摘要
AIM:To investigate whether children should undergo surgery without a long period of fasting after feeding.METHODS:Eighty children with inguinoscrotal disorders(aged 1-10 years) were studied prospectively.They were divided into eight groups that each contained 10 children who were fed normal liquid food(NLF) and a high-calorie diet(HCD) 2,3,4 and 5 h before surgery,in two doses at 6-h intervals.NLF was given to four groups and HCD to the other four.In all groups,glucose,prealbumin and cortisol levels in the blood were measured twice:just after oral feeding and just before the operation.After the establishment of adequate anesthesia,gastric residue liquid was measured with a syringe.RESULTS:Blood glucose levels in all patients fed NLF and HCD were high,except in patients in the HCD-4 group.There was no signifi cant difference in the blood prealbumin levels.There was a significant increase in the blood cortisol levels in the NLF-2(14.4±5.7),HCD-2(13.2±6.0),NLF-3(10.9±6.4),and HCD-5(6.8±5.7) groups(P<0.05).CONCLUSION:The stress of surgery may be tolerated by children when they are fed up to 2 h before elective surgery.
AIM： To investigate whether children should undergo surgery without a long period of fasting after feeding. METHODS： Eighty children with inguinoscrotal disorders （aged 1-10 years） were studied prospectively. They were divided into eight groups that each contained 10 children who were fed normal liquid food （NLF） and a high-calorie diet （HCD） 2, 3, 4 and 5 h before surgery, in two doses at 6-h intervals. NLF was given to four groups and HCD to the other four. In all groups, glucose, prealbumin and cortisol levels in the blood were measured twice： just after oral feeding and just before the operation. After the establishment of adequate anesthesia, gastric residue liquid was measured with a syringe. RESULTS： Blood glucose levels in all patients fed NLF and HCD were high, except in patients inthe HCD-4 group. There was no significant difference in the blood prealbumin levels. There was a significant increase in the blood cortisol levels in the NLF-2 （14.4± 5.7）, HCD-2 （13.2 ± 6.0）, NLF-3 （10.9± 6.4）, and HCD-5 （6.8 ± 5.7） groups （P 〈 0.05）. CONCLUSION： The stress of surgery may be tolerated by children when they are fed up to 2 h before elective surgery.Key words： Cortisol; Diet; Fasting; Food; Glucose; Liquids; Prealbumin
基金
Supported by Department of Biochemistry, Meram Medical School of Selcuk University
