总麻醉后早期摄入水的时间:系统性审查和元分析
Suwan Dai1, Lingyan Chen1, Min Wu1
1Zhejiang Chinese Medical University, Hangzhou, China.
BMC anesthesiology
|April 9, 2024
概括
在全身麻醉后早期摄入水不会增加吐或吸血的风险. 这种做法可以改善患者的口渴,加快胃肠道的恢复,支持手术后增强恢复 (ERAS) 协议.
科学领域:
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
- 术后恢复 术后恢复
背景情况:
- 早期摄入水量越来越多地被认为是为了加强手术后的恢复 (ERAS).
- 人们担心潜在的不良影响,如吐和一般麻醉后吸入.
研究的目的:
- 系统地分析早期手术后饮用水的随机对照试验.
- 评估在接受全身麻醉的患者早期摄入水的安全性和有效性.
- 为临床应用提供基于证据的指导.
主要方法:
- 随机对照试验的系统审查和元分析.
- 搜索了多个数据库,包括PubMed,科学网和Embase.
- 包括10篇与5131名接受全身麻醉的成年患者的出版物.
主要成果:
- 吐发生率没有统计学上显著的差异 (OR 0.81,95% CI [0.58-1.12]).
- 吸血发生率没有统计学上显著的差异 (OR 0.78,95% CI [0.45-1.37]).
- 在这两种结果中都观察到较低的异质性 (I2=0%).
结论:
- 麻醉后早期摄入水不会增加吐或吸入的风险.
- 早期补水有效缓解口渴,促进胃肠功能恢复.
- 支持将早期的水摄入纳入术后护理途径.
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