术前2 h口服碳水化合物溶液对妇科腔镜手术患者的影响  

Effect of oral carbohydrate solute 2 hours before surgery on patients undergoing gynecologic endoscopic surgery

作　　者：刘晓东[1] 陈玉玲 何睿 LIU Xiaodong;CHEN Yuling;HE Rui(Department of Anesthesiology,Tianjin Beichen Hospital,Tianjin 300400,China;Department of Gynecology,Tianjin Beichen Hospital,Tianjin 300400,China;Department of Functional Section,Tianjin Beichen Hospital,Tianjin 300400,China)

机构地区：[1]天津市北辰医院麻醉科,300400 [2]天津市北辰医院妇科,300400 [3]天津市北辰医院功能科,300400

出　　处：《重庆医学》2019年第18期3151-3153,共3页Chongqing medicine

摘　　要：目的研究术前2h口服碳水化合物溶液对妇科腔镜手术患者的影响。方法选取2017年2月至2018年2月该院就诊的120例妇科腔镜手术患者的手术情况进行回顾性分析,根据术前禁食水的情况分为观察组和对照组,各60例。对照组患者术前常规禁食水;研究组患者在常规禁食水基础上在术前2h加服碳水化合物溶液。比较两组患者术前不适情况、术后恶心呕吐发生情况、胃排空情况、临床满意情况。结果术前观察组患者口渴及焦虑程度分别为(0.3±0.2)、(0.8±0.2)分,远低于对照组的(2.2±0.3)、(1.9±0.3)分,差异有统计学意义(P<0.05);观察组患者术后恶心呕吐发生率8.3%(5/60),对照组患者术后恶心呕吐发生率11.7%(7/60),两组差异无统计学意义(P>0.05)。术前观察组患者胃窦面积为(316.4±27.6)mm^2,胃液量为(19.4±1.7)mL;对照组患者胃窦面积为(329.1±49.7)mm^2,胃液量为(21.6±1.2)mL,差异无统计学意义(P>0.05)。观察组患者临床满意度85.0%(51/60),明显高于对照组的70.0%(42/60),差异有统计学意义(P<0.05)。结论手术前2h饮用350mL碳水化合物溶液可缓解妇科腔镜手术患者的口渴和焦虑,不增加胃液残留量及反流误吸风险,同时可改善患者情绪,提高患者的舒适度。Objective To study the effect of oral carbohydrate solute 2 hours before surgery on patients undergoing gynecologic endoscopic surgery. Methods A retrospective analysis was conducted on 120 cases of gynecologic endoscopic surgery patients who were admitted to our hospital from February 2017 to February 2018.The patients were divided into the observation group and the control group according to the condition of fasting for food and water before surgery,with 60 cases each.Patients in the control group were asked to routine fasting for food and water before operation.In the observation group,patients took carbohydrate solute 2 hours before operation on the basis of routine fasting for food and water.Preoperative discomfort,postoperative nausea and vomiting,gastric emptying and clinical satisfaction were compared between the two groups. Results The degree of preoperative thirst and anxiety in the observation group were (0.3±0.2) and (0.8±0.2)scores,which were much lower than those in the control group (2.2±0.3) and (1.9±0.3).The difference was statistically significant (P<0.05).The incidence of postoperative nausea and vomiting in the observation group was 8.3%(5/60),and the incidence of postoperative nausea and vomiting in the control group was 11.7%(7/60).There was no significant difference between the two groups (P>0.05).In the observation group,the gastric antrum area was (316.4±27.6) mm^2,and the gastric fluid volume was (19.4±1.7) mL.In the control group,the gastric antrum area was (329.1±49.7) mm^2,and the gastric fluid volume was (21.6±1.2)mL,the difference was not statistically significant (P>0.05).The clinical satisfaction of the observation group was 85.0%(51/60),which was significantly higher than that of the control group 70.0%(42/60).The difference was statistically significant (P<0.05). Conclusion Drinking 350 mL of carbohydrates solute 2 hours before surgery can relieve the thirst and anxiety of patients undergoing gynecologic laparoscopic surgery,without increasing the residual amount of gast

关 键 词：禁水 碳水化合物 宫腔镜检查 妇科外科手术 全身麻醉 

分 类 号：R614.2[医药卫生—麻醉学]