重庆医学2024，Vol.53Issue(7)：1054-1058,5.DOI:10.3969/j.issn.1671-8348.2024.07.018
术前不同进饮干预在慢性鼻窦炎患者鼻内镜手术围手术期中的应用研究
Application of preoperative drinking intervention in perioperative period of endoscopic sinus surgery for patients with chronic rhinosinusitis
摘要
Abstract
Objective To explore the application effect of preoperative different drinking intervention in the perioperative period of functional endoscopic sinus surgery.Methods A total of 207 patients diagnosed as chronic rhinosinusitis and treated by endoscopic sinus surgery from September 2020 to August 2022 were se-lected as the study subjects.According to different clinical types,they were divided into the chronic sinusitis complicating nasal polyps(101 cases),chronic sinusitis without complicating nasal polyps(106 cases),and then randomly divided into the energy mixture group,the glucose saline group,and the control group.By se-lecting different preoperative drinking interventions,the status of hunger,thirst and anxiety before and after surgery was evaluated,the changes of blood glucose and electrolyte levels before operation,during operation and at 2 h after operation were recorded,and the occurrence of reflux,aspiration and postoperative nausea and vomiting were observed.Results Compared with the control group,the levels of intraoperative electrolyte K+,intraoperative blood glucose and blood glucose at 2 h after surgery at the same time point in the energy mixture group and the sugar salt group for the same clinical type were increased,and the differences were sta-tistically significant(P＜0.05).The preoperative and postoperative thirst,hunger,and anxiety scores in the energy mixture group and the sugar salt group of the same clinical type were lower than those in the control group at the same time point,and the differences were statistically significant(P＜0.05).There were no sig-nificant differences in the incidence rate of postoperative nausea and vomiting among the three groups(P＞0.05),and no reflux aspiration occurred.Conclusion Intake of carbohydrates at 2-3 h before surgery can al-leviate perioperative anxiety,hunger,thirst and other discomfort,maintain blood sugar and electrolyte stabili-zation without increasing the risk of reflux aspiration,and promote postoperative recovery.关键词
慢性鼻窦炎/鼻内镜手术/术前进饮/碳水化合物/加速康复外科Key words
chronic rhinosinusitis/endoscopic sinus surgery/preoperative drinking/carbohydrates/en-hanced recovery after surgery分类
医药卫生引用本文复制引用
邓冈,陈雪梅,黎庆辉..术前不同进饮干预在慢性鼻窦炎患者鼻内镜手术围手术期中的应用研究[J].重庆医学,2024,53(7):1054-1058,5.基金项目
重庆市科卫联合医学科研项目(2020FYYX097) （2020FYYX097）
重庆市江津区科委基金项目(Y2021055). （Y2021055）
