缩短腹腔镜结直肠癌根治术患者术前禁水时间的可行性研究  

The Feasibility Study of Shortening the Time of Water Abstinence Before Operation in Patients With Laparoscopic Radical Resection of Colorectal Cancer

作　　者：马凤娇[1] 周爱玉[1] 郑羽翔 蒋维连 MA Fengjiao;ZHOU Aiyu;ZHENG Yuxiang;JIANG Weilian(Operating Room,Guangxi Zhuang Autonomous Region Hospital for Nationalities,Nanning Guangxi 530001,China;Operating Room,the Second Affiliated Hospital of Guilin Medical College,Guilin Guangxi 541199,China)

机构地区：[1]广西壮族自治区民族医院手术室,广西南宁530001 [2]桂林医学院第二附属医院手术室,广西桂林541199

出　　处：《中国卫生标准管理》2023年第4期184-188,共5页China Health Standard Management

基　　金：广西医疗卫生适宜技术研究与开发项目(S2021014)。

摘　　要：目的评价缩短腹腔镜结直肠癌根治术患者术前禁水时间的安全性和可行性。方法选取2019年1月—2020年6月广西壮族自治区民族医院胃肠外科的96例接受腹腔镜结直肠癌根治术的患者,按时间先后分为对照组(48例)和观察组(48例)。对照组按照传统术前禁水方法给予指导;观察组术前1 d晚12点后禁食,术前2 h前口服完350 mL果糖饮品,之后禁饮。记录并比较两组患者术前1 h、术后1 h和6 h的客观指标(血压、血糖、心率、排气时间、排尿时间等)、主观舒适度(术前焦虑、口渴、饥饿、恶心呕吐),并观察患者不良反应的发生情况。结果两组患者术后血压、心率、血糖、饥饿程度、排尿时长、恶心呕吐发生情况方面差异无统计学意义(P>0.05)。观察组患者术前焦虑程度、术后口渴程度、排气时间方面优于对照组,差异有统计学意义(P<0.05)。两组患者均无严重不良反应发生。结论缩短腹腔镜结直肠癌根治术患者术前禁水时间安全、可行,且有助于减轻患者术前焦虑、口渴症状,缩短其术后排气时间。Objective To evaluate the safety and feasibility of shortening the duration of water deprivation before operation in patients with laparoscopic radical resection of colorectal cancer.Methods A total of 96 patients who underwent laparoscopic radical resection of colorectal cancer from January 2019-June 2020 in Guangxi Zhuang Autonomous Region Hospital for Nationalities were selected and divided into control group(48 cases)and observation group(48 cases)according to time.The control group was instructed according to the traditional preoperative water prohibition method.Observation group fasted after 12:00 p.m.on the first day before surgery,took 350 mL fructose drink orally 2 hours before surgery,and then prohibited.Objective indicators(blood pressure,blood glucose,heart rate,exhaust time,urination time,etc.)and subjective comfort(anxiety,thirst,hunger,nausea and vomiting before surgery)of the two groups were recorded and compared,and the occurrence of adverse reactions were observed.Results There were no significant differences in postoperative blood pressure,heart rate,blood glucose,hunger,urination duration,nausea and vomiting between the two groups(P>0.05).Preoperative anxiety,postoperative thirst and exhaust time in the observation group were better than those in the control group,and the difference was statistically significant(P<0.05).No serious adverse reactions occurred in two groups.Conclusion It is safe and feasible to shorten the time of water prohibition before laparoscopic radical resection of colorectal cancer,and it is helpful to reduce the symptoms of anxiety and thirst before surgery,and shorten the time of exhaust after surgery.

关 键 词：腹腔镜 结直肠癌根治术 术前 禁水 护理 口渴 可行性 

分 类 号：R735[医药卫生—肿瘤]