摘要
目的探讨通过改变传统的围手术期禁食时间对患者的麻醉及术后康复的影响。方法将200例全麻下行腹腔镜手术患者随机分成两组,对照组采用传统的禁食时间,实验组采用快速康复理念推荐的禁食时间并在术前两小时给予无渣液体200-300mL来进行围手术期管理,分析患者的手术中麻醉效果、患者低血糖、口渴的发生、以及术后首次排气时间、住院天数、住院费用的情况。结果观察组的禁食时间为(15.2±4.5)小时,禁饮时间为8±2.5小时。对照组禁食时间为(23.4±5.8)小时。禁饮时间为(15.9±2.6)小时。对照组术后首次排气时间为(30.5±14.5)小时,实验组术后首次排气时间为(24±13)小时,两组对比实验组较对照组禁食时间和排气时间均显著提前(P<0.05);实验组住院天数为(4±1)天,住院费用为(11264.4.3±1038.2)元,对照组住院天数为(7.5±3.5)天,住院费用为(13151.5±2586.5)元,两组比较实验组较对照组显著减少。(P<0.05)对照组术后主观口渴发生34例,实验组口渴12例,(P<0.05)有显著差异。两组术中均未发生麻醉误吸及术后呕吐,两组术后各发生腹胀4例,两组均无其他并发症发生、并发症及腹胀的发生率无统计学意义。结论缩短禁食时间能显著改善患者口渴、缩短术后首次排气时间、减少住院天数、减少住院费用、患者主观感受较好。
Objective To explore the influence of changing the traditional perioperative fasting time on anesthesia and postoperative rehabilitation of patients Methods 200 cases of laparoscopic surgery under general anesthesia were randomly divided into two groups.The control group used the traditional fasting time.The experimental group used the fasting time recommended by the concept of rapid rehabilitation and gave 200-300mL of non residue liquid two hours before operation to carry out perioperative management.The anesthesia effect,hypoglycemia,thirst and the first postoperative exhaust time of patients were analyzed The number of days in hospital and the cost of hospitalization.Results The fasting time of the observation group was(15.2±4.5)hours,and the drinking time was(8±2.5)hours.The fasting time of the control group was(23.4±5.8)hours.The time of prohibition was(15.9±2.6)hours.The first time of exhaust was(30.5±14.5)hours in the control group,(24±13)hours in the experimental group,and the fasting time and exhaust time in the two groups were significantly earlier than those in the control group(P<0.05);the hospitalization days in the experimental group were(4±1)days,the hospitalization expenses were(11264.4.3±1038.2)yuan,the hospitalization days in the control group were(7.5±3.5)days,and the hospitalization expenses were(13151.5±2586.5)yuan,Compared with the control group,the experimental group was significantly reduced.(P<0.05)there were 34 cases of subjective thirst in the control group and 12 cases in the experimental group(P<0.05).There was no anesthesia aspiration and postoperative vomiting in both groups.There were 4 cases of abdominal distention in each group.There were no other complications in both groups.Conclusion Shortening fasting time can significantly improve patients’thirst,shorten the time of first postoperative exhaust,reduce the number of days in hospital,reduce the cost of hospitalization,and improve patients’subjective feelings.
作者
孙平
郭玉芳
SUN Ping;GUO Yu-fang(People’s Hospital of Nanhai Economic Development Zone,Foshan,Guangdong 528222)
出处
《智慧健康》
2020年第14期112-113,115,共3页
Smart Healthcare
基金
佛山市卫计局2017年医学科研课题。课题名称:缩短禁食时间在普外科围手术期快速康复中的应用研究,项目编号:20180225。
关键词
快速康复
缩短禁食时间
腹腔镜手术
Fast recovery
Short fasting time
Laparoscopic surgery
