腹腔镜胆囊切除术后最佳进食时间的研究

被引:13
作者
柯巧芸
颜松龄
陆辉
纪程宏
张道建
机构
[1] 福建省厦门市第二医院
关键词
腹腔镜胆囊切除术; 进食时间; 并发症; 康复;
D O I
10.16821/j.cnki.hsjx.2009.07.005
中图分类号
R473.6 [外科护理学];
学科分类号
摘要
目的研究腹腔镜胆囊切除术后的最佳进食时间。方法将腹腔镜胆囊切除术患者120例,随机分为三组(每组40例):A组于麻醉完全清醒后即进食低脂流质,B组于麻醉清醒后4~6 h进食低脂流质,C组按常规于肛门排气后进食。比较三组病人术后肠鸣音恢复时间、肛门排气时间,术后恶心呕吐发生频次,静脉输液量,住院天数及并发症发生率等指标。结果与B、C两组相比,A组肠道功能恢复快,术后恶心呕吐发生频次低,静脉输液量少,住院时间短,差异有显著意义(P<0.05);三组之间术后并发症发生率差异无显著意义(P>0.05)。三组均无死亡病例。结论腹腔镜胆囊切除术后麻醉完全清醒即少量多次进食低脂流质是安全、可行的,具有加快肠道功能恢复、减少术后恶心呕吐、减少静脉输液量、缩短住院时间等优点。
引用
收藏
页码:584 / 586
页数:3
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