中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2015年
4期
83-85,86
,共4页
纤维支气管镜%禁食禁水%应激水平
纖維支氣管鏡%禁食禁水%應激水平
섬유지기관경%금식금수%응격수평
Fiberoptic bronchoscopy%Water fasting%Stress level
目的：分析受检者纤维支气管镜检查(FB)中，不同禁食水时间对FB的影响差异。方法：选择接受FB的168例呼吸系统疾病患者，将其随机分为对照组和观察组。对照组患者术前禁食4～6 h，观察组患者术前禁食2 h，并比较两组血糖水平、应激水平、抑郁及焦虑情绪评分等差异。结果：①观察组患者禁食后操作前1 h、0.5 h、操作时及操作后各个时间点血糖值均明显高于对照组患者，差异有统计学意义(t=5.382，t=5.893，t=6.624，t=7.934；P＜0.05)；②观察组患者禁食水后的肾上腺素(E)、去甲肾上腺素(NE)及肾素(R)应激水平明显低于对照组患者，其差异有统计学意义(t=4.826，t=7.263，t=6.095；P＜0.05)；③禁食前两组患者的抑郁自评量表(SDS)及焦虑情绪评分(SAS)差异无统计学意义(t=0.637，t=4.958；P＞0.05)，检查前1 h及检查时观察组患者的SDS及SAS评分均明显低于对照组患者，其差异有统计学意义(t=6.382， t=6.562，t=4.958，t=7.632；P＜0.05)。结论：对呼吸系统疾病患者行FB前2 h禁食水更有利于维持患者的血糖稳定，降低应激水平，缓解患者负面情绪具有积极的临床意义。
目的：分析受檢者纖維支氣管鏡檢查(FB)中，不同禁食水時間對FB的影響差異。方法：選擇接受FB的168例呼吸繫統疾病患者，將其隨機分為對照組和觀察組。對照組患者術前禁食4～6 h，觀察組患者術前禁食2 h，併比較兩組血糖水平、應激水平、抑鬱及焦慮情緒評分等差異。結果：①觀察組患者禁食後操作前1 h、0.5 h、操作時及操作後各箇時間點血糖值均明顯高于對照組患者，差異有統計學意義(t=5.382，t=5.893，t=6.624，t=7.934；P＜0.05)；②觀察組患者禁食水後的腎上腺素(E)、去甲腎上腺素(NE)及腎素(R)應激水平明顯低于對照組患者，其差異有統計學意義(t=4.826，t=7.263，t=6.095；P＜0.05)；③禁食前兩組患者的抑鬱自評量錶(SDS)及焦慮情緒評分(SAS)差異無統計學意義(t=0.637，t=4.958；P＞0.05)，檢查前1 h及檢查時觀察組患者的SDS及SAS評分均明顯低于對照組患者，其差異有統計學意義(t=6.382， t=6.562，t=4.958，t=7.632；P＜0.05)。結論：對呼吸繫統疾病患者行FB前2 h禁食水更有利于維持患者的血糖穩定，降低應激水平，緩解患者負麵情緒具有積極的臨床意義。
목적：분석수검자섬유지기관경검사(FB)중，불동금식수시간대FB적영향차이。방법：선택접수FB적168례호흡계통질병환자，장기수궤분위대조조화관찰조。대조조환자술전금식4～6 h，관찰조환자술전금식2 h，병비교량조혈당수평、응격수평、억욱급초필정서평분등차이。결과：①관찰조환자금식후조작전1 h、0.5 h、조작시급조작후각개시간점혈당치균명현고우대조조환자，차이유통계학의의(t=5.382，t=5.893，t=6.624，t=7.934；P＜0.05)；②관찰조환자금식수후적신상선소(E)、거갑신상선소(NE)급신소(R)응격수평명현저우대조조환자，기차이유통계학의의(t=4.826，t=7.263，t=6.095；P＜0.05)；③금식전량조환자적억욱자평량표(SDS)급초필정서평분(SAS)차이무통계학의의(t=0.637，t=4.958；P＞0.05)，검사전1 h급검사시관찰조환자적SDS급SAS평분균명현저우대조조환자，기차이유통계학의의(t=6.382， t=6.562，t=4.958，t=7.632；P＜0.05)。결론：대호흡계통질병환자행FB전2 h금식수경유리우유지환자적혈당은정，강저응격수평，완해환자부면정서구유적겁적림상의의。
Objective:To analyze the different of water fasting time on fiberoptic bronchoscopy examination. Methods: Chosen patients in our hospital received fiberoptic bronchoscopy examination as research subjects, randomly divided into control group with 4-6 h preoperative fasting and observation group with 2 h fasting, and compared blood glucose levels, stress levels, depression and anxiety score. Results: 1) observation group patients’ blood glucose values after water fasting were significantly higher than control group patients (t=5.382, t=5.893, t=6.624, t=7.934; P<0.05);2)observation group patients’ stress levels were significantly lower than control group patients (t=4.826, t=7.263, t=6.095; P<0.05); 3) observation group patients’ depression and anxiety scores before fasting had no difference(t=0.637, t=4.958; P>0.05), SAS and SDS scores of observation group patients 1h before the examination and inspection were significantly lower than the control group patients (t=6.382, t=6.562, t=4.958, t=7.632;P<0.05). Conclusion:Two hours before bronchoscopy is more conducive to the maintenance of water fasting blood sugar stable patients, reduce stress levels, relieve negative emotions in patients with positive clinical significance.
