The Change Of Oral Microecology After Tracheal Extubation Of Gynecological Patient With Intravenous Inhalational Anesthesia

Inhalation anesthesia is a common way of anesthesia in gynecological surgeryand requires anticholinergic drugs before anesthesia which reduce the oral andrespiratory secretions,facilitate surgery in airway management and avoid theoccurrence of aspiration. It requires orotracheal intubation in the process ofanesthesia,the oral can not be closed after that and this phenomenon belongs to thepassive open state. The use of drugs that suppress glandular secretion makes the oralbecome dry, and the state still exist until the end of surgery. Then the oralenvironment changes and be accompanied by a series of dry mouth, thirst, mouth odor,throat discomfort and symptoms of oral disease,also even leads to respiratoryinfections[1].Thus it’s significant to select the appropriate methods of care to ensurethe comfort of patients with postoperative oral as well as to prevent the occurrence ofrespiratory infections.Objective:In this study, we choose appropriate oral care solution according to the oralmicro-ecological’s change of extubation gynecological patients who are underanesthesia orotracheal, maintain a normal PH value of oral,use atomization,alsoformulate postoperative drinking water plan and other measures,then we understandthe oral comfort and postoperative respiratory infections happens of the patients.Methods: Randomized controlled grouping method,accor to the inclusioncriteria,August2012-December2012China-Japan Union hospital of Jilin Universityline inhalation anesthesia gynecological patients after,divided into two groups by thelength of surgry intubation time,and two groups of patients were randomly dividedinto four groups A, B and C, D.Group A and Group C for the respective control group,Group Band Grpup D for each experimental group.Group A,Group C givenafter conventional oral care,lon aqueous solution of oral care,while monitoring theoral ph,Patients with throat, pain and other symptoms given0.9％normal salineinhalation;Group B,Group D are selected according to the PH value of the results ofthe monitoring to oral care solution,The day after giving the0.9％normal salineinhalation until the second day after,twice a day,postoperative aweake and inaccordance with the plan of drinking water every30minurtes after swallowingfunction recovery Drinking warm water,2ml each,6hours after each10ml,5ml syringeto the needle slowly injected into the oral cavity.the two groups were comparedcomfort of the patient,s mouth and respiratory tract infection happens.Results:Group A in32patients,Group B in32patients,By comparing the oralcomfort and respiratory infections of Group A with B,the statistical difference isobvious (P <0.05). Group C30patients,31cases of group D patients,The statisticaldifference is also obvious(P <0.05) of the oral comfort and respiratory infectionsbetween Group C and D,But intraoperative intubation duration the postoperative oralcomfort and the occurrence of respiratory infections is not statistically significant (P>0.05).A,B two patients with respiratory tract infection respiratory tract infectionresults in the experimental group Group B Group A of the number of patients withrespiratory tract infection results experimental group small group of respiratory tractinfection cases less than the control group,Group C,the results were statisticallysignificant(P <0.05);intraoperative tracheal intubation of postoperative respiratorytract infection results showed no significant diffreence, No statistically significant (P>0.05).