婴幼儿择期手术前禁食禁饮时间的临床研究  

Clinical research about proper time of preoperative fasting for children

作　　者：李素芳[1] 刘欣[1] 刘丹[1] 秦尚够[1] 杨清清[1] 苏颖[1] 

机构地区：[1]广东省深圳市儿童医院,518026

出　　处：《中国实用护理杂志（下旬版）》2007年第7期10-11,共2页Chinese Journal of Practical Nursing

基　　金：深圳市科技计划项目医疗卫生类（200603214）

摘　　要：目的 探讨1～36个月择期手术患儿术前适当的禁食禁饮时间新方法的安全性、可行性及其影响因素，让患儿更加顺利地度过围手术期。方法 将1～36个月104例择期手术患儿随机分为实验组41例和对照组63例，实验组患儿接受新的术前禁食禁饮方法，对照组患儿接受传统的术前禁食禁饮方法。比较2组患儿术前口渴、饥饿、哭闹、家长焦虑状况及术中、术后患儿的呕吐或误吸情况。结果患儿术中、术后呕吐及误吸2组间比较差异无统计学意义，实验组患儿的术前口渴、饥饿、哭闹及家长焦虑程度低于对照组，差异有统计学意义（P〈0．01）。结论术 前禁食4～6h，禁水3h对择期手术患儿是安全可行的，可有效提高患儿的舒适度，保证手术的顺利进行。Objective In order to know the clinical effects and the feasibility of new preoperative fasting time for children of 1-36 months old. Methods Divided 104 children of 1-36 months old who should obtained operation into the experimental group （41 cases） and control group （63 cases）. A kind of new preoperative fasting method was used in the experimental group, while the traditional fasting method was used in control group, compared the perioperative discomfortable condition of children and patriarchal anxiety between the two groups. Results There was no significant difference about the perioperative vomiting and mis-inhalation betweent the two groups, while the discomfortable condition of children and patriarchal anxiety in control group were significant severely than those of in experimental group, P〈0.01. Conclusion The 4-6 hours-fasting time before operation for children is salty, effective and feasibility, which can improve the comfortable degree of children, and then guarantee the successful of operation.

关 键 词：患儿 手术 术前 禁食 

分 类 号：R473.6[医药卫生—护理学]