术前限能均衡饮食在袖状胃切除术患者中的应用研究

Application of preoperative energy-restricted well-balanced diet in patients with sleeve gastrectomy

目的探讨术前限能均衡饮食干预对袖状胃切除术患者术后恶心呕吐及相关预后指标的影响。方法采用便利抽样法,选取2020年7月—2021年7月南京医科大学第一附属医院行袖状胃切除手术的408例患者为研究对象,根据随机数字表法随机分为干预组和对照组各204例。对照组予以常规术前饮食护理,干预组予以术前限能均衡饮食干预。比较两组患者术后恶心呕吐的发生率、术后早期饮水达标率、术前高血糖发生率。结果干预组PONV发生率、术前高血糖发生率低于对照组,术后饮水达标率高于对照组,差异均有统计学意义(P<0.05)。结论术前限能均衡饮食干预能减少袖状胃切除手术患者的术后恶心呕吐发生率、提升术后饮水达标率、降低术前高血糖发生率。

Objective To explore the effect of preoperative energy-restricted well-balanced diet intervention on postoperative nausea and vomiting and related prognostic indicators in patients with sleeve gastrectomy.Methods Using the convenient sampling method,a total of 408 patients who underwent sleeve gastrectomy in the First Affiliated Hospital of Nanjing Medical University from July 2020 to July 2021 were selected as the research objects.According to the random number table method,they were randomly divided into the intervention group and the control group,with 204 cases in each group.The control group was given routine preoperative dietary care,while the intervention group was given preoperative energy-restricted well-balanced diet intervention.The incidence of postoperative nausea and vomiting,early postoperative drinking water compliance rate and preoperative hyperglycemia were compared between the two groups.Results The incidence of PONV and the incidence of preoperative hyperglycemia in the intervention group were lower than those in the control group,and the postoperative drinking water compliance rate was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions Preoperative energy-restricted well-balanced diet intervention can reduce the incidence of postoperative nausea and vomiting in patients with sleeve gastrectomy,increase the postoperative drinking water compliance rate and reduce the incidence of preoperative hyperglycemia.