术前口服碳水化合物-电解质溶液在择期腹腔镜全子宫切除术临床效果观察  

Preoperative oral carb-electrolyte solution in elective laparoscopic total hysterectomy clinical effect observation

作　　者：招坤兰[1] 凌海团 苏雪梅[1] Zhao Kunlan;Ling Haituan;Su Xuemei(Gaozhou People's Hospital,Gaozhou 525200,China)

机构地区：[1]高州市人民医院,525200

出　　处：《国际护理学杂志》2020年第1期101-105,共5页international journal of nursing

摘　　要：目的探讨术前口服碳水化合物-电解质溶液在择期腹腔镜全子宫切除术(TLH)的临床效果。方法采用判断抽样方法,选取2017年5~11月在该院妇科行TLH手术患者92例为研究对象,随机分为传统禁食禁饮组和碳水化合物-电解质组,每组46例。使用自行设计的《术前自我感觉调查表》调查患者全麻前1 h的自我感觉,40项术后恢复质量评分表(QoR40)评估患者术后恢复情况。二元Logistic回归分析法探讨QoR40总得分的影响因素。结果碳水化合物-电解质组研究对象术前口干、饥饿、疲倦、焦虑发生比例均低于传统禁食禁饮组,差异有统计学意义(均P<0.05)。碳水化合物-电解质组研究对象术后QoR40总得分、身体舒适度、情绪状态、自理能力、心理支持得分均高于传统禁食禁饮组,差异有统计学意义(均P<0.05)。口服碳水化合物-电解质溶液组在术后2 h恢复程度优于传统禁食禁饮组(0/?=2.08)。结论术前口服碳水化合物-电解质溶液可能改善TLH患者术前饥饿、口干等症状,并可能促进TLH患者术后2 h的身心恢复。Objective To investigate the clinical effect of preoperative oral carb-electrolyte solution in selec・tive laparoscopic total hysterectomy(TLH).Methods Using the judgment sampling method,92 patients undergoing TLH surgery in the department of gynaecology of the hospital from May to November 2017 were selected as the study objects.They were randomly divided into the traditional fasting and no-drink group and the carbohydrate-electrolyte group,with 46 patients in each group.The Preoperative Self-perception Questionnaire designed by ourselves was used to investigate the self-perception of patients 1 hour before general anesthesia,and the 40-item postoperative recovery quality rating scale(QoR-40)was used to evaluate the postoperative recovery of patients.Binary Logistic regression analysis was used to explore the influencing factors of the total score of QoR-40.Results The rate of dry mouth,hunger,fatigue and anxiety in the carbohydrate-electrolyte group before operation were lower than those in the traditional fasting and no-drink group,and the differences were statistically significant(PvO.05).The results of t test showed that the total score of QoR-40,physical comfort,emotional state,self-care ability and psychological support of the subjects in the carbohydrate-electrolyte group were higher than those in the traditional fasting and no-drink group,and the differences were sta・tistically significant(P<0.05).The recovery degree of the oral carbohydrate-electrolyte solution group was better than that of the traditional fasting and no-drink group 2 hours after surgery(OR=2.08).Conclusions Preoperative oral carb-electrolyte solution may improve the symptoms of hunger and dry mouth of TLH patients before surgery,and may promote the physical and mental recovery of TLH patients 2 hours after surgery.

关 键 词：碳水化合物-电解质溶液 腹腔镜全子宫切除术 

分 类 号：R713[医药卫生—妇产科学]