非胃肠道手术患者麻醉复苏期少量饮水的安全性和可行性研究  

The safety and feasibility study of drinking a small amount of water during anesthesia recovery period for patients undergoing non-gastrointestinal surgery

作　　者：谷昌叶 尤月同 GU Changye;YOU Yuetong(Department of Anesthesiology,The first Affiliated Hospital of University of Science and Technology of China,Hefei,Anhui,230001)

机构地区：[1]中国科学技术大学附属第一医院,安徽省立医院麻醉科,安徽合肥230001

出　　处：《中西医结合护理（中英文）》2020年第6期119-121,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨非胃肠道手术患者麻醉复苏期少量饮水的安全性和可行性。方法400例麻醉复苏期意识清醒、生命体征平稳、有吞咽反射的口渴患者,按随机数字表法分为观察组和对照组,各200例。对照组采用棉签蘸水润唇,观察组采用使用一次性滴管吸取10mL温水,从患者两侧嘴角分别缓慢注入5mL,10min后可重复注水1次。观察2组患者干预前、干预后10min、30min以及入病房时口渴程度,记录2组患者干预后在PACU期间发生恶心呕吐。结果干预后,2组口渴均得到改善,且观察组干预后10min、30min以及入病房时患者的口渴改善程度优于对照组,差异有统计学意义(P<0.05)。2组恶心呕吐发生率比较,差异无统计学意义(P>0.05)。结论非胃肠道手术患者麻醉复苏期,在评估充分,急救设备准备到位的情况下,少量饮水可以缓解口渴症状,有助于提高患者术后舒适度。Objective To investigate the safety and feasibility of drinking a small amount of water during anesthesia recovery period for patients undergoing non-gastrointestinal surgery.Methods Totally 400 patients with patients with fully conscious,stable vital signs and normal deglutition reflex during anesthesia recovery period were randomly divided into the observation group and the control group,with 200 cases in each group.In the observation group,5 mL warm water was given by mouth using a disposable dropper.In the control groups,patients’lips were moistened by wet q-tips.The degree of thirst was evaluated by Numerical Rating Scale(NRS).The incidences of nausea and vomiting in the post-anesthesia care unit were compared between two groups.Results The degree of thirsty in the observation group was significantly lower than that in control group at 10 minutes,30 minutes and time of returning to the ward(P<0.05).There was no significant difference in the incidence of nausea and vomiting between two groups(P>0.05).Conclusion Under the condition of evaluation and emergency preparation,it is safe and feasible to drinking a small amount of water during anesthesia recovery period,which can help to relieve patients’thirst symptom and improve their postoperative comfort after non-gastrointestinal surgery.

关 键 词：非胃肠道手术 麻醉复苏期 口渴 恶心呕吐 

分 类 号：R473.6[医药卫生—护理学]