Preoperative oral carbohydrate intake in patients undergoing LC day surgery
10.3760/cma.j.issn.1007-631X.2018.08.003
- VernacularTitle:术前口服碳水化合物对日间腹腔镜胆囊切除术后患者的疗效分析
- Author:
Xiangjun LI
1
,
2
;
Junning CAO
;
Songmeng DOU
;
Senfeng ZHAO
;
Wenyou HAN
;
Bo LIU
Author Information
1. 100853北京,解放军总医院肝胆外科
2. 包头市固阳县人民医院普外科
- Keywords:
Cholecystolithiasis;
Laparoscopes;
Carbohydrates
- From:
Chinese Journal of General Surgery
2018;33(8):632-634
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate preoperative oral carbohydrate in patients receiving LC day surgery.Methods 117 patients undergoing LC day surgery in PLA General Hospital from Oct 2016 to Mar 2017 were evenly divided into three groups.Patients in group A took oral carbohydrate preoperatively,group B by iv glucose,group C by overnight fasting.The preoperative thristy and the indicators of inflammation,heart rate,blood glucose,serum insulin,insulin resistance index postoperatively were collected and compared.Results No patients suffered aspiration.There were no complications above Clavien Ⅰ level.Differences in insulin resistance index,fasting serum insulin were statistically significant between group A and group B (Z =-5.60,-4.78,P ＜ 0.05).That of insulin resistance index,fasting serum insulin and procalcitonin between group A and group C were statistically significant (Z =-2.65,-2.49,-4.02,P ＜0.05).Procalcitonin between group B and group C were statistically different (Z =-2.183,P ＜ 0.05).The preoperative thristy between group A and group B,group C were statistically different (x2 =6.47,P ＜ 0.05).Conclusions Preoperative oral carbohydrate intake is safe and feasible with the benefits of improving the quality of life in patients operated on LC day surgery.
