CAJ | 학술논문

目的探讨婴儿术前禁食、禁饮时间对手术效果的影响.方法将127例先天性巨结肠根治术患儿随机分为观察组64例和对照组63例.观察组于术前6 h禁食,术前2 h禁饮;对照组为术前禁食12 h,禁饮4 h.观察两组病例术前体温、哭闹及术中、术后发生呕吐或误吸等情况.结果观察组病例术前体温升高者显著少于对照组(P＜0.005),观察组术前哭闹情况显著少于对照组(P＜0.005),观察组病例术后体温升高者与对照组比较差异无显著性(P>0.05),观察组术后呕吐情况与对照组比较,差异无显著性(P>0.05),两组伤口愈合时间比较差异无显著性(P>0.05).结论对手术婴儿实施术前6 h禁食,术前2 h禁饮是安全可行的.
목적 탐토영인술전금식、금음시간대수술효과적영향.방법 장127례선천성거결장근치술환인수궤분위관찰조64례화대조조63례.관찰조우술전6 h금식,술전2 h금음;대조조위술전금식12 h,금음4 h.관찰량조병례술전체온、곡료급술중、술후발생구토혹오흡등정황.결과 관찰조병례술전체온승고자현저소우대조조(P＜0.005),관찰조술전곡료정황현저소우대조조(P＜0.005),관찰조병례술후체온승고자여대조조비교차이무현저성(P>0.05),관찰조술후구토정황여대조조비교,차이무현저성(P>0.05),량조상구유합시간비교차이무현저성(P>0.05).결론 대수술영인실시술전6 h금식,술전2 h금음시안전가행적.
Objective To investigate the influences of proper time of preoperative fasting and waterdeprivation on infant colonic operation effects. Methods Randomly divided 127 infants who should obtained congenital megacolon radical correction into the observe group (64 cases) and control group (63 cases) . 6 hoursfasting and 2 hours - water deprivation before operation was practiced in the observe group , while 12 hours - fasting and 4 hours - water deprivation before operation was practiced in the control group, then compared the preoperative body temperative, discomfortable condition of infants llke crying and perioperative vomiting and mis -inhalation between the two groups. Results The cases of preoperative fervescence in the ohserve group were significantly fewer than that of the control group ( P < 0. 005 ), the discomfortable condition of infant like crying was also obviously fewer than that of the control group ( P < 0. 005 ), but there was no significant difference about postoperative fervescence between two groups ( P > 0. 05 ), there was also no significant difference about intention time between two groups (P > 0. 05) . Conclusion The 6 hours - fasting and 2 hours - water deprivation before operation for infants who should obtained operation is safety , effectively and feasibility.