在皮肤内镜胃口切除后的早期或晚期食在创伤和烧伤中放置
Whitney Elks1, Allison G McNickle1, Matthew Kelecy1
1Department of Surgery, Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, Nevada.
The Journal of surgical research
|November 25, 2023
概括
在皮肤内镜胃口 (PEG) 放置后早期的肠道食改善了术后的营养目标. 这种方法没有增加不良事件,突出了其在创伤和烧伤患者的安全性和有效性.
科学领域:
- 创伤外科 手术 创伤外科
- 营养支持营养支持
- 胃肠病学 胃肠病学
背景情况:
- 穿皮内镜胃口术 (PEG) 放置后肠道食的时间在创伤外科医生之间有所不同.
- 营养治疗对于创伤和烧伤患者的康复至关重要.
研究的目的:
- 评估PEG放置后早期和晚期肠道养之间的营养治疗目标和不良结果的差异.
主要方法:
- 对364名接受PEG安置的创伤和烧伤患者的回顾性审查.
- 早期 (≤6小时) 与晚 (>6小时) 开始食的比较.
- 对营养摄入量和并发症的分析.
主要成果:
- 早期养组在术后0天实现了更高的目标养量百分比 (P < 0.001).
- 在早期和晚期养组之间没有观察到不良事件的显著差异.
- 烧伤患者更有可能获得早期养,而创伤患者则获得晚期养.
结论:
- 在PEG安置后的早期肠道养可以改善早期的营养分泌,而不会增加不良事件.
- 尽管情况有所改善,但患者经常无法实现他们的全管养目标.
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