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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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

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	Articles by authors
	WANG Chao
	LI Yongyi
	HUANG Yimin
	CHEN Zhenhua
	HU Siguang
	CAI Xingjian

Cite this article:

WANG Chao,LI Yongyi,HUANG Yimin, et al. Clinical study of ultrasound monitoring gastric emptying and preventing reflux aspiration in elderly patients following strategy of enhanced recovery after surgery[J]. 中国当代医药, 2022, 29(9): 51-54.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I9/51

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