目的:传统的长期禁食方案最近被指南所取代,即在手术前2小时服用富含碳水化合物的透明液体。通过这项研究,我们想研究术前口服液中添加碳水化合物是否会带来任何优势。
方法:随机临床试验。
方法:这项研究是在印度北部的一个中心进行的,在足月的单胎妊娠中,蛛网膜下腔阻滞下择期剖宫产。参与者被随机分为2组,每组50名参与者。“碳水化合物组”接受400毫升含50克葡萄糖的液体,而“白开水”组在手术前2至4小时接受400毫升水。使用视觉模拟量表来评估饥饿,口渴,焦虑,疲劳,手术前恶心.术中平均动脉压,低血压,恶心,并注意到呕吐。术后第一天,使用麻醉恢复质量-40(QoR-40)问卷评估麻醉恢复。比较术后第一天和脐带血中的血糖水平。
结果:术前饥饿视觉模拟量表评分,口渴,焦虑,恶心,两组的疲劳度相似。低血压的发生(P=.688)和去氧肾上腺素的使用(P=.39),麻醉恢复(P=0.92),脐血血糖水平(P=0.24),两组患者术后血糖水平也无显著差异(P=0.81).
结论:本研究未发现在蛛网膜下腔阻滞下进行择期剖宫产的妇女术前含碳水化合物液体较术前清水有任何显著优势。
OBJECTIVE: Traditional prolonged fasting regimens have recently been replaced with guidelines to take carbohydrate-rich clear fluids until 2 hours before surgery. With this study, we wanted to study if the addition of carbohydrates to preoperative oral fluids confers any advantage.
METHODS: Randomized clinical trial.
METHODS: The study was conducted at a single center in North India among singleton pregnancies at term, scheduled for elective cesarean section under subarachnoid block. Participants were randomized into 2 groups of 50 participants each. The \"Carbohydrate group\" received 400 mL of fluid containing 50 g of glucose, while the \"plain water\" group received 400 mL of water 2 to 4 hours before surgery. A visual analog scale was used to assess hunger, thirst, anxiety, fatigue, and nausea before surgery. Intraoperative mean arterial pressure, hypotension, nausea, and vomiting were noted. On the first postoperative day, recovery from anesthesia was assessed using the Quality of recovery from anesthesia- 40 (QoR-40) questionnaire. Blood sugar levels were compared on the first postoperative day and in cord blood.
RESULTS: Preoperative visual analog scale scores for hunger, thirst, anxiety, nausea, and fatigue were similar in both groups. The occurrence of hypotension (P = .688) and phenylephrine use (P = .39), recovery from anesthesia (P = .92), cord blood sugar levels (P = .24), and postoperative blood sugar levels were also not significantly different in both groups (P = .81).
CONCLUSIONS: This study did not find any significant advantage of preoperative carbohydrate-containing fluid over preoperative plain water in women undergoing elective cesarean delivery under Subarachnoid block.