| 赵中敏,秦莹,于丹丹,等.全身麻醉斜视矫正术病儿早期饮食护理干预的观察[J].安徽医药,2019,23(5):972-975. |
| 全身麻醉斜视矫正术病儿早期饮食护理干预的观察 |
| Early drinking and eating nursing intervention for children with strabismus surgery under general anesthesia |
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| DOI：10.3969/j.issn.1009-6469.2019.05.037 |
| 中文关键词: 斜视 视轴矫正法 禁食 进食 手术后医护 麻醉,全身 儿童 |
| 英文关键词: Strabismus Orthoptics Fasting Eating Postoperative care Anesthesia,general Child |
| 基金项目: |
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| 中文摘要: |
| 目的 观察早期饮食护理干预在全身麻醉(全麻)下斜视矫正术病儿中的应用效果。方法 将104例2015年1月至2017年6月本溪市中心医院接受全麻下斜视矫正手术病儿采用随机数字表法分为观察组与对照组,每组52例。对照组术后采取常规护理,观察组术后采取早期饮食护理干预。比较两组术后首次进饮食时间及不良反应情况评分。结果 术后24 h内,观察组的饥饿、口渴、腹胀、发热及烦躁哭闹发生率依次为40.38%、28.85%、3.85%、5.77%、19.23%,显著低于对照组的96.15%、86.54%、23.08%、19.23%、40.38%(P＜0.05);观察组的恶心呕吐、呛咳发生率为13.46%、5.77%,与对照组的7.69%、1.92%比较差异无统计学意义(P＞0.05);观察组术后首次饮水、进食时间为(1.45±0.32) h、(1.88±0.42) h,较对照组的(4.45±0.42) h、(6.47±0.53) h明显缩短(P＜0.05)。结论 早期饮食护理干预有利于缩短全麻下斜视矫正术病儿术后禁饮禁食时间,降低术后不良反应发生率,减轻病儿术后不适感,改善病儿的机体营养状态。 |
| 英文摘要: |
| Objective To investigate the application effect of early drinking and eating nursing intervention for children with strabismus surgery under general anesthesia.Methods A total of 104 children undergoing strabismus surgery under general anesthesia in Benxi Central Hospital from January 2015 to June 2017 were divided into observation group and control group according to random number table method,with 52 cases in each group.The children in the control group were given routine nursing,while the children in the observation group were given early drinking and eating nursing intervention.The first time into the drinking and eating after surgery,postoperative adverse reactions between the two groups were compared.Results Within post-operative 24 hours,the incidence of starvation,thirst,bloating,fever and irritability crying in the observation group was 40.38%,28.85%,3.85%,5.77%,19.23% respectively,which was significantly lower than 96.15%,86.54%,23.08%,19.23%,40.38% in the control group (P＜0.05);the incidence of nausea,vomiting and cough was 13.46%,5.77% in the observation group,showing no significant difference with 7.69%,1.92% in the control group (P＞0.05).The first time into the drinking and eating after surgery in observation group was (1.45±0.32) h and (1.88±0.42) h,significantly shorter than (4.45±0.42) h,(6.47±0.53) h in the control group (P＜0.05).Conclusion Early drinking and eating nursing intervention can shorten the time of postoperative forbidden to drinking and eating for children with strabismus surgery under general anesthesia,reduce the incidence of postoperative adverse reactions and reduce the postoperative discomfort,improve children--s body nutrition status. |
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