缩短围术期禁食时间对髋关节置换术后患者康复的影响  

Impacts of shortening perioperative fasting time on rehabilitation of patients after hip replacement

作　　者：洪钦[1] 宋恩鸿[1] HONG Qin;SONG Enhong(Spinal Osteopathy Surgery,Affiliated Hospital of Guilin Medical University,Guangxi,Guilin 541001,China)

机构地区：[1]桂林医学院附属医院脊柱骨病外科,广西桂林541001

出　　处：《中国医药科学》2021年第4期109-111,共3页China Medicine And Pharmacy

基　　金：广西壮族自治区卫生厅科研课题(Z20170818)。

摘　　要：目的评价缩短围术期禁食时间对髋关节置换术后患者康复的影响。方法收集2017年1月至2018年12月在桂林医学院附属医院脊柱骨病外科行髋关节置换手术的患者120例,根据不同的围术期禁食时间,分为研究组和对照组,每组各60例。研究组为缩短禁食时间组(术前禁食2 h、术后禁食2 h);对照组为常规饮食组(术前禁食12 h、术后禁食6 h),术后不同时间点比较两组患者胃肠道反应、护理满意度以及住院时间。结果研究组在术后口渴、饥饿及恶心的例数较对照组明显低于对照组(P<0.05),两组呕吐和腹胀例数比较,差异无统计学意义(P>0.05),研究组和对照组的护理满意度分别为96.67%、83.33%,差异有统计学意义(P<0.05),研究组和对照组平均住院日分别为(10.10±4.65)d、(14.07±5.03)d,差异有统计学意义(P<0.05)。结论缩短围术期禁食时间能降低胃肠道并发症,提高护理满意度,缩短平均住院日,促进患者的早期康复。Objective To evaluate the impacts of shortening perioperative fasting time on rehabilitation of patients after hip replacement.Methods A total of 120 patients undergoing hip replacement surgery admitted to Spinal Osteopathy Surgery,Affiliated Hospital of Guilin Medical University from January 2017 to December 2018 were collected,and they were divided into the study group(n=60)and the control group(n=60)according to different perioperative fasting time.The study group was fasting time shortening group(fasting for 2 hours before operation and 2 hours after operation),while the control group was conventional diet group(fasting for 12 hours before operation and 6 hours after operation).The gastrointestinal reaction,nursing satisfaction and hospitalization time of the two groups at different time points after operation were compared.Results Compared with the control group,the number of cases of postoperative thirst,hunger and nausea in the study group were significantly lower than those in the control group(P<0.05),while there were no statistically significant differences in the cases of vomiting and abdominal distension between the two groups(P>0.05).The nursing satisfaction rates of the study group and th e control group were 96.67%and 83.33%,respectively,with statistically significant difference between the two groups(P<0.05).The average hospitalization days of the study group and the control group were(10.10±4.65)and(14.07±5.03),respectively,with statistically significant difference between the two groups(P<0.05).Conclusion Shortening perioperative fasting time can reduce the incidence of gastrointestinal complications,improve nursing satisfaction,shorten average hospitalization days and promote early rehabilitation of patien ts.

关 键 词：禁食时间 髋关节置换术 围术期 快速康复 

分 类 号：R687.4[医药卫生—骨科学]