中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
9期
6-7
,共2页
颅脑择期手术%应激性溃疡%误吸%禁食%禁饮
顱腦擇期手術%應激性潰瘍%誤吸%禁食%禁飲
로뇌택기수술%응격성궤양%오흡%금식%금음
Craniocerebral elective surgery%Stress ulcer%Aspiration%Fasting%Forbidden to drink
目的：对颅脑择期手术患者采用术前不同进食时间，并对术后并发应激性溃疡的影响进行探讨和分析。方法选取2010年3月-2013年3月该院收治的颅脑择期手术患者150例作为研究的对象，并将患者随机分为观察组80例和对照组70例，观察组患者手术前6 h禁食，术前2 h可饮少量的水或水果糖等；对照组患者按照常规的方法，手术前12 h禁食，手术前4~6h禁饮，并分别对两组患者手术中发生误吸的情况以及手术后发生应激性溃疡的状况进行观察，并对两组患者差异之间的关系进行对比。结果观察组患者手术后发生应激性溃疡的发生率7.5%明显低于对照组患者27.1%，且差异有统计学意义(P＜0.05)，两组患者在手术过程中均无误吸发生。结论对于颅脑择期手术患者适当缩短手术前的禁饮、禁食时间可以有效的预防手术后应激性溃疡的发生。
目的：對顱腦擇期手術患者採用術前不同進食時間，併對術後併髮應激性潰瘍的影響進行探討和分析。方法選取2010年3月-2013年3月該院收治的顱腦擇期手術患者150例作為研究的對象，併將患者隨機分為觀察組80例和對照組70例，觀察組患者手術前6 h禁食，術前2 h可飲少量的水或水果糖等；對照組患者按照常規的方法，手術前12 h禁食，手術前4~6h禁飲，併分彆對兩組患者手術中髮生誤吸的情況以及手術後髮生應激性潰瘍的狀況進行觀察，併對兩組患者差異之間的關繫進行對比。結果觀察組患者手術後髮生應激性潰瘍的髮生率7.5%明顯低于對照組患者27.1%，且差異有統計學意義(P＜0.05)，兩組患者在手術過程中均無誤吸髮生。結論對于顱腦擇期手術患者適噹縮短手術前的禁飲、禁食時間可以有效的預防手術後應激性潰瘍的髮生。
목적：대로뇌택기수술환자채용술전불동진식시간，병대술후병발응격성궤양적영향진행탐토화분석。방법선취2010년3월-2013년3월해원수치적로뇌택기수술환자150례작위연구적대상，병장환자수궤분위관찰조80례화대조조70례，관찰조환자수술전6 h금식，술전2 h가음소량적수혹수과당등；대조조환자안조상규적방법，수술전12 h금식，수술전4~6h금음，병분별대량조환자수술중발생오흡적정황이급수술후발생응격성궤양적상황진행관찰，병대량조환자차이지간적관계진행대비。결과관찰조환자수술후발생응격성궤양적발생솔7.5%명현저우대조조환자27.1%，차차이유통계학의의(P＜0.05)，량조환자재수술과정중균무오흡발생。결론대우로뇌택기수술환자괄당축단수술전적금음、금식시간가이유효적예방수술후응격성궤양적발생。
Objective To discuss and analyze the effect of different fasting time preoperative on craniocerebral elective surgery complicated with stress ulcer postoperative.Methods 150 cases of patients underwent craniocerebral elective surgery in our hospital from March, 2010 to March, 2013 were selected as the subjects, and they were randomly divided into the observation group of 80 cases and the control group of 70 cases. Patients in the observation group were treated with fasting 6 h before the operation, drinking a small amount of water or gumdrop 2 h preoperatively and so on;patients in the control group were treated with the conventional method, such as fasting 12 h preoperative, forbidden to drink 4~6 h preoperatively. Intraoperative aspiration and postoperative stress ulcer of two groups were observed, and the differences between them were compared.Results The incidence of stress ulcer of the patients in the observation group after surgery was 7.5%, which was significantly lower than 27.1%of the patients in the control group, the difference was statistically significant (P<0.05). And no aspiration occurred in both groups during the operation.Conclusion For patients with craniocerebral elective surgery, appropriately shortening the time of fasting and forbidding drinking before surgery can effectively prevent the occurrence of stress ulcer after the operation.
