口腔喷雾湿化在腹腔镜胃癌根治手术后加速康复中的应用效果观察.docVIP

口腔喷雾湿化在腹腔镜胃癌根治手术后加速康复中的应用效果观察 　　[摘要] 目的 观察口腔喷雾湿化在腹腔镜胃癌根治手术患者术后加速康复中运用的效果。 方法 选择2017年5～8月我院实施加速康复理念下腹腔镜胃癌根治手术患者40例，并用随机数字方法将患者均分为两组。喷雾湿化组（S组）于全麻苏醒并气管导管拔除后予口腔喷雾，棉签擦拭组（C组）使用湿棉签擦拭口腔嘴唇，两组根据患者需求追加。比较气管导管拔除后（T0）、返病房后6 h（T1）和返病房后12 h（T2）的患者口腔清洁度、口腔异味、口腔干燥程度、气管导管拔除后（T0）和返病房后12 h（T2）患者口咽部黏液的细菌培养和菌落计数；比较两组患者观察期间喷雾或棉签擦拭次数。 结果 与C组比较，予口腔喷雾湿化的患者返病房后6 h（T1）和返病房后12 h（T2）的口腔清洁度、口腔异味、口腔干燥程度明显改善（P0.05）；患者气管导管拔除后（T0）和返病房后12 h（T2）取口咽部标本进行细菌培养和菌落计数明显减少（P0.05）；S组患者追加使用口腔喷雾的次数明显少于C组（P0.05）。结论 在腹腔镜胃癌根治手术全身麻醉恢复期应用口腔喷雾湿化，可促进患者口腔恢复正常功能，加速?g后康复，改善预后，提高患者生活质量。 　　[关键词] 加速康复外科；口腔喷雾；腹腔镜胃癌根治术；口腔清洁度 　　[中图分类号] R735.2 [文献标识码] B [文章编号] 1673-9701（2018）10-0101-04 　　Effect of oral spray humidification on enhanced recovery after laparoscopic radical gastrectomy 　　LI Ping1 REN Xuanlei2 HONG Xiaoming2 SHA Hongcun2 ZHAO Qingzhen3 　　1.Department of Anesthesiology， Second Hospital of Yinzhou District， Ningbo 315100， China； 2.Department of General Surgery， Second Hospital of Yinzhou District， Ningbo 315100， China； 3.Department of Anesthesiology， Affiliated Hospital of Ningbo University Medical College， Ningbo 315020， China 　　[Abstract] Objective To observe the effect of oral spray humidification on postoperative enhanced recovery of patients undergoing laparoscopic radical gastrectomy. Methods 40 patients undergoing laparoscopic radical gastrectomy under the concept of enhanced recovery in our hospital from May to August 2017 were enrolled in this study. Patients were divided into two groups by random number method. Spray humidification group（group S） was given oral spray after waking up from general anesthesia and removal of tracheal tube. Cotton swab group（group C） was given wipe of mouth and lips with wet cotton swab. Methods of two groups were added according to patients needs. We compared oral cleanliness， oral odor and oral dryness degree in the time of tracheal tube removal（T0）， 6 h（T1） and 12 h（T2） after returning to the ward. Bacterial culture and colony count of mucus in the oropharynx of patient