Exploration of the best time interval to extubate catheter for the postoperative gastric cancer patients

Abstract

Objective To explore the best time interval to extubate catheter for the postoperative gastric cancer patients, and provide the basis for early extubation after operation. Methods To collect 108 cases with gastric cancer in Department of Forensic Surgery of Yuncheng Central Hospital from March 2013 to February 2014 with indwelling catheter preoperatively. According to the admission sequence, they were divided into the observation group and the control group with 54 cases in each group, the observation group began clipping catheter in 10-15 hours after operation, extubating catheter within 24 hours after operation; the control group began clipping catheter on the second day after operation, and extubating catheter during 48-72 hours after operation. The time of extubation, urinary tract irritation symptoms, resetting catheters and the incidence of early postoperative ambulation in patients of two groups were observed. Results The incidence of urinary tract irritation was lower in the observation group than that of the control group [3.7% (2/54) vs 16.7%(9/54)], the difference was statistically significant (χ2=4.960, P<0.05) . Early ambulation compliance of the observation group was higher than that of the control group (complete compliance 52 vs. 40, partial compliance 2 vs. 8, no compliance 0 vs. 6), the difference was statistically significant (χ2 = 10.565, P <0.05) . Conclusions The method of extubation catheter within 24 hours after gastric canter operation can reduce the incidence of urinary tract irritation and improve early ambulation compliance. Key words: Stomach neoplasms; Early ambulation; Urinary tract irritation; Compliance