前内镜检查前马尔托德克斯特林饮料对胃残留体积和患者幸福感的影响:一项随机对照试验
Mohd Firdaus Zulkifli1,2, Mohd Nizam Md Hashim3,4, Zalina Zahari5
1Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia (USM), 16150, Kubang Kerian, Kelantan, Malaysia.
Scientific reports
|November 16, 2023
概括
在 oesophagogastroduodenoscopy (OGDS) 检查前2小时饮用马尔托德克斯特林饮料是安全的,并改善了患者的福祉. 与普通水相比,这种碳水化合物负载不会影响胃残留体积,提高了患者在手术期间的舒适度.
科学领域:
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
- 患者护理 患者护理
背景情况:
- 在 oesophagogastroduodenoscopy (OGDS) 之前长时间禁食可能会对患者的福祉产生负面影响.
- 目前的协议通常涉及严格的禁食,因为人们担心可见性和评估质量.
- 马尔托德克斯特林饮料用于增强手术后恢复 (ERAS) 碳水化合物负载协议.
研究的目的:
- 评估在OGDS前2小时服用麦芽素饮料对胃残留体积 (GRV) 的影响.
- 评估马尔托德克斯特林饮料对患者幸福度评分的影响,包括饥饿,口渴,焦虑,疲劳和不适.
- 为了比较马尔托德克斯特林饮料与普通水作为前内镜液的安全性和有效性.
主要方法:
- 一个单盲分层随机受控试验,涉及80名接受OGDS的患者.
- 参与者被分配给接受400毫升普通水 (控制组A) 或400毫升马尔托德素饮料 (Carborie,B组).
- 胃残留体积 (GRV) 和使用视觉模拟尺度 (VAS) 评分的患者幸福感是主要结果指标.
主要成果:
- 在马尔托德素组 (4.0毫升) 和普通水组 (5.0毫升) (p=0.777) 之间没有观察到胃残留体积 (GRV) 中位数的显著差异.
- 两组都经历了饥饿,口渴,焦虑,疲劳和不适的VAS得分显著降低 (p ≤ 0.001).
- 在这两组中都没有发生与内镜相关的并发症.
结论:
- 在内镜前,用马尔托德素饮料给药对OGDS和清水一样安全.
- 马尔托德克斯饮料的消费改善了患者的福祉,而不会影响安全或增加胃残留体积.
- 这种方法提供了一种可行的选择,可以提高患者在内镜前准备期间的舒适度.
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