PDF(Pubmed)
Abstract：
BACKGROUND: Patients who are recovering from general anesthesia commonly exhibit symptoms such as dry lips, throat irritation, and thirst, prompting a desire to drink water in the post-anesthesia care unit (PACU). In this study, we aimed to evaluate the therapeutic effects and any potential complications of administering varying quantities of water to such patients. The primary objectives are to assess the safety and feasibility of early water intake after general anesthesia, specifically in the context of daytime surgery.
METHODS: A total of 200 nongastrointestinal patients who underwent outpatient surgery were randomly assigned to four groups: Group A (drinking < 1 ml/kg), Group B (drinking 1-2 ml/kg), Group C (drinking > 2 ml/kg), and Group D (no water intake). We monitored changes in the assessment parameters before and after water consumption, as well as the incidence of post-drinking nausea and vomiting, and compared these outcomes among the four groups.
RESULTS: Water intake led to a significant reduction in thirst, oropharyngeal discomfort, and pain scores and a notable increase in the gastric antrum motility index (MI), exhibiting statistical significance compared to the values before drinking (p < 0.05). Remarkably, higher water consumption correlated with enhanced gastrointestinal peristalsis. There was a significant difference in the antral MI among groups B, C, and A (p < 0.05). The occurrence of nausea and vomiting did not significantly differ among groups A, B, C, and D (p > 0.05). Early water consumption enhanced patient satisfaction with medical care, significantly varying from Group D (p < 0.05).
CONCLUSIONS: Non-gastrointestinal surgical patients who passed pre-drinking water assessments post GA(general anesthesia)recovery could safely ingest moderate amounts of water in the PACU. Early water intake is both safe and feasible, effectively fostering swift postoperative recovery.
METHODS: A total of 200 nongastrointestinal patients who underwent outpatient surgery were randomly assigned to four groups: Group A (drinking < 1 ml/kg), Group B (drinking 1-2 ml/kg), Group C (drinking > 2 ml/kg), and Group D (no water intake). We monitored changes in the assessment parameters before and after water consumption, as well as the incidence of post-drinking nausea and vomiting, and compared these outcomes among the four groups.
RESULTS: Water intake led to a significant reduction in thirst, oropharyngeal discomfort, and pain scores and a notable increase in the gastric antrum motility index (MI), exhibiting statistical significance compared to the values before drinking (p < 0.05). Remarkably, higher water consumption correlated with enhanced gastrointestinal peristalsis. There was a significant difference in the antral MI among groups B, C, and A (p < 0.05). The occurrence of nausea and vomiting did not significantly differ among groups A, B, C, and D (p > 0.05). Early water consumption enhanced patient satisfaction with medical care, significantly varying from Group D (p < 0.05).
CONCLUSIONS: Non-gastrointestinal surgical patients who passed pre-drinking water assessments post GA(general anesthesia)recovery could safely ingest moderate amounts of water in the PACU. Early water intake is both safe and feasible, effectively fostering swift postoperative recovery.
摘要：
背景：从全身麻醉中恢复的患者通常会出现嘴唇干燥等症状，喉咙刺激,口渴,提示在麻醉后监护病房（PACU）喝水的愿望。在这项研究中,我们的目的是评估对这些患者施用不同量的水的治疗效果和任何潜在的并发症.主要目标是评估全身麻醉后早期饮水的安全性和可行性。特别是在白天手术的背景下。
方法：将200例非胃肠道门诊手术患者随机分为四组：A组（饮酒<1ml/kg），B组（饮用1-2ml/kg），C组（饮酒>2ml/kg），D组（不喝水）。我们监测了耗水前后评估参数的变化，以及饮酒后恶心和呕吐的发生率，并比较了四组的这些结果。
结果：水的摄入导致口渴显著减少，口咽不适,疼痛评分和胃窦运动指数（MI）显着增加，与饮酒前的值相比具有统计学意义(p<0.05)。值得注意的是,较高的水消耗与增强的胃肠蠕动相关。B组的胃窦MI差异有统计学意义，C,和A(p<0.05)。A组恶心呕吐的发生率无显著差异,B,C,和D(p>0.05)。早期用水提高了病人对医疗护理的满意度,与D组显著不同(p<0.05)。
结论：通过GA（全身麻醉）恢复后饮用水前评估的非胃肠道手术患者可以安全地摄入PACU中的适量水。早期取水既安全又可行,有效促进术后迅速恢复。
方法：将200例非胃肠道门诊手术患者随机分为四组：A组（饮酒<1ml/kg），B组（饮用1-2ml/kg），C组（饮酒>2ml/kg），D组（不喝水）。我们监测了耗水前后评估参数的变化，以及饮酒后恶心和呕吐的发生率，并比较了四组的这些结果。
结果：水的摄入导致口渴显著减少，口咽不适,疼痛评分和胃窦运动指数（MI）显着增加，与饮酒前的值相比具有统计学意义(p<0.05)。值得注意的是,较高的水消耗与增强的胃肠蠕动相关。B组的胃窦MI差异有统计学意义，C,和A(p<0.05)。A组恶心呕吐的发生率无显著差异,B,C,和D(p>0.05)。早期用水提高了病人对医疗护理的满意度,与D组显著不同(p<0.05)。
结论：通过GA（全身麻醉）恢复后饮用水前评估的非胃肠道手术患者可以安全地摄入PACU中的适量水。早期取水既安全又可行,有效促进术后迅速恢复。
