Volume 8, Issue 6, December 2019, Page: 346-350
Preliminary Study on the Feasibility of Early Feeding After General Anesthesia and Lumbar Spine Surgery in Middle-aged and Elderly Patients
Yuanqun Zou, Department of Orthopaedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Xiaorong Zhang, Department of Orthopaedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Yanfei Li, Department of Orthopaedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Cuiqing Liu, Department of Primary Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Received: Nov. 7, 2019;       Accepted: Nov. 28, 2019;       Published: Dec. 11, 2019
DOI: 10.11648/j.ajns.20190806.19      View  64      Downloads  38
Abstract
To investigate the feasibility of early feeding after lumbar spine surgery in middle-aged and elderly patients. Seventy middle-aged and elderly patients with lumbar disc herniation, lumbar spinal stenosis or lumbar spondylolisthesis after treatments of single-segment lumbar discectomy + spinal canal decompression + interbody fusion after total anesthesia with pedicle screw fixation have been selected from January 2018 to May 2019. They were randomly divided into the experimental group and the control group. The experimental group had semi-liquid diet and water at 2 hours after operation. The control group had semi-liquid diet and water at 6 hours after operation; the first exhaust/defecation time, the incidence of nausea/vomiting after eating, and the incidence of postoperative bloating were compared between the two groups. The first exhaust/defecation time of the experimental group was earlier than the control group (P < 0.05), and the incidence of postoperative abdominal distension was lower in the experimental group (P < 0.05). There was no significant difference in the rate of postoperative nausea/vomiting occurrence in the two groups. (P > 0.05). The middle-aged and elderly patients undergoing general anesthesia for lumbar spine surgery should have faster deflation/defecation within 2 hours postoperatively eating, than 6 hours, to reduce the incidence of postoperative abdominal distension without increasing the incidence of nausea/vomiting adverse reactions.
Keywords
General Anesthesia, Lumbar Surgery, Middle-aged and Elderly Patients, Early Feeding
To cite this article
Yuanqun Zou, Xiaorong Zhang, Yanfei Li, Cuiqing Liu, Preliminary Study on the Feasibility of Early Feeding After General Anesthesia and Lumbar Spine Surgery in Middle-aged and Elderly Patients, American Journal of Nursing Science. Vol. 8, No. 6, 2019, pp. 346-350. doi: 10.11648/j.ajns.20190806.19
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Lee SE, Jahng TA, Kim HJ. Decompression and nonfusion dynamic stabilization for spinal stenosis with degenerative lumbar scoliosis: Clinical article [J]. J Neurosurg Spine, 2014; 21 (4): 585-594.
[2]
Wu Mengchao WZ, Wu Yuhan, et al. Surgery (9th Edition) [M]. [J]. Beijing: People's Medical Publishing House, 2018: 91-98.
[3]
Meng Ningbo YZ, Sun Jianmin. A comparative study of TLIF and open TLIF in the treatment of lumbar degenerative diseases with quadrant rant minimally invasive system [J]. Chinese Journal of Modern Medicine, 2014; 24 (28): 90-93.
[4]
Yin Gang ZZ, Sun Zhi, et al. Risk factors for lumbar intervertebral disc herniation in Chinese population: a case-control study [J]. Spine, 2009; 34 (25): 918-922.
[5]
Fan Haiquan YY, Zeng Xiangjia, et al. Treatment of lumbar degenerative diseases with lumbar interbody fusion [J]. Journal of Spinal Surgery, 2007; 5 (1): 55-57.
[6]
Xu Haiying SW. Study on shortening preoperative fasting and banned time in patients undergoing elective surgery [J]. Journal of Nurses Training, 2010; 25 (2): 109-111.
[7]
Wei Q. Progress in preoperative fasting and banned drinking time in patients undergoing elective surgery [J]. Chinese Journal of Nursing, 2014; 49 (1): 76-79.
[8]
Chen Guodong GW. Current status of research on nausea and vomiting after general anesthesia [J]. International Journal of Anesthesiology and Resuscitation, 2015; 36 (11).
[9]
Zhou Chunyan YL, Fang Dingzhi, et al. Biochemistry and Molecular Biology (9th ed.) [M] [J]. Beijing: People's Medical Publishing House, 2018: 177-207.
[10]
Berghe G, Van Den, Wouters P. Weekers F, et al. Intensive insulin therapy in critically ill patients [J]. Chinese Critical Care Medicine, 2009; 18 (2): 1586-1588.
[11]
Wang Zhiguo YW, Qin Huanlong, et al. Effects of preoperative oral carbohydrates on postoperative insulin resistance and its mechanism [J]. Chinese Journal of Basic and Clinical Medicine, 2008; 15 (11): 799-804.
[12]
Henriksen MG, Hessov I, Dela F, et al. Effects of preoperative oral carbohydrates and peptides on postoperative endocrine response, mobilization, nutrition and muscle function in abdominal surgery [J]. Acta Anaesthesiologica Scandinavica, 2010; 47 (2): 191-199.
[13]
Manchikanti L, Malla Y, Wargo BW, et al. Preoperative fasting before interventional techniques: is it necessary or evidence-based? [J]. Pain Physician, 2011; 14 (5): 459-467.
[14]
Wu Bijing HX, Chen Bizhu. Clinical study on the effects of different fasting time before surgery on elective stress ulcer in patients undergoing elective surgery [J]. Zhongguo Medical Journal, 2014 (9): 6-7.
[15]
Boron WF, Boulpaep EL. Medical Physiology: A Cellular And Molecular Approach [J]. 2009.
[16]
Wang Tingwei LZ, Shen Linlin, et al. Physiology (9th ed.) [M] [J]. Beijing: People's Medical Publishing House, 2018; 177-207: 177-207.
[17]
Canada NL, Mullins L, Pearo B, et al. Optimizing Perioperative Nutrition in Pediatric Populations [J]. Nutrition in Clinical Practice, 2016; 31 (1): 49-58.
Browse journals by subject