摘要目的 研究早期饮食应用于日间手术无痛肠镜下息肉摘除术后患者的可行性。方法 选取2019年1月～2020年1月联勤保障部队第九〇〇医院收治行无痛肠镜息肉摘除术患者203例为研究对象。按随机数字表法分为对照组和观察组，对照组102例，观察组101例。对照组术后24 h 开始进食，观察组术后2 h 开始进食。观察两组患者术后不同时间点腹痛情况，术后出血及低血糖反应发生情况，首次排便时间及术后24 h 精神状态评分。结果 术后8、24、48 h 观察组腹痛评分均低于对照组，差异有统计学意义（P＜0.05）；观察组术后低血糖发生率低于对照组，差异有统计学意义（P＜0.05）；两组术后出血量比较，差异无统计学意义（P＞0.05）；观察组术后排便时间短于对照组，差异有统计学意义（P＜0.05）；术后24 h 观察组精神状态评分高于对照组，差异有统计学意义（P＜0.05）。结论 早期饮食可减轻日间手术无痛肠镜下息肉摘除术后患者的腹痛，减少术后低血糖的发生，改善精神状态，不会增加术后肠道出血。
Abstract：Objective To study the feasibility of early diet applied to patients undergoing painless enteroscopic polypectomy during day surgery.Methods A total of 203 patients who underwent painless enteroscopy polypectomy inJoint Logistics Support Force No.900 Hospital from January 2019 to January 2020 were selected as the research subjects.According to the random number table method,it was divided into a control group and an observation group,with 102 cases in the control group and 101 cases in the observation group.The control group received food 24 h after surgery,and the observation group received food 2 h after surgery.Abdominal pain,bleeding and hypoglycemia reaction at different time points after operation in two groups of patients,time to first bowel movement and mental state score 24 h after surgery were observed in the tow groups.Results At 8,24 h,and 48 h after surgery,the abdominal pain scores of the observation group were lower than those of the control group,and the differences were statistically significant (P＜0.05);the incidence of postoperative hypoglycemia in the observation group was lower than that of the control group.There was statistical significance (P＜0.05);there was no significant difference in postoperative blood loss between the two groups (P＞0.05);the postoperative defecation time of the observation group was shorter than that of the control group,and the difference was statistically significant (P＜0.05);the mental state score of the observation group was higher than that of the control group at 24 h after operation,the difference was statistically significant (P＜0.05).Conclusion The application of early diet can relieve abdominal pain in patients undergoing painless enteroscopic polypectomy during day surgery,reduce the incidence of postoperative hypoglycemia,improve mental state,and will not increase postoperative intestinal bleeding.
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