在接受选择性手术的营养不良和营养充足的患者中使用ERAS协议:一个问卷研究
Paweł Kutnik1, Michał Bierut2, Elżbieta Rypulak1
1Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Poland.
Anaesthesiology intensive therapy
|January 29, 2024
概括
在接受选择性手术的营养不良患者中,手术后增强恢复 (ERAS) 协议的遵守率较低. 营养不良患者表现出延迟动员和更高的白细胞计数,尽管满意度水平相似.
科学领域:
- 在外科手术期间的医学.
- 手术营养是指手术营养.
- 患者恢复协议 患者恢复协议
背景情况:
- 手术后增强恢复 (ERAS) 协议优化了外科手术期间的管理.
- 营养状况显著影响手术结果和恢复.
- 评估不同营养群体的ERAS合规性对于改善患者护理至关重要.
研究的目的:
- 评估遵守特定的手术后增强恢复 (ERAS) 协议元素.
- 在接受选择性手术的营养不良和营养良好患者之间比较ERAS协议的合规性.
主要方法:
- 一项基于问卷的研究,涉及197名接受选择性手术的患者.
- 根据营养状况,患者被分为两组:减肥和保持体重.
- 收集的数据包括手术前减肥,食物摄入,动员,流体/食物限制时间和血清蛋白质水平.
主要成果:
- 34%的患者经历了手术前的减肥. 营养不良的患者更有可能患癌症,并限制食物摄入.
- 保持体重的组显示较早的动员 (P=0.04).
- 血清蛋白在保存体重组中更高 (P=0.023),而白细胞计数在减肥组中更高 (P=0.04). 手术前的碳水化合物负载是最小的 (8名患者).
结论:
- 在接受选择性手术的患者中,很大一部分患有营养不良.
- 在研究中心中,ERAS协议的实施不足以达到最佳水平,特别是在营养支持和手术前禁食指南方面.
- 解决营养不良问题和改善ERAS协议的遵守是提高手术恢复的必要条件.
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