| 钟成燕,王义芳,杨静.唇腭裂患儿全麻清醒后进饮时机可行性探讨[J].上海护理,2021,21(11): |
| 唇腭裂患儿全麻清醒后进饮时机可行性探讨 |
| Feasibility Discussion on the Timing of Drinking after General Anesthesia Awakening in Children with Cleft lip and Palate |
| DOI： |
| 中文关键词: 唇腭裂 儿童 全身麻醉 进食 疼痛 |
| 英文关键词:Cleft Lip and Cleft Palate Child Patients General Anesthesia Feed Painess |
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| 中文摘要: |
| 目的 探讨唇腭裂患儿全麻术后早期进食的可行性和安全性。方法 采用便利抽样法，选取2018年09月— 2019 年08月在滁州市第一人民医院行全麻下唇腭裂手术患儿34例（年龄≥5周岁）为研究对象，根据住院先后次序将其分为对照组（n= 17）和观察组（n=17）。 两组患儿术后均在麻醉恢复室内给予唇腭裂术后常规护理，对照组患儿术后苏醒室内观察至完全清醒30分钟后送回病房嘱常规禁食禁饮，麻醉清醒4小时由病房责任护士评估后指导进食；观察组患儿在麻醉清醒15 min时给予少量进饮（1ml/Kg的橘味无渣室温甜饮料），如无不适根据患儿需求少量多次给予（总量不超过2ml/Kg）至完全清醒30分钟后送回病房嘱据需求进食流质饮食。两组患儿分别于麻醉清醒15分钟、30分钟、4小时评估并比较呼吸、氧饱和度、疼痛评分、恶心呕吐状况。结果 与对照组相比，观察组患儿清醒15分钟、30分钟、4小时的呼吸、氧饱和度恢复逐渐优越(P＜0.01），疼痛发生明显减少(P＜0.01），恶心呕吐发生率差异无统计学意义（P≥0.05）。结论 唇腭裂患儿全麻术后早期少量进饮安全可行，有利于减轻患儿不适症状。 |
| 英文摘要: |
| Objective To investigate the feasibility and safety of early feeding after general anesthesia in children with cleft lip and palate. Methods Using a convenience sampling method, 34 children (aged ≥5 years) with cleft lip and/or palate surgery under general anesthesia in the First People's Hospital of Chuzhou from September 2018 to August 2019 were selected for the study, and they were divided into a control group (n= 17) and an observation group (n= 17) according to the order of hospitalization. The children in both groups were given routine postoperative care for cleft lip and palate in the anesthesia recovery room, and the children in the control group were observed in the postoperative awakening room until they were fully awake for 30 minutes and then were sent back to the ward with routine fasting, and were instructed to feed by the ward charge nurse after 4 hours of anesthesia awakening. The children in the observation group were fed a small amount (1ml/Kg of orange sweetened drink at room temperature) at 15 minutes after waking up, and were given a small amount (no more than 2ml/Kg in total) as many times as they needed if there was no discomfort. They were not sent back to the ward for a liquid diet according to their needs until they were fully awake for 30 minutes. The respiration, oxygen saturation, pain score, nausea and vomiting of children in the two groups were evaluated and compared at 15 min, 30 min, 4 hours, respectively. Results Compared with the children in the control group, the counterpart showed progressively better recovery of respiration and oxygen saturation at 15 minutes, 30 minutes, and 4 hours after waken (P < 0.01), significantly less pain (P < 0.01), and no statistically significant difference in the incidence of nausea and vomiting (P ≥ 0.05). Conclusion It is safe and feasible for children with cleft lip and palate to feed in small amounts early after general anesthesia, which is conducive to alleviating the discomfort of the children. |
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