术前口服10%葡萄糖溶液对腹腔镜下胆囊切除术患者的影响  

Preoperative 10% glucose treatment for enhancing recovery after laparoscopic cholecystectomy

作　　者：张有娣 刘晓燕[1] 蒲小金[2] 汪袁云子 马娟珍 周文策[2] Zhang Youdi;Liu Xiaoyan;Pu Xiaojin;Wang Yuanyunzi;Ma Juanzhen;Zhou Wence(School of Nursing, Lanzhou University, Lanzhou 730000, China;General Surgery Department two in First Hospital of Lanzhou University, Lanzhou 730000, China)

机构地区：[1]兰州大学护理学院,730000 [2]兰州大学第一医院普外二科, 730000

出　　处：《中国实用护理杂志》2019年第28期2175-2179,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨术前口服10%葡萄糖溶液对腹腔镜下胆囊切除术患者的影响。方法纳入2018年6-11月在兰州大学第一医院接受腹腔镜下胆囊切除术的患者82例,根据入院时间将其分为试验组40例和对照组42例,对照组采用传统护理措施,术日0:00后禁饮禁食,试验组在对照组护理措施的基础上,于手术前一晚口服10%葡萄糖溶液400 ml,手术当天6:00口服10%葡萄糖溶液100 ml,观察患者手术安全性、舒适度和围手术期满意度情况。结果2组患者术后均未发生恶心呕吐和并发症,试验组围手术期满意度得分为(94.00 ± 3.08)分,对照组为(80.00 ± 11.54)分,2组比较差异有统计学意义(t=3.45,P<0.01)。试验组患者术前1 h口渴、饥饿、疲劳和焦虑视觉模拟量表评分分别为(2.97 ± 3.55)、(1.50 ± 0.57)、(2.50 ± 1.00)、(2.25 ± 0.96)分,均低于对照组的(3.55 ± 2.98)、(2.25 ± 0.50)、(5.50 ± 0.57)、(5.25 ± 1.89)分,差异均有统计学意义(t=2.83~5.19,P<0.01或0.05)。试验组术后4 h口渴、饥饿和疲劳视觉模拟量表评分分别为(3.60 ± 1.00)、(3.50 ± 0.56)、(2.75 ± 1.50)分,均低于对照组的(7.00 ± 0.58)、(4.75 ± 1.25)、(5.75 ± 0.50)分,差异有统计学意义(t=5.00、3.69、3.79,P<0.05)。与术前1 h相比,试验组和对照组患者术后4 h口渴和饥饿程度均增加,差异有统计学意义(t=-9.91^-2.23,P<0.05);对照组患者焦虑程度降低,差异有统计学意义(t=5.20,P<0.01)。结论腹腔镜下胆囊切除术患者术前口服10%葡萄糖溶液安全有效,可提高患者围手术期主观舒适度和住院满意度。Objective To investigate the effection of 10% glucose on laparoscopic cholecystectomy. Methods Including 82 cases in patients undergoing laparoscopic cholecystectomy from June 2018 to November 2018 in the First Hospital of Lanzhou University. They were divided into the experimental group(40 cases) and the control group (42 cases) according to admission time. The control group used conventional nursing measures, fast day after 0:00. The experimental group took orally 400 ml 10% glucose solution on the night before surgery, 10% glucose 100 ml at 6:00 on the day. And then the perioperative safety, comfort and hospital satisfaction were observed. Results No postoperative nausea and vomiting and complications occurred in the two groups. The perioperative satisfaction score of the experimental group was greater than the control group, which was 94.00±3.08 and 80.00±11.54 points, respectively, and the difference was statistically significant (t=3.45, P<0.01). The VAS scores of thirst, hunger, fatigue and anxiety in the experimental group were 2.97±3.55, 1.50±0.57, 2.50±1.00, 2.25±0.96, respectively, which were lower than those in the control group (3.55±2.98, 2.25±0.50, 5.50±0.57, 5.25±1.89), and the differences were statistically significant (t= 2.83-5.19, P<0.01 or 0.05). The VAS scores of thirst, hunger and fatigue in the experimental group were 3.60±1.00, 3.50±0.56, 2.75±1.50, respectively, 4 h after surgery, which were lower than those in the control group (7.00±0.58, 4.75 ±1.25, 5.75±0.50), with statistically significant differences (t=5.00, 3.69, 3.79, P<0.05). Compared with preoperative situation, the thirst and hunger degree of the two group both increased after surgery, while the anxiety degree of the control group decreased, and the difference was statistically significant (t=-9.91-5.20, P<0.05 or 0.01). Conclusions Oral administration of 10% glucose solution before laparoscopic cholecystectomy is safe and effective, which can improve perioperative comfort and hospitalization satisfaction of p

关 键 词：葡萄糖 胆囊切除术 腹腔镜 手术前护理 

分 类 号：R473.6[医药卫生—护理学]