Bozok University, Faculty of Health Sciences/Surgery Nursing, Yozgat, Turkey.
Erciyes University, Faculty of Health Sciences/Women's Health and Childbirth Nursing, Kayseri, Turkey.
Braz J Anesthesiol. 2021 May-Jun;71(3):247-253. doi: 10.1016/j.bjane.2021.02.053. Epub 2021 Apr 15.
This study aimed to analyze the effects of preoperative oral intake of liquid carbohydrate on postoperative blood glucose, fasting-thirst, and fatigue levels in patients undergoing arthroscopic surgery.
This randomized controlled clinical trial enrolled 82 patients, who were scheduled to undergo arthroscopic surgery, and divided them into two groups: (1) those who consumed a carbohydrate-rich drink, and (2) those not consuming anything after midnight. Pre- and postoperative fasting-thirst (visual analog scale) and blood glucose levels were measured. Likewise, the Brief Fatigue Inventory was applied to patients 24 hours after surgery.
The mean blood glucose levels in the first postoperative hour were 90.90 ± 13.56 mg.dL and 107.00 ± 15.84 mg.dL in the intervention group and control group, respectively (p < 0.001). The postoperative mean thirst scores were 4.70 ± 1.59 and 6.36 ± 2.07 in the intervention group and control group, respectively (p < 0.001). Their corresponding postoperative mean fasting scores were 5.54 ± 1.76 and 5.86 ± 1.79 (p > 0.05) and the mean fatigue levels in the 24 postoperative hour were 4.80 ± 2.13 and 5.48 ± 1.46, respectively (p > 0.05).
Oral intake of liquid carbohydrate before spinal anesthesia was found to have positive effects on patients' postoperative blood glucose and thirst levels.
本研究旨在分析术前口服液体碳水化合物对接受关节镜手术患者术后血糖、禁食口渴和疲劳水平的影响。
这是一项随机对照临床试验，共纳入 82 名计划接受关节镜手术的患者，并将其分为两组：（1）饮用富含碳水化合物的饮料组，（2）午夜后不进食任何东西组。测量术前和术后禁食口渴（视觉模拟评分）和血糖水平。同样，术后 24 小时对患者应用简要疲劳量表。
干预组和对照组患者术后第 1 小时的平均血糖水平分别为 90.90±13.56mg.dL 和 107.00±15.84mg.dL（p<0.001）。术后平均口渴评分分别为 4.70±1.59 和 6.36±2.07（p<0.001）。相应的术后平均禁食评分分别为 5.54±1.76 和 5.86±1.79（p>0.05），术后 24 小时平均疲劳水平分别为 4.80±2.13 和 5.48±1.46（p>0.05）。
椎管内麻醉前口服液体碳水化合物对患者术后血糖和口渴水平有积极影响。
