唇腭裂患儿全身麻醉术后饮食时间的探讨

目的探讨唇腭裂患儿在全身麻醉手术后早期进食的安全性及可行性，使患儿安全、舒适地度过手术恢复期。方法将52例4个月至6岁的唇腭裂患儿随机分成实验组和对照组，实验组患儿手术后实行早期饮食指导，对照组患儿手术后实行传统方法饮食指导。结果两组进食时间实验组明显短于对照组，麻醉清醒1h后1：3渴、饥饿、哭闹发生率实验组较对照组低，差异有统计学意义（P〈0．01）。实验组术后消化道反应及误吸率无增加。结论唇腭裂患儿麻醉清醒后早期进食是安全可靠的，可同时减轻患儿口渴、饥饿和哭闹，有助于术后恢复。

Investigation on Food-taking Time for Infants with Cleft Lip and Palate after General Anaesthesia

Objective To investigate the safety and feasibility of early enteral nutrition for infants with cleft lip and palate after operations after general anaesthesia so as to ensure a safe and comfortable passing through convalescent stage. Methods A total of 52 infants with cleft lip and palate from 4 months to 6 years in age were randomized into the experimental group and the control group. The infants in the experimental group were given directions of early food after operations,while the infants in the control group were treated with the traditional method of food directions. Results The food-taking time in the experimental group was shorter than that in the control group. The postoperative discomfortable conditions of children concerning thirsty, hungry, and crying 1 hour after anaesthesia awareness in the control group were significantly severey than those in the experimental group（P〈0.01）. No difference was observed in enteron upset after operation and aspiration in the two groups. Conclusion Early enteral nutrion for infants after anaesthesia awareness is a safe and feasible method to improve the comfort of infants against their thirty,hungry and crying for better postoperative recovery.