摘要
目的探讨改良术前禁食方案对幕上肿瘤手术患者术后康复的影响。方法将188例幕上肿瘤手术患者随机分成观察组95例和对照组93例,对照组按照常规术前禁食禁饮10 h。观察组术前进食含糖清流质,至术前2 h禁食禁饮。采用视觉模拟评分评价患者术前口渴、饥饿程度及低血糖等并发症发生率。结果观察组术前口渴、饥饿评分,术后高血糖、电解质紊乱发生率显著低于对照组(P <0. 05,P <0. 01)。结论改良术前禁食方案能显著改善幕上肿瘤患者术前口渴、饥饿感,减少术后应激性高血糖和电解质紊乱发生,有利于促进患者术后快速康复。
Objective To evaluate the effect of a modified pre-operative fasting scheme on post-operative recovery of patients with supratentorial tumors. Methods A total of 188 patients were enrolled and randomly divided into an experimental group( n = 95),who were instructed to drink sugar containing fluid tiu 2 h before the operation,and a control group( n = 93),who strictly followed a 10 hour fasting scheme. Visual Analogue Scale( VAS) was used to evaluate preoperative thirst and hunger levels among the patients,and such complications as hypoglycemia were documented and compared. Results Preoperative VAS scores of thirst and hunger,as well as the incidence rates of postoperative hyperglycemia and electrolyte imbalance were significantly lower in the experimental group than in the control group( P <0. 05,P < 0. 01). Conclusion The modified pre-operative fasting can relieve preoperative thirst and hunger,and effectively reduce the incidence rates of postoperative hyperglycemia and electrolyte imbalance,thus boost post-operative recovery of patients.
引文
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