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中华胃食管反流病电子杂志 ›› 2022, Vol. 09 ›› Issue (03) : 161 -164. doi: 10.3877/cma.j.issn.2095-8765.2022.03.005

论著

术中预置食管探条对腹腔镜胃底折叠术患者舒适度的影响
张育先1, 杜兴2, 刘殿刚2,()   
  1. 1. 100054 北京市回民医院内镜中心
    2. 100053 北京,首都医科大学宣武医院普外科
  • 收稿日期:2022-05-13 出版日期:2022-08-15
  • 通信作者: 刘殿刚
  • 基金资助:
    北京市“215”高层次卫生技术人才学术骨干项目(2015-3-066); 中国科学院学部咨询评议项目(B-SM-2017-01)

Effect of intraoperative preset esophageal bougie on comfort of patients undergoing laparoscopic fundoplication

Xuxian Zhang1, Xing Du2, Diangang Liu2,()   

  1. 1. Endoscopic Center, Beijing Hui Min Hospital, Beijing 100054, China
    2. General Surgery, Xuanwu Hospital Capital Medical University, Beijing 100053, China
  • Received:2022-05-13 Published:2022-08-15
  • Corresponding author: Diangang Liu
引用本文:

张育先, 杜兴, 刘殿刚. 术中预置食管探条对腹腔镜胃底折叠术患者舒适度的影响[J/OL]. 中华胃食管反流病电子杂志, 2022, 09(03): 161-164.

Xuxian Zhang, Xing Du, Diangang Liu. Effect of intraoperative preset esophageal bougie on comfort of patients undergoing laparoscopic fundoplication[J/OL]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2022, 09(03): 161-164.

目的

探讨术中预置食管探条对腹腔镜胃底折叠术患者恢复及舒适度的影响。

方法

选取2017年9月至2019年6月于首都医科大学宣武医院确诊为胃食管反流病且需接受腹腔镜胃底折叠术(Nissen fundoplication)患者78例。根据随机数字表法,随机分为预置组和常规组,每组患者39例。常规组术中麻醉给予常规置管,预置组在术中麻醉后预置食管探条。比较2组患者的手术时间、术中出血量、并发症、住院时间及术后舒适度。

结果

预置组患者的舒适度评分(4.05分±1.21分)优于常规置管组(6.79分±1.42分),预置组手术时间(76.00 min±9.38 min)明显短于常规组(90.10 min±13.76 min),差异均有统计学意义(P<0.05)。预置组术后咽部疼痛发生率明显低于常规组,差异有统计学意义(P<0.05)。预置组患者住院时间明显低于常规组(5.72天±1.41天 vs 6.61天 ± 1.84天),差异有统计学意义(P<0.05)。

结论

相对于常规组,预置组有效缩短患者手术时间、住院时间、降低咽喉疼痛发生率,且可提高患者术后舒适度,有利于患者康复。

Objective

To explore the effect of intraoperative preset esophageal bougie on the recovery and comfort of patients undergoing laparoscopic fundoplication.

Methods

A total of 78 patients who were diagnosed as gastroesophageal reflux disease and underwent laparoscopic fundoplication (Nissen fundoplication) in Xuanwu Hospital of Capital Medical University from September 2017 to June 2019 were selected and analyzed. According to the method of random number table, the patients were randomly divided into preset group (n=39) and routine group (n=39). The routine group was given routine catheterization during operation, and the preset group was given esophageal bougie after intraoperative anesthesia. The operation time, intraoperative blood loss, complications, hospital stay and postoperative comfort were compared between the two groups.

Results

The comfort of patients in the preset group (4.05±1.21) was better than that in the routine group (6.79±1.42). The operation time in the preset group (76.00 min±9.38 min ) was significantly shorter than that in the routine group (90.10 min±13.76 min), the incidence of postoperative pharyngeal pain in the preset group was significantly lower than that in the routine group, and the hospitalization time in the preset group was significantly lower than that in the routine group (5.72 day±1.41 day vs 6.61 day±1.84 day), which the difference was statistically significant (P<0.05).

Conclusion

Compared with the routine group, the preset group can effectively shorten the operation time, hospital stay and reduce the incidence of throat pain, and the intraoperative preset esophageal bougie can improve the postoperative comfort and facilitate the rehabilitation of patients.

表1 2组患者一般资料比较
表2 2组手术情况及术后恢复情况比较
表3 2组并发症发生率比较
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