择期手术患儿禁食、禁饮时间的研究

A Study on Fasting Time and Drink-deprivation Time of Pediatric Patients Underwent Time-selective Operations

目的 :探讨择期手术患儿 (非胃肠道手术 )术前禁食、禁饮时间对患儿机体的影响。方法 :将 3 3 5例分离麻醉下非胃肠道择期手术患儿随机分为两组 ,对照组采用术前常规禁食 12h ,禁饮4h～ 6h。实验组根据患儿的需要于手术前 2h可饮少许水或吸吮冰块、水果糖等 ,术前 6h禁食。结果 :对照组由于禁食禁饮时间长 ,患儿易出现口渴、饥饿、烦躁等不适 ,术中发生误吸情况两组比较无统计学意义 (P >0 .0 5 )。结论 :针对每位患儿的实际情况和具体手术时间 ,实施术前 2h禁饮、6h禁食 ,可减少患儿不适 。

Objective: to explore the impacts of preoperative fasting and drink-deprivation time on organism of children who would-be undergoing time-selective operation (non-gastroenteric tract operation). Methods: a total of 335 children who underwent non-gastroenteric tract time-selective operation under separation anesthesia were divided into two groups randomly. Children in control group were ordered to fast for 12 h and have drink-deprivation for 4 h～6 h before operation as routinely. Children in test group may have a little bit of water, ice-cream or fruit drops 2 h before operation and they were asked to fast 6 h before operation accordingly. Results: children in control group were prone to develop thirst, hungry and restlessness etc. due to the long time fasting and drink-deprivation. However, in terms of mis-suckling occurrence during their operation, there was no statistical significance between the two groups (P>0.05). Conclusion: based on child's condition and definite operation time, to let them have drink-deprivation 2 h before operation and fasting 6 h before operation may relieve discomfort of children and meet the needs of their body.