摘要
目的探讨微血管减压术患者术后早期进水的可行性。方法采用便利抽样法,选取2021年1月—2022年1月在首都医科大学宣武医院功能神经外科行微血管减压术的100例患者为研究对象,采用随机数字表法将其分为对照组和试验组,各50例。对照组患者术后常规时间(术后≥6 h)进水,试验组患者术后早期(术后<6 h)进水。比较两组微血管减压术患者术后24 h口干、恶心程度、进水次数、进水量、补液量、呕吐及睡眠障碍发生情况。结果试验组患者术后24 h口干评分低于对照组,术后24 h进水次数、进水量均多于对照组,睡眠障碍发生率低于对照组,差异均有统计学意义(P<0.01);两组患者术后24 h恶心评分、补液量、呕吐发生率比较差异无统计学意义(P>0.05)。结论术后早期进水可减轻微血管减压术患者术后口干程度,改善患者睡眠质量,且不会加重患者恶心呕吐等不良反应,促进患者康复。
Objective To explore the feasibility of early postoperative drinking in patients undergoing microvascular decompression surgery.Methods From January 2021 to January 2022,100 patients undergoing microvascular decompression surgery in the Department of Functional Neurosurgery of Xuanwu Hospital,Capital Medical University were selected as the study subject by convenience sampling.The patients were randomly divided into control group and experimental group with 50 cases each.The patients in the control group drank at the regular time after operation(≥6 h after operation),while the patients in the test group drank at the early time after operation(<6 h after operation).The dry mouth,nausea,number and volume of drinks,fluid infusion volume,vomiting and sleep disorders 24 hours after microvascular decompression surgery were compared between the two groups.Results The dry mouth score of patients in the experimental group was lower than that in the control group 24 hours after operation,the number and volume of drinks were more than those in the control group 24 hours after operation,and the incidence of sleep disorders was lower than that in the control group,with statistically significant differences(P<0.01).There were no statistical differences between the two groups in nausea score,fluid infusion volume and vomiting rate 24 hours after operation(P>0.05).Conclusions Early postoperative drinking can reduce the degree of dry mouth in patients undergoing microvascular decompression surgery,improve their sleep quality,and will not aggravate adverse reactions such as nausea and vomiting,so as to promote their recovery.
作者
顾锐
张燕
谢静
封冬
纪凡
Gu Rui;Zhang Yan;Xie Jing;Feng Dong;Ji Fan(Department of Functional Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)
出处
《中华现代护理杂志》
2023年第4期522-526,共5页
Chinese Journal of Modern Nursing
关键词
三叉神经痛
面肌痉挛
微血管减压术
进水时间
恶心
呕吐
Trigeminal neuralgia
Hemifacial spasm
Microvascular decompression surgery
Drinking time
Nausea
Vomiting
