中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
23期
2755-2758
,共4页
秦尚够%李素芳%刘丹%李慧%苏颖
秦尚夠%李素芳%劉丹%李慧%囌穎
진상구%리소방%류단%리혜%소영
儿童%全身麻醉%快速康复理论%早期进饮食
兒童%全身痳醉%快速康複理論%早期進飲食
인동%전신마취%쾌속강복이론%조기진음식
Children%General anaesthesia%Fast track surgery%Early drinking and eating
目的 应用快速康复理论探讨婴幼儿及儿童全身麻醉下行非胃肠道择期手术后早期进饮食的安全性及可行性.方法 选择240例骨科择期手术患儿,按随机数字表法分为观察组与对照组各120例.观察组患儿术后麻醉清醒、意识清楚后实施早期饮食指导,即无胃肠道和咽喉部不适,有进饮食需求,先少量饮水,无呛咳、恶心、呕吐再进食.对照组按常规术毕4h进饮食.分别于术后2h和进食后1h评估患儿口渴、饥饿、恶心、呕吐、呛咳、疼痛等情况,并进行比较.结果 两组患儿术后麻醉清醒及意识清楚时间比较,差异无统计学意义(P＞0.05).观察组有90.0％的患儿术后2h内饮水,77.5％的患儿术后2h内进食.术后2h观察组患儿口渴、饥饿感的发生率分别为10.8％和22.5％,明显低于对照组的95.0％和99.2％,差异有统计学意义(x2值分别为66.5,47.0;P ＜0.01),观察组术后2h疼痛评分为(4.73±0.13)分,低于对照组(5.70±0.13)分,差异有统计学意义(t=1.86,P＜0.05).观察组与对照组患儿术后2h和进食后1h恶心、呕吐和呛咳发生情况比较,差异无统计学意义(P＞0.05).结论 小儿骨科全身麻醉手术患儿术后4h进食的常规可修改,评估患儿术后麻醉清醒、意识清楚后,根据患儿需求术后早进饮食是可行的.
目的 應用快速康複理論探討嬰幼兒及兒童全身痳醉下行非胃腸道擇期手術後早期進飲食的安全性及可行性.方法 選擇240例骨科擇期手術患兒,按隨機數字錶法分為觀察組與對照組各120例.觀察組患兒術後痳醉清醒、意識清楚後實施早期飲食指導,即無胃腸道和嚥喉部不適,有進飲食需求,先少量飲水,無嗆咳、噁心、嘔吐再進食.對照組按常規術畢4h進飲食.分彆于術後2h和進食後1h評估患兒口渴、饑餓、噁心、嘔吐、嗆咳、疼痛等情況,併進行比較.結果 兩組患兒術後痳醉清醒及意識清楚時間比較,差異無統計學意義(P＞0.05).觀察組有90.0％的患兒術後2h內飲水,77.5％的患兒術後2h內進食.術後2h觀察組患兒口渴、饑餓感的髮生率分彆為10.8％和22.5％,明顯低于對照組的95.0％和99.2％,差異有統計學意義(x2值分彆為66.5,47.0;P ＜0.01),觀察組術後2h疼痛評分為(4.73±0.13)分,低于對照組(5.70±0.13)分,差異有統計學意義(t=1.86,P＜0.05).觀察組與對照組患兒術後2h和進食後1h噁心、嘔吐和嗆咳髮生情況比較,差異無統計學意義(P＞0.05).結論 小兒骨科全身痳醉手術患兒術後4h進食的常規可脩改,評估患兒術後痳醉清醒、意識清楚後,根據患兒需求術後早進飲食是可行的.
목적 응용쾌속강복이론탐토영유인급인동전신마취하행비위장도택기수술후조기진음식적안전성급가행성.방법 선택240례골과택기수술환인,안수궤수자표법분위관찰조여대조조각120례.관찰조환인술후마취청성、의식청초후실시조기음식지도,즉무위장도화인후부불괄,유진음식수구,선소량음수,무창해、악심、구토재진식.대조조안상규술필4h진음식.분별우술후2h화진식후1h평고환인구갈、기아、악심、구토、창해、동통등정황,병진행비교.결과 량조환인술후마취청성급의식청초시간비교,차이무통계학의의(P＞0.05).관찰조유90.0％적환인술후2h내음수,77.5％적환인술후2h내진식.술후2h관찰조환인구갈、기아감적발생솔분별위10.8％화22.5％,명현저우대조조적95.0％화99.2％,차이유통계학의의(x2치분별위66.5,47.0;P ＜0.01),관찰조술후2h동통평분위(4.73±0.13)분,저우대조조(5.70±0.13)분,차이유통계학의의(t=1.86,P＜0.05).관찰조여대조조환인술후2h화진식후1h악심、구토화창해발생정황비교,차이무통계학의의(P＞0.05).결론 소인골과전신마취수술환인술후4h진식적상규가수개,평고환인술후마취청성、의식청초후,근거환인수구술후조진음식시가행적.
Objective Application of fast track surgery to study the safety and feasibility of early drinking and eating of infants and children after non-gastrointestinal surgery under general anesthesia.Methods Totals of 240 cases of children with orthopedic surgery were randomly assigned into experimental group and control group.In experimental group,consciousness of sober and clear implementation of postoperative anesthesia of children were received early dietary guidance.While in control group,children were albert 4 hours and then received diet.Respectively,2 hours after operation and 1h after eating,the hunger,thirst,nausea,vomiting,cough,pain of children were assessed and compared.Results There was no significant difference in the time of consciousness of sober and the time of clear implementation of postoperative anesthesia of two groups (P ＞0.05).There were 90.0％ children had drinking and 77.5％ children had eating in 2 hours after operation in the experimental group.The incidence of the sense of thirst and hunger in the postoperative 2 hours of experimental group respectively were 10.8％ and 22.5％ significantly lower than 95.0％ and 99.2％ of control group ( x2 =66.5,47.0,respectively;P ＜ 0.01 ).The post-operation pain score of experimental group in 2 hours was (4.73 ±0.13 ),and that of control group was (4.73 ±0.13),and the difference was statistically significant ( t =1.86,P ＜ 0.05 ).No significant difference was found in the incidence of cough,nausea and vomiting in the 2 hours after operation and 1 hour after eating between two groups (P ＞0.05).Conclusions The regular of paediatric orthopaedic surgery under general anesthesia after surgery in children with 4 hours eating need to amend.It is feasibility to develope early drinking and eating for postoperation children under general anesthesia on the basis of assessing sober and clear of the children.
