結直腸手術患者全身麻醉清醒后飲水意愿調查_West China Medical Journal

Authors：

 殷小容 ¹ ,  田永明 ² , 李莉莎 ¹

1. ;
2. ;

Corresponding?author：

殷小容, Email: 1813864144@qq.com; 田永明, Email: arrontian@163.com

Keywords：

結直腸手術; 全身麻醉; 飲水意愿

DOI：

10.7507/1002-0179.201600353

Video：

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目的調查結直腸手術全身麻醉清醒后患者的飲水意愿，為滿足結直腸術后患者全身麻醉清醒后的生理和心理需求提供依據。方法設計病例報告表，由經過培訓的護士對2013年3月－2014年3月進入麻醉蘇醒室的973例結直腸手術后患者的一般資料、手術方式、飲水意愿及回到原病房后的首次飲水時間進行調查。結果 973例結直腸手術患者中，有飲水意愿的患者809例（83.1%），無飲水意愿164例（16.9%）。回原病房后首次飲水時間為2～312 min，平均（71.90±31.75）min。結論大多數結直腸手術后患者全身麻醉清醒后希望能夠飲水，術后早期少量飲水能夠滿足患者的生理和心理需求。

Citation： 殷小容, 田永明, 李莉莎. 結直腸手術患者全身麻醉清醒后飲水意愿調查. West China Medical Journal, 2016, 31(7): 1296-1297. doi: 10.7507/1002-0179.201600353 Copy

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1. Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia[J]. Am J Obstet Gynecol, 1946, 52(52):191-205.
2. Exarhos ND, Logan WD, Abbott OA, et al. The importance of pH and volume in tracheobronchial aspiration[J]. Dis Chest, 1965(47):167-169.
3. James CF, Modell JH, Gibbs CP, et al. Pulmonary aspiration--effects of volume and pH in the rat[J]. Anesth Analg, 1984, 63(7):665-668.
4. Bisgaard T, Kehlet H. Early oral feeding after elective abdominal surgery--what are the issues?[J]. Nutrition, 2002, 18(11/12):944-948.
5. Keele AM, Bray MJ, Emery PW, et al. Two phase randomised controlled clinical trial of postoperative oral dietary supplements in surgical patients[J]. Gut, 1997, 40(3):393-399.
6. Beier-Holgersen R, Boesby S. Influence of postoperative enteral nutrition on postsurgical infections[J]. Gut, 1996, 39(6):833-835.
7. Carr CS, Ling KD, Boulos P, et al. Randomised trial of safety and efficacy of immediate postoperative enteral feeding in patients undergoing gastrointestinal resection[J]. BMJ, 1996, 312(735):869-871.
8. El Nakeeb A, Fikry A, El Metwally T, et al. Early oral feeding in patients undergoing elective colonic anastomosis[J]. Int J Surg, 2009, 7(3):206-209.
9. Repin VN, Tkachenko IM, Gudkov OS, et al. Enteral tube feeding early after surgery on the stomach and the duodenum[J]. Khirurgiia (Mosk), 2002(12):21-25.
10. 劉進, 熊利澤, 黃宇光. 麻醉學[M]. 北京:人民衛生出版社, 2014:152-154.
11. 宋潔, 崔小萱, 曹艷霞. 腰椎全麻術后進飲食時間對患者的影響[J]. 齊魯護理雜志, 2013, 19(24):21-22.
12. Rn MD, Rcn PR. Clinical effectiveness in the post-anaesthesia care unit:how nursing knowledge contributes to achieving intended patient outcomes[J]. J Adv Nurs, 2000, 31(5):1115-1124.
13. 殷小容, 譚玲, 廖燕, 等. 全麻患兒術后早期少量飲水的可行性[J]. 中華麻醉學雜志, 2012, 32(3):282-283.
14. Habib AS, Gan TJ. Evidence-based management of postoperative nausea and vomiting:a review[J]. Can J Anaesth, 2004, 51(4):326-341.
15. Kerger H, Turan A, Kredel M, et al. Patients' willingness to pay for anti-emetic treatment[J]. Acta Anaesthesiol Scand, 2007, 51(1):38-43.
16. Condon RE, Cowles VE, Ferraz AA, et al. Human colonic smooth muscle electrical activity during and after recovery from postoperative ileus[J]. Am J Physiol, 1995, 269(3 Pt 1):G408-G417.
17. 辛志宏. 加速康復外科在老年結直腸癌手術護理中的效果觀察[J]. 中外醫療, 2013, 32(26):27-28.

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West China Medical Journal

結直腸手術患者全身麻醉清醒后飲水意愿調查

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