在为接受妇科手术而禁食的患者中进行外科手术期间的尿症和代谢酸症
Leerang Lim1, Sang Joon Park1, Christine Kang1
1Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Acta anaesthesiologica Scandinavica
|April 6, 2024
概括
外科手术期间尿症和代谢性酸症在接受妇科手术的非糖尿病女性中很常见,特别是在年轻的患者中. 优化禁食策略,比如增加碳水化合物,可能会减少这些代谢问题.
科学领域:
- 麻醉学 麻醉学
- 代谢医学是一种代谢医学.
- 手术患者护理手术患者护理
背景情况:
- 禁食会触发适应性代谢反应,包括脂质调动和体生产.
- 关于非糖尿病外科手术患者的外科手术期间症,血糖和代谢性酸性疾病的数据有限.
研究的目的:
- 为了研究经过妇科手术的非糖尿病成年患者的外科手术期间症和外科手术期间代谢酸症的发生率.
- 为了识别与症和代谢性酸症相关的风险因素,在进行手术后禁食.
主要方法:
- 对1831名接受妇科手术的患者进行了回顾性队列研究.
- 通过术后尿液检测评估症;通过手术内动脉血气分析评估血糖和酸状况.
主要成果:
- 手术后尿发生在59.4%的患者中;年轻的年龄,较低的BMI和下午晚间手术是危险因素.
- 在29.0%的患者中存在代谢性酸症.
- 术后的尿和长时间的手术增加了中度至重度代谢酸性化症的风险.
结论:
- 在经过妇科手术的非糖尿病患者中,即便是短暂的禁食期,外科手术期间的症和代谢酸性症也很普遍.
- 年轻的BMI较低的患者面临更高的风险.
- 考虑口服碳水化合物负载,以减轻外科手术期间代谢障碍.
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