儿童纤维支气管灌洗术术前禁食禁水时间的研究  

作　　者：周莉[1] 

机构地区：[1]四川省自贡市第一人民医院儿科,643000

出　　处：《湖南中医药大学学报》2018年第A01期860-860,共1页Journal of Hunan University of Chinese Medicine

摘　　要：目的:比较不同禁食禁水时间对纤维支气管灌洗术的患儿临床效果的差异。方法:2015年3月-2017年4月在本院儿科进行纤维支气管灌洗术的儿童370例,实验组190例,对照组180例。试验组患儿在禁食禁水后,术前两小时补充100ml流食(如米糊,燕麦粥,面条等)。对照组患儿禁食禁水后,术前4小时补充250ml的正常饮食。比较两组患儿不适和并发症,及呼吸频率,心率,血压,血氧饱和度,SAS(self-rating anxiety scale)的差异。结果:两组比较,口渴饥饿(x2=44.452,p<0.05)和头晕眼花(x2=6.503,p<0.05),术前术后血压变化症状差异显著。结论:缩短禁食禁水的时间可以通过降低口渴和饥饿感而减少高血压、头晕和焦虑这些并发症的产生,有利于FB手术的临床疗效。Objective:compare to different clinic effect of preoperative fasting and water deprivation interval on children patients in fiberoptic bronchoscopy(FB).Method:370 children patients undergoing FB were performed between March 2015 to April 2017,were randomly divided into 190 of experiment group and 180 of control group.For the experiment group,after fasting and water deprivation,children patients were supplied to 100ml fluids two hours before FB(for example:rice paste,oatmeal,noodle,steamed bread etc).For the control group,after fasting and water deprivation,children patients were supplied to 250ml normal food four hours before FB.To compare difference of the discomfort,complications,breathing,heart rate,blood pressure,blood oxygen saturation,and SAS(self-rating anxiety scale)of two group.Result:the thirst and hunger(x2=44.452,p<0.05),dizziness(x2=6.503,p<0.05),blood pressure before and after FB of experiment group were significantly different from control group.Conclusion:shorten the time of fasting and water deprivation could decrease chances of the complications of high blood pressure,dizziness and anxiety during reducing thirst and hunger,which is the benefit of clinic effect of FB.

关 键 词：支气管灌洗术 术前禁食 禁水 纤维 儿童 头晕眼花 血压变化 血氧饱和度 

分 类 号：R651.15[医药卫生—外科学]