气管插管全身麻醉后患者饮水意愿调查及早期饮水影响的研究

目的探讨气管插管全身麻醉术后早期饮水对患者口咽舒适度与胃肠道功能恢复的影响。方法回顾性分析2016年8月-2018年8月在我院接受治疗的气管插管全身麻醉术后复苏1000例患者的临床资料,按护理方法不同分为观察组500例和对照组500例。对照组采取常规术后禁饮,观察组实施术后早期饮水。比较两组患者的口腔舒适度、胃肠道恢复情况、以及不良事件发生率(腹胀、恶心、呕吐与误吸等)。结果观察组中有饮水意愿的患者为68.8%,显著低于对照组的84.2%,差异有统计学意义(P<0.05),且观察组患者的饮水意愿评分为(3.14±1.26)分,显著低于对照组患者的(4.35±1.18)分,差异有统计学意义(P<0.05);在术后8h与24h,观察组患者口腔舒适度评分均显著低于对照组患者,差异有统计学意义(P<0.05),同时观察组发生口干与口腔异味的患者例数均显著低于对照组,差异有统计学意义(P<0.05);观察组患者护理满意度为95.4%,显著高于对照组患者的84.2%,差异具有统计学意义(P<0.05);观察组的首次排气时间与排便时间均显著早于对照组,差异具有统计学意义(P<0.05);观察组发生腹胀、恶心、呕吐与误吸的患者略低于对照组,且差异无统计学意义(P>0.05)。结论气管插管全身麻醉术后患者早期饮水可以促进胃肠功能的恢复,提高口腔舒适度,安全可行,具有一定的推广价值。

Investigation on the willingness of patients to drink water after general anesthesia with tracheal intubation and the effect of early drinking water

Objective To study the influence of drinking small amount water early among patients with tracheal intubation general anesthesia after operation on the oropharyngeal comfort and recovery of gastrointestinal function. Methods The clinical data of 1 000 patients with intubation general anesthesia from August 2016 to August 2018 in our hospital were selected and analyzed retrospectively. Patients were randomly divided into observation group and control group. Each group had 500 cases. patients in the control group was received routine water deprivation after operation,the observation group was given some water early after operation. The oral comfort, gastrointestinal function recovery satisfaction, incidence of abdominal distension, nausea, vomiting, aspiration and rate of drinking water was observed and compared between the two group. Results 68.8% of patients having willingness to drink water compared with 84.2% in the control group, there was statistically significant difference( P <0.05), and the score of willingness to drink water(3.14±1.26) was significantly lower than the score(4.35±1.18) in the control group. The difference was statistically significant ( P <0.05). At 8 h and 24 h after surgery, the score of oral comfort in the observation group were significantly higher than that of the control group( P <0.05). And the patients with dry mouth and oral malodour in observation group were significantly lower than that of the control group ( P <0.05). 95.4% of patients nursing satisfaction compared with 84.2% in the control group, There was statistically significant difference( P <0.05).The time to first flatus and passage of feces in the observation group were significantly lower than that of the control group ( P <0.05). While the incidence of abdominal distension, nausea, vomiting and aspiration in the observation group were lower than that of the control group ( P >0.05). Conclusion The patients with tracheal intubation general anesthesia after operation drinking water before exhaust can promote the recovery of gastrointestinal function, improve oral comfort, which is safe and feasible. It is worthy of popularization and application widely.