超声在遵循加速康复外科策略下监测高龄患者胃排空情况及预防反流误吸的临床研究

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摘要目的研究分析采用超声在遵循加速康复外科（ERAS）策略下监测高龄患者胃排空情况及预防反流误吸的临床疗效。方法选取2020年7月至12月江门市五邑中医院及开平市中医院收治的60 例拟择期行上腹部手术的高龄患者作为研究对象，按照随机数字表法分为对照组（30 例）与试验组（30 例），对照组于术前晚22∶00 后要求患者一直保持禁饮禁食，试验组于术前2 h 给予患者400 ml 碳水化合物口服。两组患者进入麻醉准备间后，予超声监测患者胃排空情况和评估反流误吸风险。比较两组的右侧卧位的胃容量、胃窦横截面积、胃容积体重比、反流误吸风险。结果两组患者的胃容量、胃窦横截面积、胃容积体重比、反流误吸风险比较，差异无统计学意义（P＞0.05）。结论高龄患者遵循ERAS 策略可利用超声监测胃排空情况及预防反流误吸。

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	王超
	李泳怡
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	陈振华
	胡思光
	蔡兴建

关键词 ：超声监测, 高龄患者, 胃排空, 反流

Abstract：Objective To study and analyze the clinical effect of ultrasound monitoring gastric emptying and preventing reflux aspiration in elderly patients following enhanced recovery after surgery (ERAS) strategy. Methods From July to December 2020, a total of 60 elderly patients who underwent elective upper abdominal surgery in Jiangmen Wuyi Hospital of Traditional Chinese Medicine and Kaiping Hospital of Traditional Chinese Medicine were selected as the research subjects. According to random number table, they were randomly divided into a control group with 30 cases and a experimental group with 30 cases. The patients in the control group were asked to keep fasting state from 22:00 p.m. before operation. The patients in the experimental group were asked to drink 400 ml carbohydrate 2 hours before operation. After entering the anesthesia preparation room, the patients in the two groups were monitored by ultrasound for gastric emptying and the risk of reflux aspiration. The gastric volume, antral cross-sectional area, gastric volume to body mass ratio and the risk of reflux aspiration were compared between the two groups. Results There were no significant differences in gastric volume, antral cross-sectional area, gastric volume to body mass ratio and reflux aspiration risk between the two groups (P>0.05). Conclusion For the elderly patients who follow ERAS strategy, the ultrasound is useful in monitoring the gastric emptying and preventing the reflux aspiration.

Key words： Ultrasound monitoring Elderly patients Gastric emptying Reflux

引用本文:

王超；李泳怡；黄逸敏；陈振华；胡思光；蔡兴建. 超声在遵循加速康复外科策略下监测高龄患者胃排空情况及预防反流误吸的临床研究[J]. 中国当代医药, 2022, 29(9): 51-54.
WANG Chao；LI Yongyi；HUANG Yimin；CHEN Zhenhua；HU Siguang；CAI Xingjian. Clinical study of ultrasound monitoring gastric emptying and preventing reflux aspiration in elderly patients following strategy of enhanced recovery after surgery. 中国当代医药, 2022, 29(9): 51-54.

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