Effects of accelerated rehabilitation surgery early feeding on patients after oral and maxillofacial general anesthesia
Objective To explore the effect of early feeding in accelerated rehabilitation surgery on patients after oral and maxillofacial general anesthesia.Methods A total of 180 patients after oral and maxillofacial surgery general anesthesia admitted to the hospital from May 2021 to February 2022 were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 90 patients in each group.Patients in the observation group were given water for 2 hours after waking and a liquid diet for 4 hours,patients in the control group were given water for 6 hours after waking.The incidence of nausea and vomiting,thirst score,throat pain score,body temperature,heart rate,and blood pressure at different times were compared between the two groups.Results There were no aspiration occurred in the two groups.There was no significant difference in the incidence of nausea and vomiting between the two groups at 1 h(T1)after surgery(P>0.05).The incidence of nausea and vomiting in the observation group was lower than that in the control group at 3 h(T2)and 5 h(T3)after surgery(P<0.05).The thirst and throat pain scores at T1,T2 and T3 were observed in the two groups.The results showed that in the observation group,all indicators showed a gradual decreasing trend,the control group showed a gradual increasing trend.The difference between time was statistically significant(P<0.05).At T2 and T3,all indicators were lower than the control group by observation group.The difference was statistically significant(P<0.05).And with the extension of observation time,the difference between groups gradually increased.The difference between groups with time was statistically significant(P<0.05).Observe the preoperative resting states T0,T1,T2 of the two groups.The body temperature,heart rate,and blood pressure levels at the time of T3 showed a trend of first decreasing and then increasing the heart rate and body temperature at different time periods in the two groups.The difference between the two groups was statistically significant(P<0.05).The change in heart rate and body temperature in the observation group was less than that in the control group at T2 and T3,and the difference was statistically significant(P<0.05).With the prolongation of the observation time,the difference between the groups gradually increased,and the difference in group time with time was statistically significant(P<0.05).The systolic and diastolic blood pressure in the observation group first decreased and then increased,and the control group gradually decreased,with a statistically significant difference between time(P<0.05).The systolic and diastolic blood pressure changes in the observation group were less than that in the control group at T2 and T3,with a statistically significant difference(P<0.05).With the increase of observation time,the difference between groups gradually increased,and the difference between groups with time was statistically significant(P<0.05).Conclusion It is safe and feasible to apply early feeding in rehabilitation surgery in oral and maxillofacial patients after general anesthesia,which can effectively reduce the degree of discomfort such as thirst,sore throat,nausea and vomiting,and is conducive to maintaining hemodynamic stability,reducing postoperative stress response,and accelerating postoperative rehabilitation of patients.
Accelerated rehabilitation surgeryEarly eatingOral and maxillofacial patientsPost general anesthesiaAspirationThirstHeart rateBlood pressure
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