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目的探讨咽喉部患儿全身麻醉术后适宜的禁食时间,促进患儿术后恢复。方法将102例择期咽喉部全麻手术患儿(3～14岁)随机分为观察组(53例)和对照组(49例)。观察组在患儿意识清醒且吞咽功能恢复的前提下2h后开始进食,先饮少量凉开水,如无误吸现象可进纯奶油冰淇淋或流质;对照组按照常规护理,即患儿麻醉清醒6h后开始进食。比较两组患儿术后6h、24h疼痛、恶心、呕吐、口渴、饥饿等不适发生率。结果观察组患儿术后6h疼痛、恶心、口渴、饥饿不适症状发生率显著低于对照组(均P<0.01)。结论早期进食能有效缓解咽喉部患儿全麻术后的不适症状,有利于患儿尽快恢复。
Objective To investigate the appropriate fasting time after general anesthesia in children with throat and promote the recovery after operation. Methods Totally 102 children undergoing general anesthesia (3-14 years) undergoing elective throat anesthesia were randomly divided into observation group (n = 53) and control group (n = 49). The observation group in children with conscious awareness and swallowing functional recovery under the premise of 2h after the start of eating, drink a small amount of cold water first, aspiration without error can be into the cream or liquid cream; control group according to conventional care, that is, children sober 6h after anesthesia Start eating. The incidence of pain, nausea, vomiting, thirst, hunger and other discomforts were compared between the two groups at 6h and 24h after operation. Results The incidence of pain, nausea, thirst, and starvation discomfort in the observation group was significantly lower than that of the control group 6h after operation (all P <0.01). Conclusion Early eating can effectively relieve the symptoms of general anesthesia in children with throat, which is good for the recovery of children as soon as possible.