膝关节镜术全身麻醉后早期进食的可行性研究  

The feasibility study on early feeding after general anesthesia in arthroscopic surgery

作　　者：李鹏程[1] 宁宁[1] 李箭[1] 刘莉[1] 李静[1] 张钟[1] LI Pengcheng;NING Ning;LI Jian;LIU Li;LI Jing;ZHANG Zhong(Department of Orthopedics,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院骨科,成都610041

出　　处：《华西医学》2018年第9期1177-1180,共4页West China Medical Journal

基　　金：四川省科技厅计划项目(2018SZ0228);四川大学校青年启动基金(2017SCU11013);四川大学华西医院学科卓越发展1.3.5工程项目;ZY2016204~~

摘　　要：目的探讨关节镜术全身麻醉(全麻)后患者早期进食的可行性和安全性。方法纳入2017年1月—12月膝关节镜术全麻患者100例,随机分为常规进食组和早期进食组,每组各50例。常规进食组患者术后6 h或肛门排气后方可进食;早期进食组在充分评估下,患者麻醉清醒即进饮进食。比较两组患者术后6 h的恶心、呕吐、腹胀、口渴发生率及舒适度,比较两组患者首次下床时间和住院时间。结果早期进食组和常规进食组患者恶心(10.0%、22.0%)、呕吐(6.0%、16.0%)、腹胀(4.0%、12.0%)发生率及住院时间[(6.44±2.28)、(6.34±0.94)d]比较,差异均无统计学意义(P>0.05)。术后患者口渴发生率(14.0%、40.0%)、术后6 h舒适度[(2.36±1.21)、(4.14±1.53)分]及首次下地时间[(17.30±10.32)、(20.84±3.92)h]比较,差异均有统计学意义(P<0.05)。结论膝关节镜术全麻后患者早期进食进水安全可行,对提高患者舒适度、改善围手术期体验有促进作用。Objective To explore the feasibility and safety of early feeding after arthroscopic surgery with general anesthesia. Methods One hundred patients undergoing arthroscopic surgery with general anesthesia between January and December 2017 were randomly divided into the routine feeding group and the early feeding group, with 50 cases in each group. In the routine feeding group, patients were feeding after anus gas passage or 6 hours after surgery. Under full assessment, patients in the early feeding group could drink or eat when recovered from anesthesia. The nausea, vomiting,abdominal distension, and thirst incidences and the comfort degree 6 hours after surgery, the time of first stand up on foot, and the length of hospital stay between the two groups were compared. Results There was no statistical difference（P〉0.05） in the incidence of disgusting（10.0% vs. 22.0%）, vomiting（6.0% vs. 16.0%）, abdominal distention（4.0% vs.12.0%） or length of hospital stay [（6.44±2.28） vs.（6.34±0.94） days]. The difference in the incidence of postoperative thirst（14.0% vs. 40.0%）, the comfort degree 6 hours after surgery（2.36±1.21 vs. 4.14±1.53）, the time of the first stand up on foot[（17.30±10.32） vs.（20.84±3.92） hours] were statistically significant（P〈0.05）. Conclusions Early feeding is safe and feasible for the postoperiative arthroscopic surgery after general anesthesia, and can improve the patients＇ comfort degree.

关 键 词：膝关节镜术 全身麻醉 早期进食 

分 类 号：R473.6[医药卫生—护理学]