全身麻醉下宫腹腔镜输卵管整形术后患者早期饮水的可行性探讨  

Feasibility of early water intake in patients undergoing laparoscopic salpingectomy under general anesthesia

作　　者：张丽英[1] 马加海[2] 王晓丽[1] 韩云 郭敏 赵菁 曲华[3] Zhang Liying;Ma Jiahai;Wang Xiaoli;Han Yun;Guo Min;Zhao Jing;Qu Hua(Anesthesiology Recovery Room,Yantai Yuhuangding Hospital,Qingdao University,Yantai 264000,China;Department of Anesthesiology,Yantai Yuhuangding Hospital,Qingdao University,Yantai 264000,China;Department of Nursing,Yantai Yuhuangding Hospital,Qingdao University,Yantai 264000,China)

机构地区：[1]青岛大学附属烟台毓璜顶医院麻醉科恢复室,264000 [2]青岛大学附属烟台毓璜顶医院麻醉科,264000 [3]青岛大学附属烟台毓璜顶医院护理部,264000

出　　处：《中华现代护理杂志》2020年第7期914-916,共3页Chinese Journal of Modern Nursing

摘　　要：目的评价全身麻醉术后患者早期少量饮水的可行性。方法2018年12月—2019年5月选择烟台毓璜顶医院行全身麻醉下宫腹腔镜输卵管整形术患者130例,采用随机数字表法分为对照组和试验组,各65例。对照组患者术后常规禁饮、禁食,试验组患者术后神志清醒,咳嗽、吞咽反射恢复后给予少量饮水。记录两组患者术后24 h内恶心、呕吐、口干、饥饿感的发生率,记录肛门排气时间。结果试验组患者肛门排气时间为(12.0±1.22)h,对照组为(15.1±1.05)h,差异有统计学意义(t=15.527,P<0.01)。试验组发生口干患者占38.5%(25/65)、饥饿占13.8%(9/65),对照组患者分别为58.5%(38/65)和32.3%(21/65),差异均有统计学意义(χ2值分别为5.205、6.240;P<0.05)。结论全身麻醉下宫腹腔镜输卵管整形术后患者在恢复室内清醒,咳嗽、吞咽反射恢复后即给予饮水,可以增加患者的舒适感,减少不良反应,有利于促进胃肠功能尽早恢复。Objective To evaluate the feasibility of early litter water intake in patients after general anesthesia.Methods Totally 130 patients undergoing laparoscopic salpingectomy under general anesthesia in Yantai Yuhuangding Hospital were selected from December 2018 to May 2019,and divided into the control group(n=65)and the experimental group(n=65).Patients in the control group were routinely abstained from drinking and fasting,while patients in the experimental group were conscious after surgery and took in a small amount of water after cough and swallowing reflexes recovered.The incidence of nausea,vomiting,dry mouth,and hunger within 24 hours after surgery was recorded in both groups,and the time of anal exhaust was recorded.Results The anal exhaust time of patients in the experimental group was(12.0±1.22)h,while that in the control group was(15.1±1.05)h,and the difference between the two groups was statistically significant(t=15.527,P<0.01).Patients with dry mouth and hunger in the experimental group accounted for 38.5%(25/65)and 13.8%(9/65),while those in the control group were 58.5%(38/65)and 32.3%(21/65),and the differences between the two groups were statistically significant(χ2=5.205,6.240;P<0.05).Conclusions Patients undergoing laparoscopic salpingectomy under general anesthesia are conscious in the recovery room and take in water immediately after recovery of cough and swallowing reflexes,which can increase the patient's comfort,reduce adverse reactions and help promote the early recovery of gastrointestinal function.

关 键 词：麻醉 全身 加速康复外科 术后饮水 胃肠功能 麻醉恢复室 

分 类 号：R473.71[医药卫生—护理学]