术前不怕饿肚子了！中心医院特制“术前清饮”了解一下
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics.app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section style="letter-spacing: 2px; line-height: 2; box-sizing: border-box; font-style: normal; text-align: justify;"><section style="font-size: 15px; font-weight: 400; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><section style="font-size: 15px; font-weight: 400; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><section style="font-size: 15px; font-weight: 400; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><section style="font-size: 15px; font-weight: 400; color: #5f9cef; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">以往认为，“手术前一天晚上8点以后不能吃东西，12点以后不能喝水”。掐指一算，第一台手术病人到第二天麻醉时至少禁食12小时，禁水8小时，更不用说第二台、第三台......等待手术的病人。</p></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-size: 15px; font-weight: 400; color: #ff6464; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“饿了咋办？渴了咋办？扛不住喝点粥行不行？一口水都不能喝吗......”</p></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-size: 15px; font-weight: 400; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 40%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/FgG2Ye9z7mX06QwxqgW7kSqZsk2Q" /></section></section><section style="font-size: 15px; font-weight: 400; text-align: center; color: #a65bcb; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">禁食禁水前的你：容光焕发</strong></p></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-size: 15px; font-weight: 400; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 40%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/FjX02cQtDPonEPShJ9FW3VDgO9ki" /></section></section><section style="font-size: 15px; font-weight: 400; text-align: center; color: #47c1a8; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">禁食禁水后的你：生无可恋</strong></p></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-size: 15px; font-weight: 400; margin: 10px 0%; text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; background-color: #fbf7ea; align-self: flex-start; flex: 0 0 auto; box-sizing: border-box;"><section style="text-align: justify; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; background-image: linear-gradient(to right bottom, #ffffff 50%, rgba(255, 255, 255, 0) 50%); align-self: flex-start; flex: 0 0 auto; box-sizing: border-box;"><section style="margin: 0px 0%; text-align: left; transform: translate3d(28px, 0px, 0px); -webkit-transform: translate3d(28px, 0px, 0px); -moz-transform: translate3d(28px, 0px, 0px); -o-transform: translate3d(28px, 0px, 0px); box-sizing: border-box;"><section style="color: #ff6464; text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">别贪嘴，真要命<em style="font-size: 24px; box-sizing: border-box;">！</em></strong></p></section></section><section style="text-align: left; justify-content: flex-start; transform: translate3d(25px, 0px, 0px); -webkit-transform: translate3d(25px, 0px, 0px); -moz-transform: translate3d(25px, 0px, 0px); -o-transform: translate3d(25px, 0px, 0px); display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 43%; vertical-align: top; flex: 0 0 auto; height: auto; align-self: flex-start; box-sizing: border-box;"><section style="margin: 0.5em 0px; box-sizing: border-box;"><section style="background-color: #000000; height: 1px; box-sizing: border-box;"></section></section></section></section></section></section><section style="margin: 20px 0% 0px; box-sizing: border-box;"><section style="padding: 0px 30px; color: #000000; text-align: justify; box-sizing: border-box;"><p style="margin: 0px 0px 10px; white-space: normal; padding: 0px; box-sizing: border-box;">忍不了想偷吃？专家提醒，这偷吃的小小一个馒头、一碗粥、一块肉……都可能带走你的生命！</p><p style="margin: 0px 0px 10px; white-space: normal; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="color: #ff6464; box-sizing: border-box;">但话又说回来，咱也不是啥都不能吃！</span></strong></p><p style="margin: 0px 0px 10px; white-space: normal; padding: 0px; box-sizing: border-box;">近年来研究发现，术前禁食禁水并不需要整夜整夜的坚持。</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">优化的禁食禁水方案，如术前2小时饮用少于400ml清饮饮料，保证2小时内及时排空，不仅不会导致胃潴留和误吸，反而可以促进胃蠕动加快胃排空。</p></section></section></section></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="font-size: 15px;">作为“老百姓的三甲医院”，中心医院始终秉承“一切为了病人，一切服务病人，一切方便病人”的理念，不断加强人文关怀，在已常规开展术前清饮的前提下，医院又</span><span style="font-size: 15px;">组织医务科、麻醉科、护理部、信息科、营养科、院感科、基建总务科等，对清饮进行了优化，专门制定了符合儿童、成人饮食习惯的术前</span><span style="font-size: 15px; color: #fa5359; font-weight: bold;"><span style="font-size: 15px; letter-spacing: 2px;">特制</span><span style="font-size: 15px; letter-spacing: 2px;">清饮饮料</span></span><span style="font-size: 12px; color: #40bcbf;">（12.5%碳水化合物饮品，该清饮严格按照ERAS指南标准配制，清饮中含有碳水化合物和少量电解质）</span><span style="font-size: 15px;">，</span><span style="font-size: 15px; color: #fa5359; font-weight: bold;">美味可口、方便、安全、经济，</span><span style="font-size: 15px;"><span style="font-size: 15px; letter-spacing: 2px;">一经推出，得到了患者的广泛好评。</span></span></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">加速康复外科护理小组组长胡丽萍介绍，术前口服含碳水化合物的饮料具有<strong style="box-sizing: border-box;"><span style="color: #f96e57; box-sizing: border-box;">改善机体新陈代谢；减轻术后胰岛素抵抗；在外科手术中，降低了术后感染的死亡率；减轻病人的口渴、饥饿、焦虑等不适</span></strong>的优点。</p><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">但要注意！<strong style="box-sizing: border-box;"><span style="color: #f96e57; box-sizing: border-box;">清饮饮料≠流质</span></strong>，不包括酒精类饮品，也不包括米汤、菜汤、牛奶和牛奶乳制品等。</p><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-size: 15px; font-weight: 400; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/FpdFmrmZUVzZm7W9ru4oPdMJ5-fC" /></section></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“饿得受不住啊，嘴巴也干，现在好多了！”护士为70岁的李奶奶（化名）递上了清饮饮料，喝完瞬间缓解了老人的口渴、饥饿感，等待手术的时间也显得不是那么难熬了。</p><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-size: 15px; font-weight: 400; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/Fpw17T4yVX6JS70PfJT1fEnS5hRJ" /></section></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“甜甜的！好喝！”中午就要手术了，亮亮（化名）大口喝着清饮饮料，补充完能量的他开心地和爸爸妈妈分享着这个特制饮品的味道。</p><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-size: 15px; font-weight: 400; text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-image: linear-gradient(#a6d2fe 13%, rgba(166, 210, 254, 0) 88%); padding: 15px 20px; box-sizing: border-box;"><section style="justify-content: flex-start; display: flex; flex-flow: row; margin: 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: center; margin: 0px -28px 0px 0px; z-index: 1; box-sizing: border-box;"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 35px; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/Fhq9IAoV_2WG-dw287Iagg9Gvq1d" /></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; background-color: #ffffff; box-shadow: #81868c 3px 3px 5px 0px; border-radius: 50px; overflow: hidden; padding: 5px 20px; height: auto; margin: 0px 0px 0px 10px; box-sizing: border-box;"><section style="text-align: center; font-size: 17px; color: #1e69ce; letter-spacing: 2px; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">关于术前禁食禁水</strong></p></section></section></section></section></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-size: 15px; font-weight: 400; color: #ff6464; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">· 为啥要禁食禁水？</strong></p></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">术中麻醉后，食管和贲门处肌肉松弛，保护性咳嗽反射减弱或消失，极易使胃内容物返流至口咽部，一旦返流物误吸入呼吸道内，可引起呼吸道梗阻和吸入性肺炎，严重者危及生命。</p><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-size: 15px; font-weight: 400; color: #ff6464; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">· 术前禁食禁水时间越长越好？</strong></p></section><section style="font-size: 15px; font-weight: 400; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">非也!非也！长时间的禁食禁水适得其反：</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">× 口干舌燥、饥饿感明显；</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">× 血容量不足、电解质紊乱；</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">× 烦躁、紧张、焦虑不良情绪；</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">× 术后血糖高，出现胰岛素抵抗情况；</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">× 增加术后应激反应，增加术后并发症的发生。</p></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-size: 15px; font-weight: 400; color: #f96e57; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">· 术前禁食禁水多久最合适？</strong></p></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">遵循“620”原则：推荐术前禁食6小时，禁水2小时，“0”管道。</p><section style="font-size: 15px; font-weight: 400; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/FoMQQw8LJqNPIMxOev5JI-UvvqLA" /></section></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-size: 15px; font-weight: 400; text-align: center; color: #f96e57; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">要值得注意的</strong></p></section><section style="font-size: 12px; font-weight: 400; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">1、牛奶等乳制品：牛奶和配方奶粉在胃内排空时间与固体食物相当，因此，牛奶等乳制品往往被视为固体类食物，麻醉前至少禁食6小时。</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">2、淀粉类固体食物：主要指面粉和谷类食物，如馒头、米饭、面条、面包等，其主要成分为碳水化合物，含有部分蛋白质和少量脂肪，麻醉前至少禁食6小时。<br style="box-sizing: border-box;" />3、脂肪类固体食物：主要指肉类和油炸类食物，其主要成分为脂肪和蛋白质，在胃内排空的时间长，麻醉前至少禁食8小时。</p></section><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="font-size: 15px; font-weight: 400; color: #ff6464; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">术前清饮适合大部分患者，糖尿病、胃肠道疾病手术患者等特殊情况还需由医师、麻醉师、营养师多方严格把控！</strong></p></section><p style="font-size: 15px font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="font-size: 15px; font-weight: 400; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="color: #5f9cef; box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="caret-color: #000000; box-sizing: border-box;">术前禁食禁水是加速康复外科（ERAS）重点措施之一。</span></strong></span><span style="caret-color: #000000; color: #000000; box-sizing: border-box;">加速康复外科，旨在以循证医学证据为基础，通过外科、麻醉、护理、营养等多学科协作，对涉及围手术期处理予以优化，通过缓解病人围手术期各种应激反应，达到减少术后并发症、缩短住院时间及促进康复。</span></p><section style="font-size: 15px; font-weight: 400; text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section></section><p style="display: none;"> </p> <!----></div>
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