Preoperative 10% glucose treatment for enhancing recovery after laparoscopic cholecystectomy

Abstract

Objective To investigate the effection of 10% glucose on laparoscopic cholecystectomy. Methods Including 82 cases in patients undergoing laparoscopic cholecystectomy from June 2018 to November 2018 in the First Hospital of Lanzhou University. They were divided into the experimental group(40 cases) and the control group (42 cases) according to admission time. The control group used conventional nursing measures, fast day after 0:00. The experimental group took orally 400 ml 10% glucose solution on the night before surgery, 10% glucose 100 ml at 6:00 on the day. And then the perioperative safety, comfort and hospital satisfaction were observed. Results No postoperative nausea and vomiting and complications occurred in the two groups. The perioperative satisfaction score of the experimental group was greater than the control group, which was 94.00±3.08 and 80.00±11.54 points, respectively, and the difference was statistically significant (t=3.45, P<0.01). The VAS scores of thirst, hunger, fatigue and anxiety in the experimental group were 2.97±3.55, 1.50±0.57, 2.50±1.00, 2.25±0.96, respectively, which were lower than those in the control group (3.55±2.98, 2.25±0.50, 5.50±0.57, 5.25±1.89), and the differences were statistically significant (t= 2.83-5.19, P<0.01 or 0.05). The VAS scores of thirst, hunger and fatigue in the experimental group were 3.60±1.00, 3.50±0.56, 2.75±1.50, respectively, 4 h after surgery, which were lower than those in the control group (7.00±0.58, 4.75 ±1.25, 5.75±0.50), with statistically significant differences (t=5.00, 3.69, 3.79, P<0.05). Compared with preoperative situation, the thirst and hunger degree of the two group both increased after surgery, while the anxiety degree of the control group decreased, and the difference was statistically significant (t=-9.91-5.20, P<0.05 or 0.01). Conclusions Oral administration of 10% glucose solution before laparoscopic cholecystectomy is safe and effective, which can improve perioperative comfort and hospitalization satisfaction of patients. Key words: Glucose; Cholecystectomy, laparoscopic; Preoperative care