目的:探讨术前禁食禁饮再造流程在耳鼻喉科择期手术患者中的应用效果。方法:将2018年2月至2019年8月164例耳鼻喉科择期手术患者按照禁食禁饮新流程介入时间点的前后分为对照组79例和试验组85例，对照组患者接受传统的禁食禁饮方案，试验组患者采用个体化禁食禁饮方案，即通过多学科协作，根据患者预排手术时间分时段进行禁食禁饮管理，比较2组患者术前实际禁食禁饮时间、术前口渴、饥饿和麻醉中误吸事件发生情况，以及术后胰岛素抵抗情况的差异。结果:术前实际禁食时间：试验组（8.3 ± 2.7）h，对照组（14.2 ± 3.6）h，2组比较差异有统计学意义（n t值为11.727，n P<0.01）；术前实际禁饮时间：试验组（4.4 ± 1.8）h，对照组（11.7 ± 2.9）h，2组比较差异有统计学意义（n t值为19.515，n P<0.01）。2组患者均未发生误吸事件。试验组患者术后1 d和3 d胰岛素抵抗指数分别为6.46 ± 3.18、5.18 ± 2.38，均低于对照组的8.15 ± 4.09、6.16 ± 2.87，差异有统计学意义（n t值为2.966、2.401，n P<0.01或0.05）。n 结论:术前禁食禁饮流程再造能有效缩短术前禁食、禁饮时间，改善患者术前不适体验，降低患者术后胰岛素抵抗，且不增加误吸的发生。“,”Objective:To explore the application effect of reconstructed preoperative fasting and forbidding drink process in elective surgery patients of otolaryngology.Methods:A total of 164 elective surgery patients of otolaryngology from February 2018 to August 2019 were divided into the control group (79 cases) and the experimental group (85 cases), based on using the before and after new fasting and forbidding drink process. Patients in the control group received traditional preoperative fasting and forbidding drink process, and patients in the experimental group received personalized preoperative fasting and forbidding drink process, which includes carrying out fasting and forbidding drink process according to the pre-scheduled operation time through multidisciplinary collaboration. The actual time of preoperative fasting and forbidding drink, incidence of subjective feelings (thirst or hunger) and aspiration during surgery, postoperative insulin resistance were compared between the two groups.Results:The actual time of preoperative fasting in the experimental group was (8.3±2.7) hours, and in the control group was (14.2±3.6) hours, there was significant difference between two groups (n t value was 11.727, n P<0.01). The actual time of preoperative forbidding drink in the experimental group was (4.4±1.8) hours, and in the control group was (11.7±2.9) hours, there was significant difference between two groups (n t value was 19.515, n P<0.01). There was no intraoperative aspiration in both groups. The insulin resistance index 1d and 3d after surgery in the experimental group were 6.46±3.18 and 5.18±2.38, which were lower than 8.15±4.09 and 6.16±2.87 in the control group (n t values were 2.966 and 2.401, n P <0.01 or 0.05).n Conclusion:Preoperative fasting and forbidding drink process optimization can effectively shorten the preoperative fasting and forbidding drink time, improve the preoperative discomfort of elective surgery patients, reduce postoperative insulin resistance and does not increase the incidence of aspiration.