Study on the Proper Time of First Postoperative Eating after Orthopedic Surgery with Spinal Anesthesia_West China Medical Journal

Authors：

 YanYuehong , LaiYing , HuXiaofeng

The Second Department of Orthopedics and Traumatology, Xindu District Hospital of Chinese Traditional Medicine, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

Orthopedic surgery; Spinal anesthesia; First time of eating

DOI：

10.7507/1002-0179.201600560

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To study the proper time of first postoperative eating in patients after orthopedic surgery with spinal anesthesia. Methods A total of 160 patients who underwent orthopedic surgery from April 2012 to November 2014 were divided into trial group and control group.The symptoms of hunger, thirst, throat discomfort, vomiting and bloating were evaluated at hour 4 and 8 after surgery.The first oral feeding time and the incidence of constipation were analyzed and compared between the two groups. Results The incidence of hunger and thirst in the trial group was significantly lower than that in the control group at hour 4 after surgery (P < 0.05).There was no significant difference in the incidence of throat discomfort, vomiting and bloating between the trial group and the control group at hour 4 and 8 after surgery (P > 0.05).Compared with the control group, the first time of oral feeding was significantly earlier (P < 0.05) and the incidence of constipation was significantly lower (P < 0.05) in the trial group. Conclusion Without adverse reactions, early postoperative eating can alleviate the hunger and thirst sensation of patients after orthopedic surgery with spinal anesthesia, and reduce the incidence of constipation.

Citation： YanYuehong, LaiYing, HuXiaofeng. Study on the Proper Time of First Postoperative Eating after Orthopedic Surgery with Spinal Anesthesia. West China Medical Journal, 2016, 31(12): 2043-2046. doi: 10.7507/1002-0179.201600560 Copy

1.	刘剑飞.全麻和椎管内麻醉对老年骨科手术患者预后影响分析[J].当代医学, 2014(24):97-98.
2.	Weed J, Finkel K, Beach ML, et al. Spinal anesthesia for orthopedic surgery:a detailed video assessment of quality[J]. Reg Anesth Pain Med, 2011, 36(1):51-55.
3.	叶向红, 高珞珞, 郭琴.循证护理在骨科手术患者术前术后饮食管理中的应用[J].实用临床医药杂志, 2014, 18(24):210-211.
4.	张湘峰.用椎管内麻醉术对老年骨科手术患者进行麻醉的临床效果[J].当代医药论丛, 2014(8):221-222.
5.	樊彩平.不同麻醉方式在老年患者股骨颈手术中的对比研究[J].实用医技杂志, 2014, 21(6):665-668.
6.	甘玉芹.骨科椎管内麻醉患者术后进食标准的设定及应用效果[J].国际护理学杂志, 2013, 32(8):1757-1759.
7.	陈君, 曹林岚, 李春. Steward评分在麻醉复苏室的应用[J].中国保健营养:中旬刊, 2013(8):655.
8.	潘琦, 童晶晶, 高晓阳, 等.罗马Ⅱ及罗马Ⅲ标准诊断功能性消化不良的比较[J].中华内科杂志, 2008, 47(12):1030-1032.
9.	浦鹏飞.椎管内麻醉的研究进展[J].海南医学, 2012, 23(4):129-131.
10.	阳世伟, 孙其凤, 龚敏.骨科择期术后患者进食时间的研究[J].护理学杂志, 2008, 23(6):1-3.
11.	De Rojas JO, Syre P, Welch WC. Regional anesthesia versus general anesthesia for surgery on the lumbar spine:a review of the modern literature[J]. Clin Neurol Neurosurg, 2014, 119:39-43.
12.	陈晚英, 吴留娟, 麻会玲, 等.下肢骨折病人椎管内麻醉术后早期饮水的可行性探讨[J].护士进修杂志, 2014(11):1021-1022.
13.	李俊.骨科患者椎管内麻醉术后早期进食效果观察及护理[J].齐鲁护理杂志, 2011, 17(32):27-28.
14.	赵芳玲.骨科椎管内麻醉术后早期进食对卧床患者便秘的影响[J].临床护理杂志, 2014(1):75-76.
15.	安丹, 王春菊.健康教育路径干预对肠造口术患者自我护理能力和健康行为的影响[J].华西医学, 2015, 30(4):736-739.
16.	杨琳.生大黄贴敷神阙穴对椎管内手术后患者便秘的疗效观察[J].光明中医, 2015, 30(3):557-558.
17.	郭延霞, 高洁, 史建秀.骨科椎管内麻醉患者术后首次饮食时间的研究[J].中华护理杂志, 2012, 47(2):112-114.
18.	谷波, 谭其玲, 胡艳, 等.肾脏部分切除术患者快速康复护理与传统护理的对照研究[J].华西医学, 2015, 30(4):747-749.
19.	孙可, 金梅, 杨庆国.急诊骨科患儿术前禁食的适宜时间与进食-创伤间期的关系[J].中华麻醉学杂志, 2013, 33(10):1174-1176.

1. 刘剑飞.全麻和椎管内麻醉对老年骨科手术患者预后影响分析[J].当代医学, 2014(24):97-98.
2. Weed J, Finkel K, Beach ML, et al. Spinal anesthesia for orthopedic surgery:a detailed video assessment of quality[J]. Reg Anesth Pain Med, 2011, 36(1):51-55.
3. 叶向红, 高珞珞, 郭琴.循证护理在骨科手术患者术前术后饮食管理中的应用[J].实用临床医药杂志, 2014, 18(24):210-211.
4. 张湘峰.用椎管内麻醉术对老年骨科手术患者进行麻醉的临床效果[J].当代医药论丛, 2014(8):221-222.
5. 樊彩平.不同麻醉方式在老年患者股骨颈手术中的对比研究[J].实用医技杂志, 2014, 21(6):665-668.
6. 甘玉芹.骨科椎管内麻醉患者术后进食标准的设定及应用效果[J].国际护理学杂志, 2013, 32(8):1757-1759.
7. 陈君, 曹林岚, 李春. Steward评分在麻醉复苏室的应用[J].中国保健营养:中旬刊, 2013(8):655.
8. 潘琦, 童晶晶, 高晓阳, 等.罗马Ⅱ及罗马Ⅲ标准诊断功能性消化不良的比较[J].中华内科杂志, 2008, 47(12):1030-1032.
9. 浦鹏飞.椎管内麻醉的研究进展[J].海南医学, 2012, 23(4):129-131.
10. 阳世伟, 孙其凤, 龚敏.骨科择期术后患者进食时间的研究[J].护理学杂志, 2008, 23(6):1-3.
11. De Rojas JO, Syre P, Welch WC. Regional anesthesia versus general anesthesia for surgery on the lumbar spine:a review of the modern literature[J]. Clin Neurol Neurosurg, 2014, 119:39-43.
12. 陈晚英, 吴留娟, 麻会玲, 等.下肢骨折病人椎管内麻醉术后早期饮水的可行性探讨[J].护士进修杂志, 2014(11):1021-1022.
13. 李俊.骨科患者椎管内麻醉术后早期进食效果观察及护理[J].齐鲁护理杂志, 2011, 17(32):27-28.
14. 赵芳玲.骨科椎管内麻醉术后早期进食对卧床患者便秘的影响[J].临床护理杂志, 2014(1):75-76.
15. 安丹, 王春菊.健康教育路径干预对肠造口术患者自我护理能力和健康行为的影响[J].华西医学, 2015, 30(4):736-739.
16. 杨琳.生大黄贴敷神阙穴对椎管内手术后患者便秘的疗效观察[J].光明中医, 2015, 30(3):557-558.
17. 郭延霞, 高洁, 史建秀.骨科椎管内麻醉患者术后首次饮食时间的研究[J].中华护理杂志, 2012, 47(2):112-114.
18. 谷波, 谭其玲, 胡艳, 等.肾脏部分切除术患者快速康复护理与传统护理的对照研究[J].华西医学, 2015, 30(4):747-749.
19. 孙可, 金梅, 杨庆国.急诊骨科患儿术前禁食的适宜时间与进食-创伤间期的关系[J].中华麻醉学杂志, 2013, 33(10):1174-1176.

West China Medical Journal

Study on the Proper Time of First Postoperative Eating after Orthopedic Surgery with Spinal Anesthesia

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content