在脊髓麻醉下计划剖腹产时,与禁食相比,手术前免费获得水:一项随机对照试验
Yee Ling Ng1, Sabeetha Segaran1, Carolyn Chue Wai Yim2
1Faculty of Medicine, Departments of Obstetrics and Gynecology, Universiti Malaya, Kuala Lumpur, Malaysia.
American journal of obstetrics and gynecology
|March 23, 2024
概括
与传统的禁食相比,在预定的剖腹产前允许免费获得水,显著减少了术后吐和提高了母亲的满意度. 这种务实的方法受到妇女的强烈青,提高了她们的整体体验,但没有影响新生儿的结果.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 手术患者护理手术患者护理
背景情况:
- 目前的手术前养指南 (固体6小时,透明液体2小时) 缺乏剖腹产的具体证据.
- 许多从业者坚持严格的夜间禁食 (午夜到手术) 对于孕妇.
- 这项研究解决了关于剖腹产前手术口服摄入的证据缺口.
研究的目的:
- 评估免费获取水与一夜禁食对计划剖腹产期间外科吐的影响.
- 评估不同手术前口服摄入方案对母亲的满意度.
- 探索包括口渴,葡萄糖水平和干预措施的需要在内的二次结果.
主要方法:
- 一项随机对照试验,涉及504名参与者,在脊髓麻醉下进行计划式剖腹产.
- 干预小组:免费获得水,直到运营剧院调度.
- 对照组:从午夜开始禁食.
- 主要结局:术后吐和母亲的满意度.
主要成果:
- 获得水的组显著减少了外科手术前吐 (3.6%对9.5%) 和更高的母亲满意度 (中位数为9对5).
- 饮用水组的患者报告口渴减少,尿液中子检测率较低.
- 在获得水的组中,较少的患者需要手术前静脉注射液体水分或血管压缩剂来治疗低血压.
结论:
- 在手术之前免费获得水是计划剖腹产的安全有效策略.
- 这种方法显著减少了术后吐,并提高了母亲的满意度.
- 虽然它改善了几个外科手术期间的标志物,但它不会改变整体康复或新生儿的结果.
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