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Preliminary Study on the Feasibility of Early Feeding After General Anesthesia and Lumbar Spine Surgery in Middle-aged and Elderly Patients

Received: 7 November 2019     Accepted: 28 November 2019     Published: 11 December 2019
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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.

Published in American Journal of Nursing Science (Volume 8, Issue 6)
DOI 10.11648/j.ajns.20190806.19
Page(s) 346-350
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

General Anesthesia, Lumbar Surgery, Middle-aged and Elderly Patients, Early Feeding

References
[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.
Cite This Article
  • APA Style

    Yuanqun Zou, Xiaorong Zhang, Yanfei Li, Cuiqing Liu. (2019). 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, 8(6), 346-350. https://doi.org/10.11648/j.ajns.20190806.19

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    ACS Style

    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. Am. J. Nurs. Sci. 2019, 8(6), 346-350. doi: 10.11648/j.ajns.20190806.19

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    AMA Style

    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. Am J Nurs Sci. 2019;8(6):346-350. doi: 10.11648/j.ajns.20190806.19

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  • @article{10.11648/j.ajns.20190806.19,
      author = {Yuanqun Zou and Xiaorong Zhang and Yanfei Li and Cuiqing Liu},
      title = {Preliminary Study on the Feasibility of Early Feeding After General Anesthesia and Lumbar Spine Surgery in Middle-aged and Elderly Patients},
      journal = {American Journal of Nursing Science},
      volume = {8},
      number = {6},
      pages = {346-350},
      doi = {10.11648/j.ajns.20190806.19},
      url = {https://doi.org/10.11648/j.ajns.20190806.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20190806.19},
      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 P 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.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Preliminary Study on the Feasibility of Early Feeding After General Anesthesia and Lumbar Spine Surgery in Middle-aged and Elderly Patients
    AU  - Yuanqun Zou
    AU  - Xiaorong Zhang
    AU  - Yanfei Li
    AU  - Cuiqing Liu
    Y1  - 2019/12/11
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    DO  - 10.11648/j.ajns.20190806.19
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 346
    EP  - 350
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20190806.19
    AB  - 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 P 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.
    VL  - 8
    IS  - 6
    ER  - 

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Author Information
  • Department of Orthopaedics, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Orthopaedics, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Orthopaedics, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Primary Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

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