早期进食对泌尿外科上尿路手术患者术后恢复的影响

Effects of early food intake on clinical recovery of patients with postoperative upper urinary tract

目的 探讨泌尿外科上尿路手术术后早期进食对于术后恢复的影响. 方法 2013 年5月—2014年5月选取126例接受上尿路手术（包括开放手术及腹腔镜手术）的患者作为研究对象,前瞻性随机分组为术后早期进食组和常规对照组. 术后早期进食组患者在术后6h开始进流食,常规对照组患者则在恢复排气后（多为术后2d左右）恢复进流食. 观察记录两组患者的胃肠道恢复情况、下地时间、术后住院日、引流量、停止输液时间等. 结果 早进食组患者排气时间、下地时间、排便时间、停止输液时间及恢复正常进食时间分别为（1. 80 ± 0. 46）,（1. 45 ± 0. 51）,（4. 06 ± 1. 10）,（3. 27 ± 0. 85）, （3.33 ±1.16）d,均优于常规进食组患者,差异有统计学意义（t值分别为3. 598,2. 239,4. 722,3. 140, 3. 395;P〈0. 05）. 结论 对于泌尿外科上尿路手术,术后早进食具有加快患者术后肠道功能恢复、减少输液时间和住院时间的作用,可促进患者术后快速康复.

Objective To explore the effects of early food intake on recovery of patients with postoperative upper urinary tract. Methods One hundred and twenty-six patients after upper urinary tract surgery from January to December 2012 were divided into early food intake group （ food intake beginning 6 h after surgery） and conventional group （ food intake began after first flatus ） . The recovery time of gastrointestinal function, hospital stay, drainage volume and other parameters in two groups were compared. Results The time of flatus, leaving the sickbed, defecation, stopping transfusion and getting right time of eating were （1. 80 ± 0. 46）, （1. 45 ± 0. 51）, （4. 06 ± 1. 10）, （3. 27 ± 0. 85）, （3. 33 ± 1. 16） d in the early food intake group better than those of the conventional group （t=3. 598, 2. 239, 4. 722, 3. 140, 3. 395;P〈0. 05）. Conclusions Early food intake after surgery of upper urinary tract can promote recovery of gastrointestinal function and decrease fluid infusion and hospital stay.