摘要
目的探讨骨科择期全麻术后患者早期进水的安全性和可行性，减少患者痛苦，为患者提供人文化的服务。方法将47例骨科择期全麻手术患者按手术时间分为观察组（n=22）和对照组（n=25）。观察组术前进行健康教育，术后由责任护士对患者麻醉情况、胃肠功能恢复情况、进水意愿等进行评估，评估合格即鼓励或辅助进水；对照组术前进行常规健康教育，严格按照术后护理常规要求进水。评价两组患者术后恶心、呕吐，胃部不适及口腔咽喉症状的发生情况。结果观察组患者口干、声音嘶哑的发生率下降，恶心的程度下降（P〈0．01）；两组在呕吐，情绪障碍，胃部不适差异无统计学意义。结论早期进水是安全的并在一定程度上减少了术后相关并发症的发生，为患者提供了人性化的服务。
Objective To investigate the safety and feasibility of early water intake after general anesthesia of selective orthopedic surgery. Methods 47 cases of general anesthesia selective limbs orthopedic surgery were divided into two groups by the order of admission： The observation group （22 cases） were given a health education, evaluation of the recovery of gastrointestinal function, vital signs, and the desire of water by nurses after the surgery. The nurses encouragde and supported the patients to intake water early. The control group （25 cases） were given a health education and conventional post-operative care with strict accordance with the time required on water intake. The occurrence of dry mouth, hoarseness, nausea vomiting and stomach mal of the two groups were assessed. Results Compared to the control group, the patients of observation group have a lower occurrence of dry mouth, hoarseness（ P 〈 0. 05 ）, nausea （ P 〈 0. 01 ）. While there are no significant differences between the two groups in vomiting, emotional disorders, stomach mal. Conclusions Early water intake is safe and could reduce the occurrence of relative complicating disease on certain level.
出处
《中华现代护理杂志》
2010年第20期2391-2393,共3页
Chinese Journal of Modern Nursing
关键词
骨科手术
全麻术后
进水时间
Orthopedic surgery
General anesthesia
Fluid intake time
