在急性胰腺炎中转向早期口服养
Tarek Nammour1, Alice A Lee, Julia McNabb-Baltar
1From the Center for Pancreatic Disease, Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Pancreas
|November 29, 2023
概括
在2018年美国胃肠病学协会 (AGA) 的指导方针之后,急性胰腺炎 (AP) 的早期口服养增加了. 延迟养与阿片类药物使用,胰腺亡和器官衰竭有关.
科学领域:
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
- 内部医学 内部医学
背景情况:
- 2018年美国胃肠道学会 (AGA) 的指导方针提倡在急性胰腺炎 (AP) 中早期口服养.
- 评估遵守这些指导方针对于优化患者护理至关重要.
- 以前的做法可能与推的早期养方案不完全一致.
研究的目的:
- 为了比较急性胰腺炎患者在2018年AGA指南发布之前和之后的早期口服养率.
- 评估AGA指南对有关AP管理的临床实践的影响.
- 确定影响AP患者早期口服食开始的因素.
主要方法:
- 追溯队列研究的设计.
- 包括急性胰腺炎患者到急诊室的情况.
- 早期口服养的定义是:在呈现后48小时内开始饮食.
主要成果:
- 在指南发布后,观察到早期口服养率显著增加 (70.2%与43.5%相比).
- 在指南后的时期,固体饮食的开始也增加了 (34.6%与20.3%相比).
- 推迟养的独立预测因素包括早期使用阿片类药物,胰腺缩和器官衰竭.
结论:
- 发表的AGA指南与急性胰腺炎的早期口服养增加相关.
- 早期的阿片类止痛药,胰腺亡和器官衰竭与延迟口服养有关.
- 在指南传播后,遵守早期养建议的情况有所改善.
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