| 张文汇,王雪,马森,刘清,刘箐.ERAS理念下泌尿外科短小全麻手术患者术后早期进食安全时间的探讨[J].上海护理,2020,20(5):50-52 |
| ERAS理念下泌尿外科短小全麻手术患者术后早期进食安全时间的探讨 |
| ERAS idea: discussion on the safe time of early postoperative eating in patients with short urological surgery under general anesthesia |
| DOI： |
| 中文关键词: ERAS 泌尿外科 术后早期进食安全时间 舒适化护理 |
| 英文关键词:ERAS Urology Safe time for early postoperative feeding Comfort care |
| 基金项目:仁济医院南院护理创新基金项目 |
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| 中文摘要: |
| 目的 探讨ERAS理念下泌尿外科短小全麻手术患者术后早期进食的安全时间。方法 采用方便抽样法选取行泌尿外科短小全麻手术患者300例，按照术后首次进食时间:术后6h后、术后2-6h、术后2h内分为A组、B组和C组。比较三组患者术后首次进水、进食时间，进食前外周血糖值的变化，术后2h、6h、8h内呛咳、误吸、恶心、呕吐的发生率以及术后首次进食前口渴、饥饿的程度。结果 A组患者术后首次进水进食时间为术后6.17h、6.35h，B组为术后3.35h、3.64h，C组为术后1.18h、1.47h，三组间比较有差异(P＜0.001)；术后首次进食前，C组血糖变化差值小于B组，B组小于A组，三组间比较有差异(P＜0.001)；术后首次进食前，C组口渴、饥饿程度低于B组，B组低于A组，三组间(P＜0.05)；三组术后6h内呛咳、误吸、恶心、呕吐的发生情况比较，差异均无统计学意义(P＞0.05)。 结论 泌尿外科短小全麻手术的患者术后2h内进食是安全可行的，可减轻术后口渴、饥饿等不适症状。加强医患对ERAS理念的认知，予患者更人性化、舒适化且安全化的护理。 |
| 英文摘要: |
| Objective To explore the safe time of early eating in patients with ERAS idea of short general anesthesia in lower urinary surgery.Methods A total of 300 patients with short urological surgery under general anesthesia were selected by random number method, and were divided into group A, group B and group C according to the first postoperative feeding time: 6h, 4h and 2h after surgery.The changes of peripheral blood sugar value before the first feeding and the incidence of choking, aspiration, nausea and vomiting within 6h after surgery were compared among the three groups.The degree of thirst and hunger before the first postoperative feeding and the length of postoperative hospitalization.Results Before the first meal after surgery, the difference of blood glucose in group C was less than that in group B, and that in group B was less than that in group A.Before the first meal after surgery, the degree of thirst and hunger in group C was lower than that in group B, and the degree of thirst and hunger in group B was lower than that in group A, among the three groups (P < 0.05).The postoperative hospitalization time in group C was less than that in group B, and the postoperative hospitalization time in group B was less than that in group A, and there was A difference between the three groups (P < 0.05).There was no statistically significant difference in the incidence of cough, aspiration, nausea and vomiting within 6h after surgery among the three groups (P > 0.05).Conclusion It is safe and feasible to eat 2 hours after operation in patients with short urological surgery under general anesthesia, which can alleviate postoperative discomfort symptoms such as thirst and hunger.Strengthen the cognition of ERAS concept between doctors and patients, and provide patients with more humanized, comfortable and safe nursing. |
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