婴儿术前禁食禁饮时间对结肠手术效果的影响

目的 探讨婴儿术前禁食、禁饮时间对手术效果的影响.方法 将127例先天性巨结肠根治术患儿随机分为观察组64例和对照组63例.观察组于术前6 h禁食,术前2 h禁饮;对照组为术前禁食12 h,禁饮4 h.观察两组病例术前体温、哭闹及术中、术后发生呕吐或误吸等情况.结果 观察组病例术前体温升高者显著少于对照组(P＜0.005),观察组术前哭闹情况显著少于对照组(P＜0.005),观察组病例术后体温升高者与对照组比较差异无显著性(P>0.05),观察组术后呕吐情况与对照组比较,差异无显著性(P>0.05),两组伤口愈合时间比较差异无显著性(P>0.05).结论 对手术婴儿实施术前6 h禁食,术前2 h禁饮是安全可行的.

Influences of proper time of preoperative fasting and water deprivation on infant colonic operation effects

Objective To investigate the influences of proper time of preoperative fasting and waterdeprivation on infant colonic operation effects. Methods Randomly divided 127 infants who should obtained congenital megacolon radical correction into the observe group (64 cases) and control group (63 cases) . 6 hoursfasting and 2 hours - water deprivation before operation was practiced in the observe group , while 12 hours - fasting and 4 hours - water deprivation before operation was practiced in the control group, then compared the preoperative body temperative, discomfortable condition of infants llke crying and perioperative vomiting and mis -inhalation between the two groups. Results The cases of preoperative fervescence in the ohserve group were significantly fewer than that of the control group ( P < 0. 005 ), the discomfortable condition of infant like crying was also obviously fewer than that of the control group ( P < 0. 005 ), but there was no significant difference about postoperative fervescence between two groups ( P > 0. 05 ), there was also no significant difference about intention time between two groups (P > 0. 05) . Conclusion The 6 hours - fasting and 2 hours - water deprivation before operation for infants who should obtained operation is safety , effectively and feasibility.