ABSTRACT
Objective:To investigate the effect of nutritional status and comfortability of early postoperative diet of patients following sedated colonoscopic polypectomy.Methods:A total of 300 patients who undergoing sedated colonoscopic polypectomy were randomly divided into normal group and experimental group 1, group 2, with 100 cases in each group. The control group received total fasting with intravenous infusion, oral clear fluids were begun up on the first postoperative day and solid foods on the fourth day. In the experimental group 1 and group 2, clear fluids were begun up to six hours or two hours after surgery, respectively, followed by semi-liquid on the first postoperative day, and solid food three days later. The clinical outcomes such as time of first defecation, hospitalization time, abdominal pain, hypoglycemial reaction, bleeding volume and nausea/vomiting was recorded between three groups. In addition, the nutritional status and comfortability was compared by using serum albumin detection and Visual Analogue Scale (VAS), respectively.Results:The time of first defecation were (22.46±2.96) hours and (21.54±2.17) hours in the experimental group 1 and group 2, significantly shorter than that in the control group (26.37±4.87) hours; meanwhile, the time of first defecation were significantly decreased in the experimental group 2 compared to the experimental group 1, the difference was statistically significant ( F value was 51.812, P<0.05). The rate of hypoglycemial reaction were 5.10% (5/98) and 2.04% (2/98) in the experimental group 1 and group 2, significantly lower than that in the control group 13.40% (13/97), the difference was statistically significant ( χ2 value was 10.582, P<0.05). After 5th day of surgery, the level of serum albumin were (36.16±6.44) g/L and (36.55±6.57) g/L in the experimental group 1 and group 2, significantly higher than those in the control group (33.97±5.91) g/L, the difference was statistically significant ( F value was 4.732, P<0.05). However, there was no significant difference in the VAS scores among the three groups ( P>0.05). Conclusion:Two hours after sedated colonoscopic polypectomy oral feeding can obviously promote the recovery of gastrointestinal function, which does not increase the occurrence of postoperative complications, and promote the postoperative recovery of the patients.
ABSTRACT
The comfortability and safety on resort were investigated in terms of resort environments focusing on atmosphere temperature.<br>With regard to the comfortability, first, a discomfort index (DI) defined with atmosphere temperature and relative humidity was demonstrated to be associated with indicators of autonomic nerve activities derived from heart beat variability at the level around DI-70 which was classified into the category of “comfortable for most of people”.<br>Secondarily, it was suggested that the index could be available to evaluate comfortability for given time courses at different resort points with an example of its hourly average in 24 hours a day for a representative month in each season. With regard to the safety, first, stroke incident rate of each month was associated with monthly average atmosphere temperature when the relationship was analyzed using around ten thousands patients data for 7 years from the community-based stroke registration for in Toyama prefecture. On top of that, it has been demonstrated that the atmosphere temperature on one and two days prior to the stroke development was independently effective on the risk of cerebral hemorrhage and subarachnoidal hemorrhage development with the adjustment for patient's sex and age, calendar year, season, relative humidity and atmosphere pressure. Secondarily, morning raise in blood pressure was affected by the room temperature (10°C and 25°C). The lower temperature the more raise in blood pressure.