术前新禁食方案对腹部择期手术患者的影响

目的探讨腹部择期手术患者实施术前新禁食方案对术中、术后的影响,并对其可行性进行分析。方法将80例患者随机分为观察组与对照组各40例。对照组给予常规禁饮禁食,观察组给予新禁食方案,对2组患者术前、术中及术后相关指标进行比较分析。结果 2组患者在术前胃液量、术中胃液量、术中误吸、术后呕吐、术后恶心、术后肺炎方面比较差异无统计学意义(P0.05);观察组患者在术前饥饿、口渴、焦虑程度方面优于对照组(P0.05);2组患者术前及术后胰岛素抵抗程度比较差异无统计学意义(P0.05);组内比较,观察组患者术前与术后胰岛素抵抗程度比较差异无统计学意义(P0.05),对照组患者术前与术后胰岛素抵抗程度比较差异有统计学意义(P0.05)。结论术前新禁食方案并未增加患者术前及术中的胃液量,以及术中及术后呕吐、误吸等发生率,但能有效减轻患者术前饥饿、口渴、焦虑以及术后胰岛素抵抗程度,对腹部择期手术患者实施术前新禁食方案安全有效,切实可行。

The effect of new preoperative fasting program in patients undergoing elective abdominal surgery

Objective To analysis the effect of preoperative fasting program in patients undergoing elective abdominal surgery. Methods 80 patients undergoing eleetive abdominal surgery were randomly divided into control group and intervention group, each group had 40 patients. Patients in control group were given preoperative fasting routinely, while patients in intervention group were given the new preoperative fasting program. The preoperative, intraoperative and postoperative related indicators were compared between the 2 groups. Results The preoperative hunger, thirst, anxiety and the degree of Insulin .resistance in intervention group was lower than that of control group（ P〈0.05 ）. Conclusion The Preoperative fasting program in patients undergoing elective abdominal surgery is safe and feasible.