标题：缩短儿童腹腔镜疝囊高位结扎术围手术期禁食时间的临床研究

      作者：梁伟潮，朱应昌，陈启生，陈烈欢，王翀，梁雄
    (南方医科大学附属南海医院普外一科，广东 佛山 528200)

      卷次： 2016年27卷3期

      【摘要】 目的 探讨缩短儿童腹腔镜疝囊高位结扎术围手术期禁食时间的可行性及临床价值。方法 选择
南海医院2013年1月至2014年12月收治的腹股沟疝患儿226例，按随机数表法分为观察组115例，对照组111例。
观察组患儿术前8 h禁食固体食物，术前、术后2 h分别饮用25%葡萄糖水(5 ml/Kg)，总量不超过100 ml，术后4 h正
常饮食。对照组患儿术前8 h禁食固体食物、术前4 h禁饮，术后4 h正常饮食。比较两组患儿术前30 min、术后4 h
饥饿口渴感，以及术中、术后的呕吐情况。结果 术前饥饿口渴感发生率观察组为 6.09% (7/115)，对照组为
36.94% (41/111)；术后饥饿口渴感发生率观察组为 13.04% (15/115)，对照组为 42.34% (47/111)，两组比较差异均有
统计学意义(P<0.01)；术中、术后呕吐腹胀发生率观察组为5.22% (6/115)，对照组为5.41% (6/111)，两组比较差异无
统计学意义(P>0.05)。结论 缩短儿童腹腔镜疝修补围手术期禁食时间能增加患儿舒适感，安全可行。

      【关键词】 腹股沟疝；围手术期；腹腔镜；儿童；禁食

      【中图分类号】 R726.1 【文献标识码】 A 【文章编号】 1003—6350（2016）03—0464—03


Clinical study of shortening perioperative fasting period in laparoscopic repair of pediatric inguinal hernia.
LIANG Wei-chao, ZHU Ying-chang, CHEN Qi-sheng, CHEN Lie-huan, WANG Chong, LIANG Xiong.
The First
Department of General Surgery, Nanhai Hospital of Southern Medical University, Foshan 528200, Guangdong, CHINA

【Abstract】 Objective To evaluate the feasibility and clinical value of shortening perioperative fasting period
in laparoscopic repair of pediatric inguinal hernia. Methods A total of 226 patients with inguinal hernia who were ad-
mitted to our hospital from January 2013 to December 2014 were randomly divided into two groups according to ran-
dom number table: study group (n=115) and control group (n=111). The patients of the study group were fasting for solid
food in the 8 hours before operation, and fed 5 ml/kg 25% glucose solution with the maximum volume of 100 ml 2 hours
before and after operation, and resumed normal diet 4 hours after operation. The patients of control group were fasting
for solid food in the 8 hours before operation and fasting in liquid in the 4 hours before operation, and resumed normal
diet 4 hours after operation. Hunger and thirst 30 min before operation and 4 h after operation, as well as the intraopera-
tive and postoperative vomiting and abdominal distension were compared between the two groups. Results The inci-
dence of hunger and thirst showed statistically significant difference between the two groups [ (6.09% (7/115) vs
36.94% (41/111) before operation, 13.04% (15/115) vs 42.34% (47/111) after operation, P<0.01]. The incidence of
·临床经验·
6350.2016.03.043