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选择性胃肠道手术后早期口服养的结果
Gm Ishtiaq Mahmud1, Md Mahamudul Hasan2, Mohammad Hasnat Hakim3
1Surgery, Sir Salimullah Medical College Mitford Hospital, Dhaka, BGD.
Cureus
|August 5, 2024
概括
胃肠道手术后早期口服养可以加快恢复速度,缩短住院时间,而不会增加并发症. 这种方法通过促进较早的肠动性和减少对鼻胃管的需求来改善患者的结果.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 临床营养学 临床营养学
背景情况:
- 建议在胃肠道 (GI) 手术后进行早期口服养 (EOF),以加速恢复并减少住院时间.
- 然而,关于其对手术结果的影响的全面数据仍然有限.
研究的目的:
- 评估早期口服养 (EOF) 与传统的术后口服养 (TOF) 在接受选择性胃肠道手术的患者的临床结果.
主要方法:
- 一项前性随机对照试验,涉及50名接受选择性胃肠道手术的患者.
- 患者被分配到EOF或TOF组中.
- 评估的结果包括并发症率,鼻胃管切除时间,肠机动性恢复和住院时间.
主要成果:
- 两组之间没有年龄,性别或BMI的显著差异.
- 在EOF组,鼻胃管的切除和口服食的开始显著提前 (P<0.001).
- 并发症的发生率 (恶心,吐,腹膜,道泄漏,伤口感染,肺炎) 在两组之间没有显著差异 (P > 0.05).
- EOF组经历了更快的肠机动性恢复和更短的住院时间 (P < 0.05).
结论:
- 胃肠道手术后早期口服养是安全的,不会增加术后并发症.
- 实施EOF可以加速患者的康复和减少住院时间.
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