Study on the Proper Time of First Postoperative Eating after Orthopedic Surgery with Spinal Anesthesia_West China Medical Journal

Authors：

 YanYuehong , LaiYing , HuXiaofeng

The Second Department of Orthopedics and Traumatology, Xindu District Hospital of Chinese Traditional Medicine, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

Keywords：

Orthopedic surgery; Spinal anesthesia; First time of eating

DOI：

10.7507/1002-0179.201600560

Video：

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Objective To study the proper time of first postoperative eating in patients after orthopedic surgery with spinal anesthesia. Methods A total of 160 patients who underwent orthopedic surgery from April 2012 to November 2014 were divided into trial group and control group.The symptoms of hunger, thirst, throat discomfort, vomiting and bloating were evaluated at hour 4 and 8 after surgery.The first oral feeding time and the incidence of constipation were analyzed and compared between the two groups. Results The incidence of hunger and thirst in the trial group was significantly lower than that in the control group at hour 4 after surgery (P < 0.05).There was no significant difference in the incidence of throat discomfort, vomiting and bloating between the trial group and the control group at hour 4 and 8 after surgery (P > 0.05).Compared with the control group, the first time of oral feeding was significantly earlier (P < 0.05) and the incidence of constipation was significantly lower (P < 0.05) in the trial group. Conclusion Without adverse reactions, early postoperative eating can alleviate the hunger and thirst sensation of patients after orthopedic surgery with spinal anesthesia, and reduce the incidence of constipation.

Citation： YanYuehong, LaiYing, HuXiaofeng. Study on the Proper Time of First Postoperative Eating after Orthopedic Surgery with Spinal Anesthesia. West China Medical Journal, 2016, 31(12): 2043-2046. doi: 10.7507/1002-0179.201600560 Copy

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15.	安丹, 王春菊.健康教育路徑干預對腸造口術患者自我護理能力和健康行為的影響[J].華西醫學, 2015, 30(4):736-739.
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17.	郭延霞, 高潔, 史建秀.骨科椎管內麻醉患者術后首次飲食時間的研究[J].中華護理雜志, 2012, 47(2):112-114.
18.	谷波, 譚其玲, 胡艷, 等.腎臟部分切除術患者快速康復護理與傳統護理的對照研究[J].華西醫學, 2015, 30(4):747-749.
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1. 劉劍飛.全麻和椎管內麻醉對老年骨科手術患者預后影響分析[J].當代醫學, 2014(24):97-98.
2. Weed J, Finkel K, Beach ML, et al. Spinal anesthesia for orthopedic surgery:a detailed video assessment of quality[J]. Reg Anesth Pain Med, 2011, 36(1):51-55.
3. 葉向紅, 高珞珞, 郭琴.循證護理在骨科手術患者術前術后飲食管理中的應用[J].實用臨床醫藥雜志, 2014, 18(24):210-211.
4. 張湘峰.用椎管內麻醉術對老年骨科手術患者進行麻醉的臨床效果[J].當代醫藥論叢, 2014(8):221-222.
5. 樊彩平.不同麻醉方式在老年患者股骨頸手術中的對比研究[J].實用醫技雜志, 2014, 21(6):665-668.
6. 甘玉芹.骨科椎管內麻醉患者術后進食標準的設定及應用效果[J].國際護理學雜志, 2013, 32(8):1757-1759.
7. 陳君, 曹林嵐, 李春. Steward評分在麻醉復蘇室的應用[J].中國保健營養:中旬刊, 2013(8):655.
8. 潘琦, 童晶晶, 高曉陽, 等.羅馬Ⅱ及羅馬Ⅲ標準診斷功能性消化不良的比較[J].中華內科雜志, 2008, 47(12):1030-1032.
9. 浦鵬飛.椎管內麻醉的研究進展[J].海南醫學, 2012, 23(4):129-131.
10. 陽世偉, 孫其鳳, 龔敏.骨科擇期術后患者進食時間的研究[J].護理學雜志, 2008, 23(6):1-3.
11. De Rojas JO, Syre P, Welch WC. Regional anesthesia versus general anesthesia for surgery on the lumbar spine:a review of the modern literature[J]. Clin Neurol Neurosurg, 2014, 119:39-43.
12. 陳晚英, 吳留娟, 麻會玲, 等.下肢骨折病人椎管內麻醉術后早期飲水的可行性探討[J].護士進修雜志, 2014(11):1021-1022.
13. 李俊.骨科患者椎管內麻醉術后早期進食效果觀察及護理[J].齊魯護理雜志, 2011, 17(32):27-28.
14. 趙芳玲.骨科椎管內麻醉術后早期進食對臥床患者便秘的影響[J].臨床護理雜志, 2014(1):75-76.
15. 安丹, 王春菊.健康教育路徑干預對腸造口術患者自我護理能力和健康行為的影響[J].華西醫學, 2015, 30(4):736-739.
16. 楊琳.生大黃貼敷神闕穴對椎管內手術后患者便秘的療效觀察[J].光明中醫, 2015, 30(3):557-558.
17. 郭延霞, 高潔, 史建秀.骨科椎管內麻醉患者術后首次飲食時間的研究[J].中華護理雜志, 2012, 47(2):112-114.
18. 谷波, 譚其玲, 胡艷, 等.腎臟部分切除術患者快速康復護理與傳統護理的對照研究[J].華西醫學, 2015, 30(4):747-749.
19. 孫可, 金梅, 楊慶國.急診骨科患兒術前禁食的適宜時間與進食-創傷間期的關系[J].中華麻醉學雜志, 2013, 33(10):1174-1176.

West China Medical Journal

Study on the Proper Time of First Postoperative Eating after Orthopedic Surgery with Spinal Anesthesia

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