术前口服碳水化合物在甲状腺乳头状癌手术中的效果分析  

Effect analysis of oral carbohydrate before operation in thyroid papillary carcinoma surgery

作　　者：董丽明[1] 李寅辉[2] 李莉[1] DONG Liming;LI Yinhui;LI Li(Department of Clinical Nutrition,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830054,China;Department of Endocrinology,Traditional Chinese Medicine Hospital Affiliated to Xinjiang Medical University,Urumqi,Xinjiang 830000,China)

机构地区：[1]新疆医科大学第一附属医院临床营养科,乌鲁木齐830054 [2]新疆医科大学附属中医医院内分泌科,乌鲁木齐830000

出　　处：《新疆医学》2019年第9期854-856,共3页Xinjiang Medical Journal

摘　　要：目的探讨加速康复外科模式下口服碳水化合物对甲状腺乳头状癌患者手术治疗的效果。方法2018年1月-2019年6月甲状腺乳头状癌住院手术治疗患者144例按入院先后顺序,分为观察组和对照组,观察组采用术前口服碳水化合物,对照组采用常规围手术期准备,比较观察组与对照组的手术时间、术中出血量、术后恶心、术后呕吐、术后住院天数、住院天数、住院费用、入院及术后第一d电解质测定结果,术后并发症情况。结果观察组术后恶心、呕吐发生少于对照组,观察组术后住院天数、住院天数比对照组缩短,观察组住院费用比对照组降低,差异均有统计学意义(P<0.05)。两组手术时间、术中出血量、入院及术后第一d电解质比较,差异无统计学意义(P>0.05)。结论加速康复外科模式下甲状腺乳头状癌外科手术治疗中术前口服碳水化合物的应用,减少患者术后恶心、呕吐的发生,减少术后住院天数、总住院天数及降低住院费用,有助于加快患者的术后康复。Objective To evaluate the effect of oral carbohydrate in patients with thyroid papillary carcinoma treated by accelerated rehabilitation surgery.Methods From January 2018 to June 2019,144 patients with thyroid papillary carcinoma surgery in hospital order,which divided into the observation group and the control group,the observation group USES the preoperative oral carbohydrate,the control group using conventional perioperative preparation,the comparative observation group and control group in the operation time,intraoperative blood loss,postoperative nausea and vomiting,postoperative hospitalization days,postoperative hospitalization days,hospitalization expenses,and determination of electrolyte on the first day after admission to hospital and the postoperative complications were measured.Results The incidence of postoperative nausea and vomiting in the observation group was less than that of the control group,the length of postoperative hospitalization and length of hospitalization in the observation group were shorter than that of the control group,and the hospitalization cost in the observation group was lower than that of the control group,with statistically significant differences(P<0.05).There was no statistically significant difference between the two groups in operation time,intraoperative blood loss,admission and electrolytes on the first day after surgery(P>0.05).Conclusion The application of oral carbohydrate in the surgical treatment of thyroid papillary carcinoma under the accelerated rehabilitation mode can reduce the incidence of postoperative nausea and vomiting,reduce the postoperative hospitalization days,total hospitalization days and hospitalization costs,and help to accelerate the postoperative rehabilitation of patients.

关 键 词：碳水化合物 术前 甲状腺乳头状癌 

分 类 号：R581.04[医药卫生—内分泌]