Application of individualized oral carbohydrates based on the concept of enhanced recovery after surgery in laparoscopic bariatric surgery

GUO Yu; TIAN Zhen; WU Hao; LIU Guo-dong; CHENG Juan; WANG Shan

doi:10.11659/jjssx.07E025078

您当前的位置：

首页 >

文章列表页 >

Application of individualized oral carbohydrates based on the concept of enhanced recovery after surgery in laparoscopic bariatric surgery

Clinical Research | 更新时间：2026-04-20

- Application of individualized oral carbohydrates based on the concept of enhanced recovery after surgery in laparoscopic bariatric surgery
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 35, Issue 4, Pages: 346-349(2026)
- 作者机构：
  
  1.江苏省人民医院宿迁医院胃肠外科，江苏宿迁 223800
  2.南京鼓楼医院集团宿迁医院麻醉科，江苏宿迁 223800
  3.江苏省人民医院宿迁医院麻醉与围术期医学科，江苏宿迁 223800
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.07E025078
  CLC： R656
- Received：17 July 2025，
  
  Published：25 April 2026
- 稿件说明：
移动端阅览
郭宇,田振,吴浩等.基于快速康复理念的个体化口服碳水化合物在腹腔镜下减重手术中的应用[J].局解手术学杂志,2026,35(04):346-349.

GUO Yu,TIAN Zhen,WU Hao,et al.Application of individualized oral carbohydrates based on the concept of enhanced recovery after surgery in laparoscopic bariatric surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(04):346-349.
郭宇,田振,吴浩等.基于快速康复理念的个体化口服碳水化合物在腹腔镜下减重手术中的应用[J].局解手术学杂志,2026,35(04):346-349. DOI： 10.11659/jjssx.07E025078.

GUO Yu,TIAN Zhen,WU Hao,et al.Application of individualized oral carbohydrates based on the concept of enhanced recovery after surgery in laparoscopic bariatric surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(04):346-349. DOI： 10.11659/jjssx.07E025078.

摘要

目的

评价基于快速康复理念的个体化口服碳水化合物用于腹腔镜下减重手术患者的效果。

方法

选择行腹腔镜下减重手术的肥胖患者88例为研究对象，随机分为对照组和观察组，每组44例。对照组患者术前常规禁食和禁饮，而观察组患者术前2 h根据理想体重口服4 mL/kg碳水化合物。比较2组患者的反流误吸风险、焦虑和抑郁情绪状况、口渴和饥饿状况、术后恢复质量、胃肠功能恢复时间及术后并发症发生情况。

结果

2组患者麻醉前即

刻的反流误吸风险比较，差异无统计学意义（

0.05）。观察组患者麻醉前的焦虑自评量表（SAS）评分、口渴和饥饿评分均显著低于对照组（

0.05）。观察组患者术后1 d、2 d的恢复质量15量表（QoR-15）评分均显著高于对照组（

0.05）。观察组患者的术后并发症发生率明显低于对照组（

0.05）。观察组患者的肛门恢复排气时间及肛门恢复排便时间均明显早于对照组（

0.05）。

结论

腹腔镜下减重手术肥胖患者个体化口服碳水化合物不仅未增加反流误吸风险，还能缓解患者的焦虑情绪及口渴和饥饿感受，有利于促进术后快速康复且并发症少。

Abstract

Objective

To evaluate the efficacy of individualized oral carbohydrates based on the concept of enhanced recovery after surgery in patients undergoing laparoscopic bariatric surgery.

Methods

A total of 88 obese patients who underwent laparoscopic bariatric surgery were selected as the study subjects and randomly divided into the control group and the observation group， with 44 cases in each group. Patients in the control group received routine preoperative fasting and fluid restriction， while patients in the observation group received 4 mL/kg of oral carbohydrates according to ideal body weight at 2 hours before surgery. The risk of regurgitation and aspiration， anxiety and depression， thirst and hunger， postoperative recovery quality， gastrointestinal function recovery time， and the incidence of postoperative complications were compared between the two groups of patients.

Results

There was no statistically significant difference in the risk of regurgitation and aspiration immediately before anesthesia between the two groups of patients （

0.05）. The self-rating anxiety scale （SAS） score， thirst and hunger scores before anesthesia of patients in the observation group were significantly lower than those in the control group （

0.05）. The quality of recovery-15 （QoR-15） scores 1 and 2 days after surgery of patients in the observation group were significantly higher than those in the control group （

0.05

）. The incidence of postoperative complications of patients in the observation group was significantly lower than that in the control group （

0.05）. The time to first flatus and the time to first defecation of patients in the observation group was significantly earlier than those in the control group （

0.05）.

Conclusion

Individualized oral carbohydrate in obese patients undergoing laparoscopic bariatric surgery does not increase the risk of regurgitation and aspiration， but alleviates patients' anxiety， thirst and hunger， which is beneficial to promote rapid postoperative recovery with fewer complications.

关键词

Keywords

references

许艳，窦翊愷，王敏，等 . 肥胖患者情绪异常与减重手术效果的相关性［J］. 四川精神卫生， 2024 ， 37 （ 1 ）： 46 - 51 . doi： 10.11886/scjsws20231220002 http://dx.doi.org/10.11886/scjsws20231220002 .

Perdomo CM ， Cohen RV ， Sumithran P ， et al . Contemporary medical，device，and surgical therapies for obesity in adults ［J］. Lancet ， 2023 ， 401 （ 10382 ）： 1116 - 1130 . doi： 10.1016/S0140-6736（22）02403-5 http://dx.doi.org/10.1016/S0140-6736（22）02403-5 .

王浩，艾克拜尔·艾力，麦麦提艾力·麦麦提明，等 . 腹腔镜袖状胃切除术对重度肥胖症患者人体成分的影响［J］. 腹腔镜外科杂志， 2024 ， 29 （ 5 ）： 332 - 335 . doi： 10.13499/j.cnki.fqjwkzz.2024.05.332 http://dx.doi.org/10.13499/j.cnki.fqjwkzz.2024.05.332 .

邱嘉欣，韩乐，张雨，等 . 术前口服碳水化合物在不同手术中的应用［J］. 赣南医科大学学报， 2025 ， 45 （ 4 ）： 393 - 398 . doi： 10.3969/j.issn.1001-5779.2025.04.016 http://dx.doi.org/10.3969/j.issn.1001-5779.2025.04.016 .

郭雪进，顾荣，陈凤珍，等 . 术前医用多维碳水化合物个体化预处理对全身麻醉下髋关节置换老年患者术中体温的影响［J］. 局解手术学杂志， 2025 ， 34 （ 1 ）： 54 - 57 . doi： 10.11659/jjssx.09E024105 http://dx.doi.org/10.11659/jjssx.09E024105 .

中华医学会外科学分会，中华医学会麻醉学分会 . 中国加速康复外科临床实践指南（2021）（二）［J］. 中华麻醉学杂志， 2021 ， 41 （ 9 ）： 1035 - 1043 . doi： 10.12290/xhyxzz.20210002 http://dx.doi.org/10.12290/xhyxzz.20210002 .

刘贺，曹月，苗梦荣，等 . 肥胖患者手术麻醉前口服碳水化合物饮料在加速术后康复中的作用［J］. 中华实用诊断与治疗杂志， 2025 ， 39 （ 5 ）： 420 - 425 . doi： 10.13507/j.issn.1674-3474.2025. 05.006 http://dx.doi.org/10.13507/j.issn.1674-3474.2025.05.006 .

李雨虹，任志强，尹宁 . 肥胖女性术前口服碳水化合物后胃排空评估的非劣效性研究［J］. 重庆医学， 2024 ， 53 （ 4 ）： 587 - 591 . doi： 10.3969/j.issn.1671-8348.2024.04.021 http://dx.doi.org/10.3969/j.issn.1671-8348.2024.04.021 .

刘丹，程锐铌，华震 . 术前口服碳水化合物溶液在特殊人群中应用的研究进展［J］. 中国医药科学， 2022 ， 12 （ 7 ）： 48 - 51 . doi： 10.3969/j.issn.2095-0616.2022.07.012 http://dx.doi.org/10.3969/j.issn.2095-0616.2022.07.012 .

吴可汀，高巨，辛超，等 . 术前口服碳水化合物对腹腔镜胆囊切除术患者胃排空的影响［J］. 中华麻醉学杂志， 2022 ， 42 （ 9 ）： 1039 - 1042 . doi： 10.3760/cma.j.cn131073.20220614.00904 http://dx.doi.org/10.3760/cma.j.cn131073.20220614.00904 .

陈曦，丁静，张道权，等 . 认知行为干预对胰胆管造影患者术前焦虑、抑郁的作用［J］. 国际精神病学杂志， 2025 ， 52 （ 2 ）： 646 - 649 . doi： 10.13479/j.cnki.jip.2025.02.062 http://dx.doi.org/10.13479/j.cnki.jip.2025.02.062 .

王琰，左珊珊，马艳玲，等 . 竖脊肌平面阻滞对袖状胃切除术患者术后恢复质量的影响［J］. 临床麻醉学杂志， 2021 ， 37 （ 7 ）： 714 - 718 . doi： 10.12089/jca.2021.07.009 http://dx.doi.org/10.12089/jca.2021.07.009 .

张乐，李昊泽，刘凯东，等 . 腹腔镜胃袖状切除术对肥胖症患者的治疗效果及对肠道菌群的影响［J］. 实用临床医药杂志， 2023 ， 27 （ 19 ）： 80 - 83 . doi： 10.7619/jcmp.20232130 http://dx.doi.org/10.7619/jcmp.20232130 .

de Klerk ES ， de Grunt MN ， Hollmann MW ， et al . Incidence of excessive preoperative fasting：a prospective observational study ［J］. Br J Anaesth ， 2023 ， 130 （ 4 ）： e440 - e442 . doi： 10.1016/j.bja.2022. 12.017 http://dx.doi.org/10.1016/j.bja.2022.12.017

Mohammad KA ， Gaber RS ， Makram BJ ， et al . Gastric residual volume assessment by gastric ultrasound in fasting obese ptients：a comparative study ［J］. Anesth Pain Med ， 2021 ， 11 （ 1 ）： e109732 . doi： 10.3969/j.issn.1003-9198.2023.10.010 http://dx.doi.org/10.3969/j.issn.1003-9198.2023.10.010

贾国安，田雪晴，相裕华，等 . 减重代谢手术后患者焦虑抑郁状况及影响因素研究［J］. 腹腔镜外科杂志， 2025 ， 30 （ 3 ）： 192 - 196 . doi： 10.13499/j.cnki.fqjwkzz.2025.03.192 http://dx.doi.org/10.13499/j.cnki.fqjwkzz.2025.03.192 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Application of anterior axillary incision in retroperitoneal laparoscopic radical nephrectomy in obese patients

Effects of different CO2 pneumoperitoneum pressures on laparoscopic hysterectomy under general anesthesia in elderly obese patients

Related Author

LI Jia

LI San-xiang

ZANG Tian-ming

LYU Dong-chen

FANG Hui-dong

TAN Zhao-hui

LIU Jun-feng

YAN Zhi-yong

Related Institution

Department of Urology，Inner Mongolia Autonomous Region People's Hospital

Department of Anesthesiology，Suqian First People’s Hospital Affiliated to Nanjing Medical University

⁰