探讨早饮水在耳鼻咽喉科儿童全麻术后的作用

Effect of early drinking water on children after general anesthesia in otorhinolaryngology

目的探讨儿童扁桃体或腺样体手术其全麻苏醒后首次饮水时间。方法选自我科2015年1月~2016年12月3~10岁全麻行扁桃体或并腺样体切除患者161例为研究对象。观察组30min由护士给予试饮水温开水10ml,无异常每间隔10min再指导家属喂服温开水10~20 ml;对照组按常规护理,6h内只给予温开水湿润口唇,于6h后进行试饮水。分别比较两组患者2h、4h口渴、哭闹及其他术后并发症的发生率。结果2 h后,对照组口渴、哭闹、切口出血发生率高于观察组(P<0.05);4h后,对照组口渴、哭闹、切口出血、腹胀发生率高于观察组(P<0.05),差异有统计学意义。结论儿童全麻手术由复苏室返回后,首次饮水时间提前至回病房后30min是安全的。由于此方法能较好的缓解患者术后口渴等不适,减少哭闹从而减少了切口出血及其他术后并发症的发生。

Objective To investigate the effect of early drinking water on children after general anesthesia in otorhinolaryngology.Methods A total of 161 children with tonsils and adenoid hypertrophy surgical treatment were randomly divided into observation group and control group,with 81 cases in each group.The incidence of thirst,crying and postoperative complications at 2h and 4h were compared between two groups.Results The incidence of thirst,crying and incision bleeding in the observation group was significantly lower than the control group after 2h(P<0.05).The incidence of thirst,crying,incision bleeding,and abdominal distension in the observation group was significantly lower than the control group after 4h(P<0.05).The difference was statistically significant.Conclusion It is safe for children to drink water for the first time 30 minutes after returning from the resuscitation room after general anesthesia.Because this method can better relieve the discomfort of patients after surgery,such as thirst,reduce crying and thus reduce the occurrence of incision bleeding and other postoperative complications.