Study On The Time Of Abstinence Before Laparoscopic Surgery In Patients With Gallbladder Disease And Gastroesophageal Reflux

Objective: To evaluate the safety and influence of different drinking time choices before laparoscopic surgery for Patients with gallbladder disease complicated with gastroesophageal reflux.Method:Choose gallbladder merge gastroesophageal reflux disease need line elective Laparoscopic cholecystectomy patients,according to the preoperative different forbidden drinking time,176 patients with random number table were randomly divided into A(No drinking for 3 hours),B(No drinking for 4 hours),C(No drinking for 5 hours),D(No drinking for 6 hours)four groups,to compare four groups before and after surgery thirst,hunger,scoring,stomach ultrasonic testing results,and postoperative exhaust and defecate of bed time etal.Results:1.The basic preoperative data(gender,age,surgical history,diagnosis,disease course,and GerdQ score)of the four groups were compared,with no statistically significant difference(P>0.05),and the groups were comparable.2.Comparison of thirst,hunger and anxiety before and after surgery in the four groups showed that the scores of thirst and hunger in group A and group B were lower than those in group D before and after surgery,with statistically significant differences(P<0.05).The comparison results before and after the operation showed that there was no significant difference in anxiety scores between the four groups(P>0.05).3.Gastric ultrasound examination results: the gastric ultrasound examination results of the four groups showed that there was no statistically significant difference in gastric antrum cross-sectional area and gastric volume between the four groups(P>0.05).The risk assessment results of reflux aspiration showed no statistically significant difference between the four groups(P>0.05).4.postoperative recovery: the comparison results of postoperative recovery of the four groups showed: 1)the differences in exhaust and defecation between group A,group B and group D were statistically significant(P<0.05).2)the comparison of postoperative discontinuation time between group A and group D found that the difference in discontinuation time was statistically significant(P<0.05).3)the time for the first postoperative feeding and the time for the cessation of infusion in groups A and B were shorter than those in groups C and D,with statistically significant differences(P<0.05).4)there was no statistically significant difference between the four groups in terms of length of stay and cost of stay(P>0.05).5)the difference of postoperative incidence of nausea in the four groups was statistically significant(P<0.05).The comparison of postoperative vomiting between the four groups showed no statistically significant difference(P>0.05).5.The comparison results of postoperative recovery quality showed that the differences of emotional state score,physical comfort score and pain score in Qor-40 scale between group A and group B were statistically significant(P<0.05).There was no significant difference in the scores of psychological support and self-care ability in the Qor-40 scale between the four groups(P>0.05).Conclusion: Shortening the time of abstinence before and after operation can reduce the patients’ thirst and hunger,and accelerate the time of exhaust and defecation and getting out of bed.It can reduce the incidence of postoperative nausea and improve the quality of postoperative recovery,and ultrasound of the stomach showed that it was safe and feasible.