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目的:对妇科腹腔镜手术患者实际禁食禁水时间及不良反应进行调查分析。方法:选取2011年1月—2012年12月在医院进行妇科腹腔镜手术的400例患者作为研究对象。随机分为A、B、C、D4个组,每组各100例。A组患者采用传统术前12 h禁食,6 h禁水方法,B组采用术前6 h禁食,2 h禁水法,C组采用术前12 h禁食,6 h禁水法联合术后服用中药汤剂,D组采用术前6 h禁食,2 h禁水法联合术后服用中药汤剂。对所有患者术前和术中胃液量、术前焦虑抑郁程度及术后24 h恶心呕吐情况进行观测,并将各组观测结果进行比较分析。结果:各组间比较结果显示伴随禁食禁水时间的缩短,患者在术前焦虑抑郁情绪、饥饿口渴程度和术后恶心呕吐的情况都有一定程度的缓解,且A组和B组在焦虑抑郁、饥饿口渴Ⅰ级和Ⅱ级上有差异(P<0.05),具有统计学意义,B组和D组也有统计学意义。结论:妇科腹腔镜手术患者在术前6 h禁食,2 h禁水联合术后服用中药汤剂可有效控制术前术中胃液量,同时对缓解患者焦虑抑郁情绪及饥饿口渴程度有积极的作用。
Objective: To investigate the actual fasting time and adverse reactions in gynecological laparoscopic surgery patients. Methods: From January 2011 to December 2012, 400 patients undergoing gynecologic laparoscopic surgery in the hospital were selected as the research object. Randomly divided into A, B, C, D4 groups, each group of 100 cases. A group of patients using the traditional 12 h fasting before surgery, 6 h water method, group B preoperative 6 h fasting, 2 h water method, C group with 12 h preoperative fasting, 6 h water method combined After taking traditional Chinese medicine decoction, group D was fasted for 6 hours before operation, and water for 2 hours combined with decoction of traditional Chinese medicine. Preoperative and intraoperative gastric juice volume, preoperative anxiety, depression and 24 h postoperative nausea and vomiting were observed, and the results of each group were compared and analyzed. Results: The results of comparison between groups showed that with the shortening of the time of fasting, the patients relieved anxiety and depression, the degree of hunger and thirst and postoperative nausea and vomiting, and A and B Anxiety and depression, hunger and thirst had differences in grade I and grade II (P <0.05), with statistical significance, but also in group B and group D. Conclusion: Gynecological laparoscopic surgery in patients with fasting 6 h before surgery, 2 h water combined with postoperative administration of traditional Chinese medicine decoction can effectively control the amount of gastric juice during surgery, while relieving anxiety and depression and hunger and thirst for the degree of positive Role.