腹腔镜胆囊切除术前不同禁食禁饮时间的临床观察

[摘要] Abstract：Objective To investigate the influence of different fasting and water restriction time on patients undergoing laparoscopic cholecystectomy. Methods Totally 180 patients undergoing laparoscopic cholecystectomy were randomly divided into group A, group B and group C, with 60 cases in each group. Patients in the group A were treated with 12 h of fasting and 4 h of water restriction before operation. Patients in group B were treated with 8 h of fasting and 2 h of water restriction, and those in the group C were treated with 6 h of fasting and 2 h of water restriction. The incidence of preoperative hypoglycemia and the degree of thirst, cold, anxiety, hunger, vomiting and aspiration, and the incidence of postoperative vomiting were compared and analyzed between three groups. Results Patients in the group C had a lower degree of thirst, hunger, cold and anxiety compared with those in the group A and group B(P<0.05). Only 2 cases of aspiration were observed in the group A during operation. The incidence of postoperative vomiting and preoperative hypoglycemia in the group C than those in the group A and group B(P<0.05). Conclusion Application of 6 h of fasting and 2 h of water restriction preoperatively may improve the comfort and safety of patients undergoing laparoscopic cholecystectomy.

[学科分类] 护理学

[关键词] 腹腔镜;胆囊切除术;禁食;禁饮;并发症;护理干预