在胃肠道护理中早期营养支持的营养状况有效性:系统性审查和元分析
Li-Bin He1, Ming-Yuan Liu2, Yue He3
1Department of Anesthesia and Surgery, Xiang'an Hospital Affiliated to Xiamen University, Xiamen 361100, Fujian Province, China.
World journal of gastrointestinal surgery
|June 21, 2023
概括
胃肠道手术后的早期营养支持有助于通过减少住院和并发症来恢复. 这一元分析证实了它对患者康复的好处.
科学领域:
- 胃肠病学 胃肠病学
- 手术营养是指手术营养.
- 基于证据的医学基于证据的医学.
背景情况:
- 胃肠道手术存在包括营养不良和感染在内的风险.
- 早期的术后营养支持旨在减轻这些风险并改善结果.
- 现有的文献对其有效性提出了相互矛盾的结论.
研究的目的:
- 评估早期术后营养支持对患者康复的影响.
- 通过元分析综合随机对照试验的证据.
主要方法:
- 在多个数据库 (PubMed,EMBASE等) 中进行全面的文献搜索. 在2022年10月之前.
- 包括随机对照试验,比较早期与延迟的营养支持.
- 结果的元分析包括血清白蛋白,住院,第一次排便时间和并发症.
主要成果:
- 分析了14项涉及2145名患者的研究,7项专注于早期肠道营养,7项专注于早期口服养.
- 早期的营养支持显示了向更高血清白蛋白水平的趋势.
- 显著的好处包括更短的住院时间,减少第一次排便时间和更少的并发症.
结论:
- 早期的肠道营养支持可以加速胃肠道手术的恢复.
- 它有效地减少了并发症发生率和住院时间.
- 这种方法增强了手术后的患者康复.
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