全麻腰椎手术后饮水干预对患者胃肠道功能的影响

Effects of drinking water before exhausting on patients＇ gastrointestinal function after lumbar surgery in the general anesthesia

目的 探讨全麻腰椎手术后患者排气前饮水对胃肠功能的影响,以促进术后患者胃肠功能的恢复.方法 将100例行全麻腰椎手术患者根据术后有无饮水欲望分为实验组和对照组各50例,实验组患者术后8 h未排气,有肠鸣音,未诉胃部不适,无恶心、呕吐,有饮水欲望者给予温开水5 ml饮用,饮水后未诉腹胀等胃部不适者30 min后给予温开水10ml饮用,饮水后未诉不适者每隔30 min饮用温开水10 ml,至首次排气止;对照组按骨科术后常规护理排气后饮水.记录两组患者的术后首次排气时间、首次进流食时间、听诊肠鸣音、测量腹压等,分析患者术后排气前饮水对胃肠功能的影响.结果 实验组患者平均首次排气时间为（20.72±14.84）h,对照组患者为（28.62±14.93）h,两组排气时间差异有统计学意义（P＜0.01）.结论 全麻腰椎手术后患者排气前饮水可缩短术后首次排气时间,促进胃肠道功能的恢复.

Objective To investigate the effects of drinking some water before exhaust in patients after lumbar surgery in the general anesthesia. Methods A total of 100 patients with lumbar spine surgery were selected from August to December 2009 in some three grade hospital. With the patients＇ consent, the patients were gave some water after the operation, making records of the patient＇ s subjective feelings and laboratory tests. The effects of drink some water were analyzed before the exhaust on patients＇ gastrointestinal function.Results The average exhaust time for the experimental groups patients was （ 20.72±14.84） h. The average exhaust time for the control groups patients was （ 28.62±14.93 ） h. The differences of the exhaust time was statistically significant difference （ P 〈 0.01 ）. Conclusions Drinking some water before exhaust can shorten the exhaust time and improve lumbar spine patients＇ gastrointestinal function after operation.