快速康复外科理念下择期手术婴幼儿术前禁食现状调查

Investigation of preoperative fasting in infants and young children receiving elective surgery under the ERAS concept

目的了解快速康复外科理念下择期手术患儿术前实际禁食情况,为针对性干预提供参考。方法对行择期手术的356例患儿采用自行设计的问卷调查术前实际禁食情况。结果术前禁食液体时间为4.92(3.68,9.38)h、禁食母乳为7.17(5.88,9.38)h、禁食配方奶、非母乳或淀粉类固体食物为10.33(8.34,12.50)h;因禁食哭闹140例(39.33%);不同年龄、家长性别和文化程度患儿术前液体禁食时间差异有统计学意义(均P<0.05);患儿家长对术前禁食目的、术前禁食时间过长的危害认知不足,对各类食物术前禁食时间认知存在偏差。结论择期手术患儿各类食物术前实际禁食时间过长,导致部分患儿哭闹;患儿家长对术前禁食认知不足,需针对性干预,以促进术前正确禁食。

Objective To investigate preoperative fasting in children receiving elective surgery under the ERAS concept,and to provide reference for targeted intervention.Methods The sample included 356 infants and children aged 3 years or younger undergoing elective surgery and data were collected using a questionnaire developed by the researchers.Results The children were fed an average of 4.92(3.68,9.38)hours before the operation with clear liquids,7.17(5.88,9.38)hours with breast milk,and 10.33(8.34,12.50)hours with formula milk,cow′s milk,or starches.About 39.33%of children cried because of fasting.The preoperative li-quid fasting duration differed by children′s age,parental gender and educational level(all P<0.05).Parents were unaware of the purpose of preoperative fasting and the harm of prolonged preoperative fasting,and they also had biased perceptions of preoperative fasting duration for various foods.Conclusion The actual preoperative fasting duration in children having elective surgery is too long,causing some of the children to cry.Parents have insufficient knowledge of preoperative fasting,so targeted interventions should be taken to promote correct preoperative fasting.