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在紧急胃肠道手术中,提前或延迟口服食
O O Akanbi1, A S Oguntola1, M L Adeoti1
1Surgery Department, Ladoke Akintola University of Technology, Ogbomoso, Oyo State Email: drsolaakanbi@yahoo.com; +2348039540925.
West African journal of medicine
|September 28, 2024
概括
在紧急胃肠道手术后不建议早期口服养. 这种方法导致了更高的不耐受性,更多的鼻胃管再插入,与延迟养相比,更长的住院时间.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 患者的恢复 患者的恢复
背景情况:
- 早期的术后口服养对选择性肠道手术患者有好处.
- 在紧急胃肠道手术后早期养的数据有限且不确.
研究的目的:
- 为了比较紧急胃肠道手术后早期与延迟口服养的安全性和结果.
- 评估对术后并发症和住院时间的影响.
主要方法:
- 接受紧急胃肠道手术的60名患者被随机分为早期养 (POD1) 或延迟养 (肠功能恢复后) 组.
- 关键的终点包括鼻胃管再插入和住院时间长度.
主要成果:
- 早期养的失败率 (56.7%) 与延迟养 (26.7%) 相比显著更高.
- 早期养组的患者需要更多的鼻胃管再插入 (76.5%对25%),住院时间更长 (9天对6.5天).
结论:
- 在紧急胃肠道手术中,早期术后口服养与高失败率有关.
- 这种方法增加了并发症的风险,并延长了住院时间,这表明推迟养是最好的.
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