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为儿科患者提供标准化的胃口切割后养方案,缩短了术后目标养量到达的时间
MaKayla L O'Guinn1, Olivia A Keane1, William G Lee1
1Department of Surgery, Children's Hospital Los Angeles, Los Angeles, CA, USA.
The American surgeon
|April 29, 2024
概括
实施加快后胃口切开术养方案显著减少了儿童患者目标肠道营养的时间. 这种标准化的方法实现了更早的养,而不会增加术后并发症,改善了患者的治疗结果.
科学领域:
- 儿科手术 儿科手术
- 营养支持 营养支持
- 临床协议实施方案
背景情况:
- 胃口造术是一种常见的儿科手术,具有可变的食启动和进步时间表.
- 实现目标养量延迟可能导致营养不良和长时间住院.
- 一个标准化的加快养方案被假设可以改善结果.
研究的目的:
- 为了评估加快,标准化胃口切开后食方案的有效性.
- 确定协议是否减少了达到目标养量的时间.
- 评估该方案是否会增加术后并发症.
主要方法:
- 对接受胃口切除术的儿科患者进行了回顾性队列研究.
- 协议前和协议后实施队列的比较 (1/1/2022-11/30/2023).
- 抽象的数据包括并发症,开始养的时间,达到目标量的时间和并发症.
主要成果:
- 后协议队列实现了显著更快的肠道食启动 (5.4比7.0小时) 和目标食量 (12.8比26.3小时).
- 尽管在后协议组的并发症负担较高,但并发症率仍然相似.
- 对患有复杂心脏病的儿童进行的子分析也显示出类似的益处.
结论:
- 加快后胃口切开术养方案有效和安全地加速了目标肠道营养的时间.
- 这个标准化的协议可以被其他机构采用,以改善儿科胃口切开术后的护理.
- 早期实现营养目标是可行的,而不会影响患者的安全.
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