全身麻醉患者术前禁食时间与术后恶心呕吐发生率的相关性

Dede Karmana, Septian Mixrova Sebayang, Eza Kemal Firdaus, Wilis Sukmaningtyas
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摘要

背景:术前禁食是手术或麻醉前避免反流或呕吐的一项程序性措施。PONV 发生率受手术、麻醉和患者相关因素的影响。本研究旨在确定参与者术前禁食的持续时间,并根据人格特质确定 PONV 的发生率。目的:确定在苏卡卓-塔西克马拉亚博士医疗中心(RSUD Dr. Soekardjo Tasikmalaya)接受全身麻醉的患者术前禁食时间与 PONV 发生率之间的相关性。研究方法 采用观察、描述和横断面设计。抽样方法为 60 名年龄在 17 岁至 45 岁之间、ASA I 级至 II 级的受访者。通过观察和评估收集数据。研究结果:研究发现,在 37 人(61.7%)中,术前禁食 6-8 小时是有益的,而在 23 人(38.3%)中,禁食超过 8 小时是有害的。在 17-25 岁的人群中,有 10 人(47.6%)会出现 PONV,而在 26-45 岁的人群中,有 11 人(52.4%)会出现 PONV。在女性中,17 人(81.0%)出现 PONV,20 人(95.2%)的身体状况为 ASA I 级,1 人(4.8%)的身体状况为 ASA II 级。结论全身麻醉患者术前禁食时间与术后恶心呕吐(PONV)之间存在明显联系(p < 0.013)。术前禁食时间应足够长,以避免 PONV
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The Correlation Between Pre-Operative Fasting Duration and Post-Operative Nausea and Vomiting Occurrence on Patients with General Anestehesia
Background: Preoperative fasting is a procedural measure implemented before surgery or anesthesia to avert regurgitation or vomiting. PONV incidence is influenced by surgical, anesthetic, and patient-related factors. The purpose of the study is to ascertain the duration of preoperative fasting observed by participants and the prevalence of PONV according to personality traits. Purpose: Determine the correlation between the duration of preoperative fasting and the occurrence of PONV in patients undergoing general anesthesia at RSUD Dr. Soekardjo Tasikmalaya. Methods:  Observatory, descriptive, and cross-sectional designs are utilized. The sampling method was with sixty respondents ranging in age from seventeen to forty-five years, ASA I to II. Data is collected via observation and evaluation. Findings: The study observed that among 37 individuals (61.7%), preoperative fasting for 6-8 hours was beneficial, while for 23 individuals (38.3%), fasting for >8 hours were detrimental. At the age of 17-25 years, 10 individuals (47.6%) develop PONV, while 11 individuals (52.4%) do so between the ages of 26-45. Among women, 17 individuals (81.0%) have PONV, while 20 individuals (95.2%) have ASA I physical status, and 1 individual (4.8%) has ASA II physical status. Conclusion: There is a significant link (p < 0.013) between preoperative fasting time and postoperative nausea and vomiting (PONV) in patients under general anesthesia. Fasting before surgery should be long enough to avoid PONV
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