术后自由饮酒管理在妇科腹腔镜手术后促进术后胃肠功能恢复:一项随机对照试验
Beibei Wang1, Dong Han1, Xinyue Hu1
1Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; Institute of Anesthesia and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; Key Laboratory of Anesthesiology and Resuscitation (Huazhong University of Science and Technology), Ministry of Education, China.
术前自由流体管理,包括术前碳水化合物负载和早期口服养,显著提高了妇科手术患者的胃肠道恢复. 这种方法可以加速康复,改善饮食耐受性,缩短住院时间.
科学领域:
- 在手术后改善恢复 (ERAS) 协议.
- 胃肠道生理学 胃肠道生理学
- 妇科手术的结果 妇科手术结果
背景情况:
- 优化术后流体管理对于患者的康复至关重要.
- 正在探索自由的液体摄入策略,以改善手术结果.
- 手术前的碳水化合物负载 (PCL) 和早期口服养 (EOF) 是增强恢复协议的关键组成部分.
研究的目的:
- 评估外科手术期间自由流体管理 (PCL + EOF) 对妇科手术患者术后胃肠功能的影响.
- 评估对饮食耐受性,住院时间和其他康复指标的影响.
- 测试PCL-EOF加速胃肠道恢复并改善患者结果的假设.
主要方法:
- 预期随机对照试验涉及157名妇科手术患者.
- 三组:对照组,只有PCL和PCL与EOF (PCL-EOF).
- 主要结局:手术后I-FEED得分;次要结局:到第一次浮/排便的时间,饮食耐受性,PONV,疼痛和停留时间.
主要成果:
- 与对照组和PCL组相比,PCL-EOF组显示出明显改善的胃肠功能恢复 (较低的I-FEED分数).
- PCL-EOF加速了第一次浮,排便的时间,以及对液体和正常饮食的耐受性.
- 在PCL-EOF组中观察到医院住院时间,总成本和术后疼痛得分的减少.
结论:
- 术后自由流体管理 (PCL-EOF) 在妇科手术后显著增强胃肠功能恢复.
- 这种干预作为对长期胃肠道功能障碍的保护措施.
- PCL-EOF提高了饮食耐受性,加速了患者的整体康复,支持其融入ERAS协议.
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