置管痛苦,提高瞭一次性置管成功率.
목적 관찰0.1％정잡인표면마취용우정합술후환자위관치입과정중,대치관불괄적효과화일차치관성공솔적영향.방법 장80례쌍합접수정합외과수술적환자채용수궤수자표법분위대조조이급간예조,매조40례.량조균우술후제1천채용반와위경비류치위관,대조조용전통방법류치위관,간예조치관전3 min응용0.1％적정잡인급여인강분무표면마취,분별측량치관시간화일차성치관성공솔,병대치관불괄정황진행평고.결과 간예조치관시간현저단우대조조(2.7 ±0.8 min vs 4.2±1.1 min),일차성치관솔고우대조조(97.5％vs 85.0％),치관동통불괄정도명현감경,차이균유통계학의의(t =2.892,x2=3.914,Z =2.660;P ＜0.05).결론 위관치관시응용0.1％정잡인표면마취가유효감경환자치관통고,제고료일차성치관성공솔.
Objective To evaluate the effects of oropharyngeal topical anesthesia with tetracaine spray (0.1％) on the discomfort and success rate of insertion of stomach tube after orthognathic surgery.Methods Totals of 80 patients treated with bimaxillary orthognathic surgery were randomly assigned into control group (n =40) and test group (n =40).Stomach tubes were inserted into stomachs of the patients with a semirecumbent position through nasal at the day after surgery.Traditional methods of inserting stomach tubes were applied in control group,while patients in test group were given topical anesthesia with 0.1％ tetracaine spray to oropharyngeal before stomach tubes inserted.The operating time and primary success rate of tube insertion were recorded.Intubation pain or discomfort was observed.Results The operating time of test group was significantly shorter than that of control group (2.7 ± 0.8 min vs 4.2 ± 1.1 min,t =2.892,P ＜ 0.01).Primary success rate of intubation of test group was significantly higher than that of control group (97.5％ vs 85％,x2 =3.914,P ＜0.05).There was less pain or discomfort in the intubation process in test group (Z =2.660,P ＜ 0.01).Conclusions Stomach tube insertion with 0.1％ tetracaine spray topical anesthesia can alleviate pain,improve primary success rate of stomach tube insertion.
