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有人认为术前儿童禁食时间过长对血糖浓度以及血浆脂类内稳态有影响,为此作者对健康儿童术前禁食2、4、12h的胃液PH和胃容量以及术前血糖,脂类内稳态和麻醉诱导时,血糖浓度,总酮体、NEFA(非酯型脂肪酸;游离脂肪酸),甘油三酸酯和皮质醇作了前瞻性研究。作者选择105名未经服药治疗,ASAⅠ级、年龄1～14岁择期手术的患儿,先饮用苹果汁,并测定胃液容量、血糖、脂类内稳态和胃液PH。然后随机分成三组,每组35例,禁食时间分别为2、4、12h。术前晚20时可吃奶和食物,禁饮食之前可饮10ml/kg苹果汁。吸纯氧去氮后吸入NO_2-O_2-氟烷(逐渐增加浓度至2.5％),静
Some people think that fasting preoperative children for a long time on blood glucose levels and lipid homeostasis affect the health of children preoperative fasting 2,4,12 h of gastric juice PH and gastric volume and preoperative blood glucose, fat Blood glucose levels, total ketone bodies, NEFA (non-ester type fatty acids; free fatty acids), triglycerides and cortisol were prospectively studied during class homeostasis and induction of anesthesia. The authors selected 105 children with ASA grade I, aged 1 to 14 years undergoing elective surgery without drink medication, first drinking apple juice and measuring gastric fluid volume, blood glucose, lipid homeostasis, and gastric fluid pH. Then randomly divided into three groups, 35 cases in each group, fasting time was 2,4,12 h. 20 o’clock before surgery can eat milk and food, drinking before drinking 10ml / kg of apple juice. After inhalation of pure oxygen to nitrogen dioxide NO 2 -O 2-fluoroalkane (gradually increasing the concentration to 2.5%), static