Effect of preoperative oral carbohydrate intake on postoperative nausea and vomiting in elderly patients undergoing gynecological laparoscopic surgery
10.3760/cma.j.cn131073-20250120-00806
- VernacularTitle:术前口服碳水化合物对妇科腹腔镜手术老年患者PONV的影响
- Author:
Shuying JIA
1
;
Yun YIN
;
Gerong ZHANG
;
Jiaqi LI
;
Youjia YU
;
Yan LI
;
Lei ZHU
Author Information
1. 承德医学院研究生学院，承德 067000
- Publication Type:Journal Article
- Keywords:
Carbohydrates;
Laparoscopic;
Gynecologic surgical procedures;
Aged;
Postoperative nausea and vomiting
- From:
Chinese Journal of Anesthesiology
2025;45(8):948-952
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of preoperative oral carbohydrate intake on postoperative nausea and vomiting (PONV) in elderly patients undergoing gynecological laparoscopic surgery.Methods:This study was a randomized controlled trial. One hundred elderly patients, aged≥65 yr, with a body mass index of 18-30 kg/m 2, with American Society of Anesthesiologists Physical Status classification Ⅰ or Ⅱ, who underwent gynecological laparoscopic surgery at the Baoding First Central Hospital from March 2023 to June 2024, were selected. Stratification was conducted by age (65-74 yr/≥75 yr) using an online randomization tool, and the patients were randomly divided into conventional fasting group (group C) and oral carbohydrate group (group P), with 50 cases in each group. Patients took oral carbohydrate drinks of 4 ml/kg at 2 h before operation, with total amount ≤400 ml in group P, while patients received conventional preoperative fasting protocols in group C. The occurrence and severity of PONV within 48 h postoperatively were observed. The visual analogue scale scores for hunger and thirst, State-Trait Anxiety Inventory scale scores, length of stay in the postanesthesia care unit, duration of hospital stay, time to first flatus, time to first ambulation, and patient′s satisfaction were recorded in the two groups. Results:Compared with group C, the incidence and severity of PONV were significantly decreased within 48 h after surgery, the visual analogue scale scores for hunger and thirst and State-Trait Anxiety Inventory scale scores were significantly decreased after entering the operating room, the length of stay in the postanesthesia care unit, time to first flatus and time to first ambulation were significantly shortened, and the patient′s satisfaction was significantly increased in group P ( P<0.05). Conclusions:Oral carbohydrate intake before operation can effectively reduce the occurrence and severity of PONV and improve the quality of postoperative recovery in elderly patients undergoing gynecological laparoscopic surgery.
