摘要
目的探讨咽喉部患儿全身麻醉术后适宜的禁食时间,促进患儿术后恢复。方法将102例择期咽喉部全麻手术患儿(3～14岁)随机分为观察组(53例)和对照组(49例)。观察组在患儿意识清醒且吞咽功能恢复的前提下2h后开始进食,先饮少量凉开水,如无误吸现象可进纯奶油冰淇淋或流质;对照组按照常规护理,即患儿麻醉清醒6h后开始进食。比较两组患儿术后6h、24h疼痛、恶心、呕吐、口渴、饥饿等不适发生率。结果观察组患儿术后6h疼痛、恶心、口渴、饥饿不适症状发生率显著低于对照组(均P<0.01)。结论早期进食能有效缓解咽喉部患儿全麻术后的不适症状,有利于患儿尽快恢复。
Objective To explore appropriate post operative fasting time for children receiving pharyngolaryngeal surgery under general anesthesia, and to boost recovery of them. Methods A total of 102 children （aged 3--14） scheduled for pharyngolaryngeal surgery under general anesthesia were randomized into an observation group of 53 and a control group of 49. Two hours after the post-operative children had come to their consciousness and after their swallowing function had returned, the observation group were instructed to drink some cold water and progress to pure ice cream or fluids if no signs of aspiration were noted. The control group were given routine post-operative diet care： they were allowed to eat 6 hours after the anesthetics had worn off. The severity of pain, the rates of nausea, vomiting, thirst, and hunger at 6th and 24th post-operative hours between the 2 groups were recorded and compared. Results The severity of pain, the rates of nausea, thirst, and hunger at 6th post operative hours in the observation group were significantly lower than those in the control group （P〈0.01 for all）. Conclusion Early oral feeding after pharyngo laryngeal surgery performed under general anesthesia can effectively alleviate post-operative discomfort and boost rapid recovery of children.
基金
华中科技大学同济医学院附属协和医院科研课题
关键词
咽喉部手术
全身麻醉
禁食时间
疼痛
误吸
pharyngolaryngeal surgery
general anesthesia
fasting length
painl aspiration
