当代的经手术营养护理
Olle Ljungqvist1,2, Arved Weimann3, Marta Sandini4
1Department of Surgery, School of Medical Sciences, Orebro University Hospital and Orebro University, Orebro, Sweden;
Annual review of nutrition
|August 29, 2024
概括
加强营养护理显著减少了手术并发症和住院时间. 这种方法最大限度地减少了代谢压力,促进了更快的肠道功能恢复,并改善了手术后患者的治疗结果.
科学领域:
- 手术结果和患者的康复.
- 营养科学和术后医学.
背景情况:
- 近几十年来,手术并发症率大幅下降.
- 与传统护理相比,现代手术技术和基于证据的外科手术期间的治疗方案使得并发症风险减半.
- 现在患者住院时间更短,几天而不是几周就能康复.
研究的目的:
- 审查手术患者营养护理方面的进展.
- 突出营养干预措施在减少代谢压力和增强手术后恢复 (ERAS) 中的作用.
- 总结当前对营养支持路径和肠道功能的理解.
主要方法:
- 基于证据的术后护理协议的审查.
- 营养压力减轻护理元素的分析.
- 关于人工营养支持的当前建议的摘要.
主要成果:
- 新的外科手术方法和术后护理已经大大降低了并发症率.
- 营养干预可以最大限度地减少代谢压力,促进更快的肠道功能恢复.
- 患者受益于减少住院时间和改善康复轨迹.
结论:
- 优化营养护理是加强手术后恢复 (ERAS) 的组成部分.
- 了解营养输送路径和肠道功能的影响至关重要.
- 基于证据的营养支持策略是改善手术患者治疗结果的关键.
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