在冠状动脉血管检查之前,我们是否需要禁食? CORO-NF随机的实用研究
Pietro Paolo Tamborrino1, Laura Papi1, Laura Michelotti1
1Chair and Postgraduate School of Cardiology, University of Pisa and Cardiovascular Division 1, Pisa University Hospital, Italy.
The American journal of medicine
|February 9, 2024
概括
在冠状动脉血管造影之前更短的禁食时间显著提高了患者的满意度,而不会增加并发症. 修订标准的6小时禁食协议可能会使接受这种心脏手术的患者受益.
科学领域:
- 心脏病学 心脏病学
- 临床实践指南 临床实践指南
- 患者体验 患者体验
背景情况:
- 目前的指导方针建议在冠状动脉动图之前进行6小时的固体和2小时的液体禁食,缺乏支持数据.
- CORO-NF研究研究了更短的禁食期,以提高患者的满意度和安全性.
研究的目的:
- 评估在选择性冠状动脉血管造影之前减少禁食时间是否会提高患者的满意度.
- 为了确定较短的禁食时间是否与标准协议相比与并发症的增加有关.
主要方法:
- 一个单中心,随机,前性研究,有两个阶段:传统 (F组) 和减速禁食 (NF组,最低2小时).
- 用1-5分数问卷来衡量患者的满意度.
- 分析了禁食的持续时间,主要并发症和周围手术并发症.
主要成果:
- 在NF组 (230分钟) 和F组 (821分钟) 中,平均禁食时间显著减少.
- 与F组 (2.9) 相比,NF组 (4.2) 的患者满意度得分更高.
- 在NF组中没有观察到与摄入食物相关的不良事件或增加的并发症.
结论:
- 在冠状动脉血管造影之前,更短的禁食时间 (2小时) 会导致患者满意度显著提高.
- 减速禁食协议是安全的,没有增加术前或术后并发症.
- 这些发现支持对冠状动脉血管学进行传统的6小时禁食指南进行修订.
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