在接受胃肠道手术的患者的术后营养评估和管理
Aristea Gazouli1, Konstantinos Georgiou2, Maximos Frountzas2
1Co-Metabolism, Kalamata, Greece (Aristea Gazouli).
Annals of gastroenterology
|March 14, 2024
概括
营养不良显著影响胃肠道手术的结果. 用明确的策略来解决手术前和手术后的营养不足,对于改善患者康复和减少并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术营养是指手术营养.
- 临床医学 临床医学
背景情况:
- 营养不良在胃肠道外科手术环境中普遍存在,只有40%的受影响患者接受适当治疗.
- 接受手术的营养不良患者的临床结果明显较差,并增加了医院并发症.
- 手术后营养不良是由于炎症和食物摄入量减少导致的,导致长时间住院.
研究的目的:
- 在胃肠道外科手术中审查手术前和手术后营养不良的诊断不一致性.
- 探索这种患者群体中营养不良的原因.
- 评估营养不良的不同治疗干预措施的有效性.
主要方法:
- 在MEDLINE和Scopus数据库中进行了全面的文献搜索,直到2023年8月.
- 包括的研究重点是近十年来成年胃肠道手术患者的术后营养评估.
- 本次审查中选出了19项相关的临床研究.
主要成果:
- 手术前的营养治疗越来越被认为是手术护理的关键.
- 营养不良的诊断工具显示出不一致的有效性,突出了对标准化方法的需求.
- 建议口服食和食补充剂作为术后营养支持.
结论:
- 胃肠周操作性营养不良的有效管理需要明确的策略.
- 改善营养评估和治疗对于改善患者的结果和减少医疗负担至关重要.
- 需要进一步的研究来建立有效的诊断和治疗方案.
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