同济大学学报（医学版）2017，Vol.38Issue(3)：98-102,107,6.DOI:10.16118/j.1008-0392.2017.03.020
基于快速康复外科理念的多学科协作模式缩短髋膝关节置换术前禁食时间的应用研究
Preoperative fasting time for patients undergoing hip and knee joint arthroplasty based on fast track surgery and multi-disciplinary treatment
摘要
Abstract
Objective To assess the preoperative fasting time in patients undergoing hip and knee arthroplasty based on fast track surgery with muti-discinplinary collaboration care model.Methods Three hundred and eight patients undergoing hip and knee arthroplasty from January 2016 to October 2016 were enrolled in the study.Among them, 183 patients (control group) received conventional fating protocol;and 125 patients (study group) received the personalized fasting protocol based on muti-disciplinary collaboration care model, which includes taking orally dextrose solution or/and light meal at least 2 h or/and 6 h before elective procedures according to individual assessment.The actual fasting time, occurrence of preoperative hunger and thirsty of moderate/severe degree, postoperative nausea and vomiting were compared between the two groups.Results The actual fasting time in control and study groups was (16.9±2.7) and (9.4±2.5) h, respectively ( t =24.66, P <0.001).The occurrence of preoperative rate of hunger and thirsty with moderate/severe degree and the occurrence rate of postoperative nausea and vomiting in study group were lower than those in control group (24% vs 51.9%, χ 2=23.99, P <0.001;48.1% vs 31.2%, χ 2=8.741, P <0.05, respectively).Conclusion The personalized fasting protocol based on muti-disciplinary collaboration care model can decrease the preoperative fating time, as well as reduce the occurrence of preoperative hunger and thirsty and postoperative nausea and vomiting.关键词
多学科协作/快速康复/关节置换Key words
multi-disciplinary treatment/fast track surgery/joint arthroplasty分类
医药卫生引用本文复制引用
刘蕊,田梅梅,尹小兵,施雁,刘海俐,赵宏程..基于快速康复外科理念的多学科协作模式缩短髋膝关节置换术前禁食时间的应用研究[J].同济大学学报（医学版）,2017,38(3):98-102,107,6.基金项目
上海申康医院发展中心临床管理优化项目(SHDC20136026) （SHDC20136026）
