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腹腔镜胆囊切除术后麻醉后护理单元早期口服补液的安全性和可行性:一项前瞻性、随机对照研究

Safety and Feasibility of Early Oral Hydration in the Postanesthesia Care Unit After Laparoscopic Cholecystectomy: A Prospective, Randomized, and Controlled Study.

作者信息

Wu Menghang, Yang Lei, Zeng Xiaoqi, Wang Ting, Jia Anna, Zuo Yunxia, Yin Xiaorong

出版信息

J Perianesth Nurs. 2019 Apr;34(2):425-430. doi: 10.1016/j.jopan.2018.06.093. Epub 2018 Oct 17.

Abstract

PURPOSE

To assess the safety and feasibility of early oral hydration (EOH) in the postanesthesia care unit (PACU) after laparoscopic cholecystectomy.

DESIGN

Prospective, randomized, controlled trial.

METHODS

Patients were randomly assigned to the EOH group or the conventional oral hydration (COH) group. Outcomes were the incidence of nausea and vomiting, thirst scale, incidence of oropharyngeal discomfort, and patient satisfaction.

FINDINGS

Compared with the COH group, the EOH group had lower incidence of nausea before and after the first drink in the ward (P < .05); lower incidence of vomiting before and after the first drink in the ward (P < .05); lower thirst scale when patients were transferred out of the PACU (P < .05) and at 6 hours postoperatively (P < .05); and greater patient satisfaction on postoperative day 1 (P < .05).

CONCLUSIONS

Early oral hydration in the PACU following laparoscopic cholecystectomy was safe and well-tolerated.

摘要

目的

评估腹腔镜胆囊切除术后在麻醉后护理单元(PACU)进行早期口服补液(EOH)的安全性和可行性。

设计

前瞻性、随机、对照试验。

方法

患者被随机分配至早期口服补液组或传统口服补液(COH)组。观察指标为恶心呕吐发生率、口渴程度、口咽不适发生率及患者满意度。

结果

与传统口服补液组相比,早期口服补液组在病房首次饮水前后恶心发生率较低(P < .05);在病房首次饮水前后呕吐发生率较低(P < .05);患者转出PACU时(P < .05)及术后6小时(P < .05)口渴程度较低;术后第1天患者满意度更高(P < .05)。

结论

腹腔镜胆囊切除术后在PACU进行早期口服补液是安全且耐受性良好的。

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