全麻下腹腔镜输卵管切除术患者早期饮水的可行性

Liying Zhang, Jia-hai Ma, Xiaoli Wang, Yuntao Han, Min Guo, J. Zhao, Hua Qu
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摘要

目的评价全麻患者早期取窝饮水的可行性。方法选择2018年12月至2019年5月在烟台市玉皇顶医院全麻下行腹腔镜输卵管切除术的患者130例,分为对照组(n=65)和实验组(n=6 5)。对照组患者常规戒酒和禁食,而实验组患者在手术后保持清醒,并在咳嗽和吞咽反射恢复后摄入少量水。记录两组患者术后24小时内恶心、呕吐、口干和饥饿的发生率,并记录肛门排气时间。结果实验组患者肛门排气时间为(12.0±1.22)h,对照组为(15.1±1.05)h。两组差异有统计学意义(t=15.527,P<0.01),对照组分别为58.5%(38/65)和32.3%(21/65),两组差异有统计学意义(χ2=5.205,6.240;P<0.05),可以增加患者的舒适度,减少不良反应,有助于促进胃肠功能的早期恢复。关键词:麻醉,全身;术后恢复增强;术后饮水;胃肠功能;麻醉恢复室
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Feasibility of early water intake in patients undergoing laparoscopic salpingectomy under general anesthesia
Objective To evaluate the feasibility of early litter water intake in patients after general anesthesia. Methods Totally 130 patients undergoing laparoscopic salpingectomy under general anesthesia in Yantai Yuhuangding Hospital were selected from December 2018 to May 2019, and divided into the control group (n=65) and the experimental group (n=65) . Patients in the control group were routinely abstained from drinking and fasting, while patients in the experimental group were conscious after surgery and took in a small amount of water after cough and swallowing reflexes recovered. The incidence of nausea, vomiting, dry mouth, and hunger within 24 hours after surgery was recorded in both groups, and the time of anal exhaust was recorded. Results The anal exhaust time of patients in the experimental group was (12.0±1.22) h, while that in the control group was (15.1±1.05) h, and the difference between the two groups was statistically significant (t= 15.527, P<0.01) . Patients with dry mouth and hunger in the experimental group accounted for 38.5% (25/65) and 13.8% (9/65) , while those in the control group were 58.5% (38/65) and 32.3% (21/65) , and the differences between the two groups were statistically significant (χ2=5.205, 6.240; P<0.05) . Conclusions Patients undergoing laparoscopic salpingectomy under general anesthesia are conscious in the recovery room and take in water immediately after recovery of cough and swallowing reflexes, which can increase the patient's comfort, reduce adverse reactions and help promote the early recovery of gastrointestinal function. Key words: Anesthesia, general; Enhanced recovery after surgery; Postoperative water intake; Gastrointestinal function; Anesthesiology recovery room
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