泌尿外科婴幼儿腹腔镜术后早期进食水的研究
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Early food and water intake in infants and young children after laparoscopic urologic surgery
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    目的 探讨泌尿外科婴幼儿腹腔镜术后早期进食水的安全性和可行性。方法 将入住泌尿外科行腹腔镜手术的478例患儿按时间段分为对照组231例、观察组247例。对照组在麻醉苏醒6 h后指导进食水,观察组依据苏醒评估早期进食水。比较两组进食水后6 h内呕吐、腹胀、哭闹发生率,术后住院时间及家长满意度。结果两组呕吐、腹胀发生率比较,差异无统计学意义(均P>0.05);观察组哭闹率、术后住院时间显著少于对照组,家长满意度显著高于对照组(均P<0.01)。结论 泌尿外科婴幼儿腹腔镜术后依据苏醒评估结果给予早期进食水安全可行,可优化患儿术后就医体验。

    Abstract:

    Objective To investigate the safety and feasibility of early food and water intake in infants and young children after laparoscopic urologic surgery. Methods A total of 478 infants and young children undergoing laparoscopic urologic surgery were divided into a control group of 231 and an intervention group of 247 chronologically. Subjects in the control group were instructed to drink water after 6 hours of anesthesia recovery, while their counterparts in the intervention group received early food and water intake based on assessment of recovery from anesthesia.The incidence rates of vomiting, abdominal distension and cry within 6 hours after drinking water, postoperative hospital stay and parent satisfaction were compared between the two groups. Results There were no significant differences in the incidence rates of vomiting and abdominal distension between the two groups (P>0.05 for both). The intervention group had significantly lower incidence rate of cry, shorter postoperative hospital stay, and higher parent satisfaction compared with the control group (P<0.01 for all). Conclusion Early food and water intake performed based on the assessment of recovery from anesthesia is safe and practical for infants and young children after laparoscopic urologic surgery, which can enhance experience of medical treatment in children.

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康杰,雷佳芳,兰平,吴文波.泌尿外科婴幼儿腹腔镜术后早期进食水的研究[J].护理学杂志,2021,36(4):31-34

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  • 收稿日期:2020-09-13
  • 最后修改日期:2020-11-13
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  • 在线发布日期: 2022-09-16