Analysis on the securityof preoperative oral sugar salt solution ofpatients with laparoscopic gallbladder excision

Abstract

Objective To evaluate the effect of the preoperative oral sugar salt solution on patients with laparoscopic gallbladder excision. Methods A total of 178 patients with laparoscopic gallbladder excision were divided into observation group and control group with 89 cases in each. The control group adopted routine fasting way before operation. The patients in the observation group were treated with 300 ml of the sugar salt solution at the 10 o'clock on the evening before surgery. After midnight, nothing by mouth was allowed, except a single morning dose of 200 ml of the corresponding solution.The morning drink was taken at 2h before surgery. Visual analog scales(VAS) were used to score 11 different preoperative discomfort variables.Operational clinical and surgical data were recorded, which included the blood pressure, heart rate, blood glucose levels. Results The control group at different time measured blood glucose, heart rate, systolic pressure and diastolic pressure were statistically different (F=5.609, 5.771, 15.780, 12.335, P 0.05). And blood glucose after 24h, the heart rate after 6h, blood pressure after 6h time compared with other time points statistically significant differences(P 0.05). On the morning before surgery, patients in the control group mainly unwell feeling nervous, hunger, thirst, fatigue, pain, VAS score were significantly increased than those in the observation group(P<0.05). Conclusions Drinking the sugar salt solution at the 10 o'clock on the evening before surgery and 2h before surgery does not affect anesthesia intubation.and not increase the risk of regurgitation and aspiration during or after surgery and alleviatenervous, hunger, thirst, fatigue, pain. Key words: Sugar salt-solution; Fasting for solids and liquid; Celioscope operation; Laparoscopic cholecystectomy; Perioperative period