基于最佳证据总结的术前禁食禁饮管理在择期全身麻醉手术患者中的应用分析  

Application Analysis of Preoperative Fasting and Drinking Management Based on Best Evidence Summary in Patients Undergoing Selective General Anesthesia Surgery

作　　者：夏静[1] XIA Jing(Department of Anesthesiology,Xiamen University Affiliated Women and Children’s Hospital,Xiamen Maternal and Child Health Hospital,Xiamen 361026,China)

机构地区：[1]厦门大学附属妇女儿童医院,厦门市妇幼保健院麻醉科,厦门361026

出　　处：《中国医药指南》2024年第35期117-120,共4页Guide of China Medicine

摘　　要：目的探讨基于最佳证据总结的术前禁食禁饮管理在择期全身麻醉手术患者中的应用分析。方法选取2021年9月至2022年9月在本院收治的98例择期全身麻醉手术患者,根据术前护理方式进行分组,将2021年9月至2022年2月采用常规术前禁食禁饮管理的46例患者纳入对照组,将2022年3月至2022年9月采用基于最佳证据总结的术前禁食禁饮管理的52例患者纳入观察组。比较两组患者的术前残余胃液量、术前低血糖反应发生率、术前口渴发生率,术中的呕吐、误吸发生率和术后的恢复排气排便所需时间、术后恶心发生率、术后呕吐发生率及术后口渴、饥饿发生率。结果观察组患者的术前残余胃液量小于对照组患者,术前低血糖和口渴发生率均低于对照组患者(P<0.05)。两组患者术中的呕吐发生率和误吸发生率差异无统计系意义(P>0.05)。观察组患者的排气和排便恢复时间早于对照组(P<0.05)。两组患者的术后恶心呕吐发生率差异无统计学意义(P>0.05),观察组患者的术后口渴和饥饿发生率低于对照组(P<0.05)。结论基于最佳证据总结的术前禁食禁饮管理可以根据患者的具体情况给予更加合适的方案,减少患者手术期间的不良反应,术后恢复更快且不适感降低。Objective To explore the application and analysis of preoperative fasting and fasting management based on the best evidence summary in patients undergoing elective general anesthesia surgery.Methods A total of 98 elective general anesthesia surgery patients admitted to our hospital from September 2021 to September 2022 were selected and grouped based on preoperative nursing methods.Patients who underwent routine preoperative fasting and fluid management from September 2021 to February 2022 were included in the conventional management group,with 46 cases.Patients who underwent preoperative fasting and fluid management based on the summary of best evidence from March 2022 to September 2022 were included in the summary management group,with 52 cases.The study compared the preoperative residual gastric fluid volume,the incidence of preoperative hypoglycemic reactions,and the incidence of preoperative thirst between the two groups,as well as intraoperative vomiting and aspiration incidence,postoperative time required for recovery of flatulence and defecation,postoperative nausea incidence,postoperative vomiting incidence,and the incidence of postoperative thirst and hunger.Results The amount of residual gastric fluid in patients of the summary management group was less than that in the conventional management group,and the incidence of preoperative hypoglycemia and thirst was lower than that in the conventional management group(P<0.05).There was no statistically significant difference in the incidence of intraoperative vomiting and aspiration between the two groups(P>0.05).The time for recovery of flatulence and defecation in patients of the summary management group was earlier than that in the conventional management group(P<0.05).There was no statistically significant difference in the incidence of postoperative nausea and vomiting between the two groups(P>0.05),and the incidence of postoperative thirst and hunger in patients of the summary management group was lower than that in the conventional management group(P<

关 键 词：证据总结 术前禁食禁饮管理 择期全身麻醉手术 

分 类 号：R614[医药卫生—麻醉学]