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中华胃食管反流病电子杂志 ›› 2020, Vol. 07 ›› Issue (03) : 188 -192. doi: 10.3877/cma.j.issn.2095-8765.2020.03.011

所属专题: 文献

护理园地

缩短禁饮时间对胃食管反流合并症患者麻醉风险及术后影响的研究
张丽1, 李韶玲1, 薛桃2, 李萍1,()   
  1. 1. 830001 乌鲁木齐,新疆维吾尔自治区人民医院护理部
    2. 830054 乌鲁木齐,新疆医科大学护理学院
  • 收稿日期:2020-01-14 出版日期:2020-08-15
  • 通信作者: 李萍
  • 基金资助:
    新疆维吾尔自治区自然基金联合基金(2019D01C122)

Study on the effects of shortening the duration of abstinence on the risk of anesthesia and postoperative effects in patients with gastroesophageal reflux syndrome

Li Zhang1, Shaoling Li1, Tao Xue2, Ping Li1,()   

  1. 1. Department of nursing, People's Hospital of Xinjiang Uygur Autonomous region, Urumqi 830001, China
    2. Xinjiang medical university school of nursing, Urumqi 830054, China
  • Received:2020-01-14 Published:2020-08-15
  • Corresponding author: Ping Li
引用本文:

张丽, 李韶玲, 薛桃, 李萍. 缩短禁饮时间对胃食管反流合并症患者麻醉风险及术后影响的研究[J/OL]. 中华胃食管反流病电子杂志, 2020, 07(03): 188-192.

Li Zhang, Shaoling Li, Tao Xue, Ping Li. Study on the effects of shortening the duration of abstinence on the risk of anesthesia and postoperative effects in patients with gastroesophageal reflux syndrome[J/OL]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2020, 07(03): 188-192.

目的

探讨缩短禁饮时间对胃食管反流合并症患者术前麻醉风险,以及其他术后恢复情况的影响。

方法

选取2019年1月至2019年12月,新疆维吾尔自治区人民医院微创外科、肝胆外科胆囊疾病合并胃食管反流病择期行腹腔镜胆囊切除术患者176例,按照术前不同的禁饮时间将纳入研究的患者用随机数字表随机分为A、B、C、D组,各组分别为44例,各组的禁饮时间依次为3 h、4 h、5 h、6 h,术前利用胃部超声评估不同禁饮时间的麻醉风险。

结果

术前胃部超声检查结果,4组差异无统计学意义(均P>0.05),且均符合麻醉要求,未发生反流误吸。术后停止输液及住院时间,A、B组明显短于C、D组(P<0.05),住院费用A组少于D组(P<0.05);术后恶心发生情况4组比较结果显示,A、B组显著少于C、D组(P<0.05),但是4组之间呕吐差异无统计学意义(P>0.05)。

结论

胆囊疾病合并胃食管反流患者缩短术前禁饮时间是安全可行的,超声结果显示均符合麻醉要求,没有增加患者的麻醉风险,还可以减少患者术后输液时间,降低住院时间,减轻患者的经济负担。

Objective

To investigate the effects of shortening the duration of abstinence on preoperative anesthesia risk and other postoperative recovery of patients with gastroesophageal reflux syndrome.

Method

From January 2019 to December 2019, 176 patients with minimally invasive surgery, hepatobiliary surgery and gallbladder disease combined with gastroesophageal reflux disease were selected for laparoscopic cholecystectomy in Xinjiang Uygur Autonomous Region People's Hospital,the patients in the study were randomly divided into A, B, C and D groups with A random number table according to different abstinence times before surgery,Each group consisted of 44 patients, and the abstinence times of each group were respectively 3 h, 4 h, 5 h and 6 h,preoperative gastric ultrasound was used to evaluate the anesthetic risk of different abstinence times.

Results

Preoperative ultrasound examination of the stomach showed no statistically significant difference between the four groups (all P>0.05), and they all met the requirements of anesthesia without reflux aspiration. Group A and B were significantly shorter than group C and D (P<0.05), and the hospitalization expenses of group A was less than group D (P<0.05). The comparison results of postoperative nausea among the four groups showed that group A and B were significantly less than group C and D (P<0.05), but there was no statistically significant difference in vomiting between the four groups (P>0.05).

Conclusion

It is safe and feasible for patients with gallbladder disease combined with gastroesophageal reflux to shorten the time of drinking abstinence before surgery. Ultrasound results show that all of them meet the requirements of anesthesia, which does not increase the risk of anesthesia for patients, can also reduce the time of postoperative infusion, reduce the length of hospital stay, and reduce the economic burden of patients.

表1 4组患者一般资料比较
表2 4组患者超声测量胃排空情况比较(
xˉ
±s
表3 4组患者术后停止输液、住院时间以及住院费用比较(
xˉ
±s
表4 4组患者术后恶心、呕吐发生情况比较[例(%)]
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