Preoperative oral carb-electrolyte solution in elective laparoscopic total hysterectomy clinical effect observation

Abstract

Objective To investigate the clinical effect of preoperative oral carb-electrolyte solution in selective laparoscopic total hysterectomy (TLH). Methods Using the judgment sampling method, 92 patients undergoing TLH surgery in the department of gynaecology of the hospital from May to November 2017 were selected as the study objects. They were randomly divided into the traditional fasting and no-drink group and the carbohydrate-electrolyte group, with 46 patients in each group.The Preoperative Self-perception Questionnaire designed by ourselves was used to investigate the self-perception of patients 1 hour before general anesthesia, and the 40-item postoperative recovery quality rating scale (QoR-40) was used to evaluate the postoperative recovery of patients. Binary Logistic regression analysis was used to explore the influencing factors of the total score of QoR-40. Results The rate of dry mouth, hunger, fatigue and anxiety in the carbohydrate-electrolyte group before operation were lower than those in the traditional fasting and no-drink group, and the differences were statistically significant(P<0.05). The results of t test showed that the total score of QoR-40, physical comfort, emotional state, self-care ability and psychological support of the subjects in the carbohydrate-electrolyte group were higher than those in the traditional fasting and no-drink group , and the differences were statistically significant(P<0.05). The recovery degree of the oral carbohydrate-electrolyte solution group was better than that of the traditional fasting and no-drink group 2 hours after surgery (OR=2.08). Conclusions Preoperative oral carb-electrolyte solution may improve the symptoms of hunger and dry mouth of TLH patients before surgery, and may promote the physical and mental recovery of TLH patients 2 hours after surgery. Key words: Carb-electrolyte solution; Laparoscopic total hysterectomy