骨科患者围术期阶梯性进食饮的临床研究

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Abstract Objective To investigate the clinical application value of perioperative stepwise eating and drinking in orthopedic patients.Methods A total of 200 orthopedic perioperative patients who were admitted to our hospital from January 2018 to April 2019 were enrolled in the study.They were divided into control group and experimental group according to the time of fasting and banned drinking,with 100 cases in each group.In the control group,patients were fasted 12 h before surgery,banned drinking 4 h before surgery.Six hours after surgery,patients were encouraged to drink a small amount of water.One day after surgery,they were fed fluid diet.In the experimental group,patients were fasted 6 h before surgery,and banned drinking 2 h before surgery.After anesthesia awaking,patients were provided with water in stepwise according to their needs at 10,30 min and 1,2,3,4 h,5-15 ml each time.Four hours after anesthesia awaking,they were provided with normal diet.The incidence of adverse reactions,anal exhaust time,hospital stay,comfort (evaluated with visual analogue scale [VAS]),total satisfaction and changes in laboratory indicators(hemoglobin [HGB],albumin [ALB],prealbumin [PA]and fasting blood glucose) were compared between the two groups.Results The incidence rates of hunger,thirst and throat discomfort in the experimental group (7.00%,9.00%,22.00%) were lower than those in the control group accounting for 17.00%,19.00%,and 36.00%,respectively,with statistically significant differences (P＜0.05).There were no significant differences in the incidence rates of nausea and vomiting,diarrhea,and abdominal distension between the experimental group (5.00%,0.00%,2.00%) and the control group (3.00%,1.00%,4.00%) (P＞0.05).One hour before surgery,in the experimental group,the levels of HGB,ALB,PA and fasting blood glucose were (130.54±24.28) g/L,(39.23±5.31) g/L,(319.83±31.96) mg/L,(5.93±0.97) mmol/L,and in the control group,the levels of HGB,ALB,PA and fasting blood glucose were (122.78±23.37) g/L,(35.14±5.18) g/L,(286.24±31.49) mg/L,and (5.26±0.72) mmol/L,respectively.One hour after surgery,the levels of HGB,ALB,PA and fasting blood glucose in the experimental group were (132.18±27.56) g/L,(39.46±5.28) g/L,(319.56±31.85) mg/L,(5.89±0.92) mmol/L,and in the control group,the levels of HGB,ALB,PA,fasting blood glucose were (121.46±22.59) g/L,(35.08±5.19) g/L,(285.27±31.42) mg/L,(5.24±0.69) mmol/L,respectively.The levels of HGB,ALB,PA and fasting blood glucose in the experimental group 1 h before surgery and 1 h after surgery were all higher than those in the control group,with statistically significant differences (P＜0.05).The anal exhaust time ([9.14±1.89]h) and hospital stay ([11.26±1.53]d) of the experimental group were shorter than those of the control group ([15.92±2.68]h,(14.49±1.67]d),VAS score ([2.53±0.82]points) was lower than that of the control group ([5.82±1.09]points),and the differences were statistically significant (P＜0.05).The total satisfaction of the patients in the experimental group (97.00%) was higher than that in the control group (89.00%),and the difference was statistically significant (P＜0.05).Conclusion The clinical application value of perioperative stepwise eating and drinking in orthopedic patients is high,which can effectively reduce the incidence of hunger,thirst and throat discomfort,promote the recovery of gastrointestinal function,shorten the hospital stay,and improve comfort and satisfaction of patients.

Key words： Orthopedics Perioperative period Stepwise eating and drinking Adverse reaction Comfort

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	LIU Yan
	CHEN Xue-qin
	ZHANG Li

Cite this article:

LIU Yan,CHEN Xue-qin,ZHANG Li. Clinical study of perioperative stepwise eating and drinking in orthopedic patients[J]. 中国当代医药, 2020, 27(1): 190-193.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I1/190

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