早期手术后口腔水分的影响,在儿童患者经历了选择性手术后全身麻醉. 一个随机对照试验
Mridul Dhar1, Jyoti Rawat1,2, Yashwant S Payal1
1Department of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India.
Indian journal of anaesthesia
|July 21, 2025
概括
在接受选择性手术的儿童中,早期的术后口腔水化是安全有效的. 与延迟养相比,这种方法导致疼痛得分降低,父母满意度增加.
科学领域:
- 儿科手术 儿科手术
- 麻醉学 麻醉学
- 疼痛管理 疼痛管理
背景情况:
- 传统实践包括长时间的禁食 (3-6小时) 儿科手术后.
- 关于早期口服水化对患者满意度的影响的证据有限.
研究的目的:
- 为了比较面部,腿部,活动,哭声,舒适度 (FLACC) 评分作为早期与延迟术后养/补水治疗的幼儿患者满意度的替代品.
- 为了评估并发症,外科手术期间的参数和家长的满意度.
主要方法:
- 一个单盲随机试验,涉及61名接受选择性手术的儿童 (1-5岁).
- 儿童随机在30分钟内获得早期水分 (EH) 或在2小时后在麻醉后护理单位 (PACU) 获得标准水分 (SH).
- 主要结局是PACU抵达后1小时的FLACC得分.
主要成果:
- 1小时后的FLACC得分在EH组 (1 [0.25-2]) 与SH组 (2 [1-3]),P=0.028.8) 相比,在EH组 (1 [0.25-2]) 显着较低.
- 在早期补水组中,父母的满意度更高.
- 在这两组中都没有观察到重大并发症.
结论:
- 在接受选择性手术的儿科患者中,早期术后口服水化是有效和安全的.
- 这与标准的延迟养方案形成鲜明对比.
- 支持实施早期补水,以改善患者的结果和满意度.
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