术前禁食禁饮新方案对择期手术儿童的应用效果及患儿护理满意度调查-现代医学

术前禁食禁饮新方案对择期手术儿童的应用效果及患儿护理满意度调查

单位：川北医学院附属医院儿外科, 四川南充 637000

分类号：R473.6

出版年·卷·期（页码）：2018·46·第十期（1184-1187）

摘要：

目的：观察术前实施禁食禁饮新方案对择期手术儿童的应用效果及患儿的护理满意度。方法：选取我院小儿外科收治的100例6~14岁择期手术患儿，随机分为观察组与对照组各50例，对照组患儿术前采用传统禁饮禁食方法，观察组患儿采用2017年美国麻醉医师协会（ASA）制定的术前禁饮禁食新方案，比较两组患儿术前胃液量、胃液pH值、血糖水平、胰岛素水平、术中情况及护理满意度。结果：观察组患儿术前口渴、饥饿感、焦虑、疲乏无力感的发生率显著低于对照组（P<0.05）；两组患儿术中呕吐、误吸的发生率差异无统计学意义（P>0.05）；观察组患儿术前血糖水平、胰岛素水平显著高于对照组（P<0.05）；两组患儿术前胃液量、胃液pH值差异无统计学意义（P>0.05）；观察组护理满意率显著高于对照组（P<0.05）。结论：择期手术儿童术前实施禁食禁饮新方案能提高患儿的舒适感和满意度，改善患儿的健康状况，有助于患儿术后康复。

Objective:To investigate the effect of pre-operative fasting and water deprivation regimens on the nursing satisfaction and application in elective surgery children. Methods:One hundred children aged 6-14 years old admitted to the department of pediatric surgery were selected as the research subjects. They were randomly divided into control group and experimental group with 50 patients in each group. Traditional regimen of fasting and water deprivation was used in the control group. The new regimen of fasting and water deprivation developed by the American Society of Anesthesiologists (ASA) in 2017 was conducted in the experimental group.The intraoperative conditions, pre-operative gastric fluid volume, gastric pH, blood glucose level, insulin level and nursing satisfaction were compared between the two groups.Results:The incidence of thirst, hunger, anxiety and fatigue in the experimental group was significantly lower than that in the control group, and the differences were statistically significant (P<0.05). There were no differences in the incidence of intraoperative vomiting and aspiration between the two groups (P>0.05). The preoperative blood glucose level and insulin level in the experimental group were significantly higher than those in the control group, the differences being statistically significant (P<0.05). There were no significant differences in preoperative gastric fluid volume and pH value between the two groups (P>0.05). The satisfaction rate of the experimental group was significantly higher than that of the control group with statistical significance (P<0.05). Conclusion:The pre-operative fasting and water deprivation regimens for elective surgery children can improve the comfort, satisfaction and health status of the children, which is helpful for children to recover after surgery.

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