全脑血管造影术患者术前不禁食水可行性研究

Feasibility study of no water restriction before operation in patients with cerebral angiography

目的对全脑血管造影术前、术后不限食水的可行性进行研究探讨,旨在寻找更加人性化的科学饮食指导方案。方法回顾性分析2016年7-10月行全脑血管造影的203例患者,随机分为两组,观察组102例术前进食半流质清淡饮食,量为正常量的70%~80%;对照组101例术前按照常规护理:禁食8h、禁饮4h。观察两组术前口渴、饥饿、腹部不适,低血糖等;术中恶心呕吐、误吸、血压下降、心率快等的发生情况。结果两组患者术前口渴、饥饿、低血糖、腹部不适及术中血压、心率的变化情况比较,差异有显著性意义(均P<0.01或者P<0.001),两组均无恶心、呕吐及误吸情况发生。结论全脑血管造影术前适当进食水可减少患者不良反应及并发症的发生,增加舒适感,提高手术成功率及患者满意度,故不限食水是可行和安全的,值得临床借鉴与推广。

Objective To investigate the feasibility of preoperative and postoperative water free diet for whole brain angiography,in order to find a more humane scientific diet guidance program.Methods a retrospective analysis of 203 cases of 7-10 months of 2016 underwent cerebral angiography were randomly divided into two groups,102 patients in the observation group were intake semifluid light diet,weight of normal amount of 70%~80%;101 cases in the control group with routine care:preoperative fasting 8h,forbidden to drink 4h.The incidence of thirst,hunger,abdominal discomfort,hypoglycemia,and nausea,vomiting,aspiration,blood pressure and heart rate were observed before and after operation in two groups.Results compared the changes of two groups of patients with preoperative thirst,hunger,hypoglycemia,abdominal discomfort and intraoperative blood pressure,heart rate,there were significant differences(P<0.01 or P<0.001),nausea,vomiting and aspiration occurred in two groups.Conclusion cerebral angiography before the appropriate eating water can reduce the adverse reactions of patients and complications,increase comfort,improve the success rate of surgery and patient satisfaction,therefore not limited fresh water is feasible and safe,worthy of clinical reference and promotion.