缩短患儿术前禁食禁水时间的研究

Study on shortening the time of children's preoperative fasting

目的探讨缩短患儿术前禁食、禁水时间的可行性及安全性。方法将206例在氯胺酮分离麻醉下行非胃肠道择期手术的患儿按入院顺序分为两组,观察组术前禁食6h、禁水2h,对照组术前禁食12 h、禁水6 h。结果两组患儿术前口渴饥饿、烦躁、疲乏无力等不适情况比较,观察组发生率低于对照组,差异比较有统计学意义;两组患儿发生术中误吸、术后恶心呕吐情况比较,差异无统计学意义。结论实施患儿术前禁食6 h、禁水2 h,可减少患儿不适。

Objective To explore the feasibility and safety of shortening the time of children＇ s pre - operative fasting. Methods Divide 206 children undergoing selective nongastrointestinal operation with ketamine anesthesia into observation group and control group. Apply 6 hours preoperative fasting food, 2 hours fasting water in observation group and 12 hours fasting food, 6 hours fasting water in control＇ group. Result There was significant difference in thirst, hunger and fidget of the two groups. Observation group has a lower incidence than control group, There was no significant difference in aspiration and post - operative nausea and vomiting in two groups. Conclusion Adopting 6 hours preoperative fasting food, 2 hours fasting water can alleviate children＇ s discomfort.