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选择性手术患者遵守手术前禁食指南
Abubakar I Sidik1, Alexandr Lishchuk2, Alexander N Faybushevich3
1Surgery, Rossiiskii Universitet Druzhby Narodov (RUDN) University, Moscow, RUS.
Cureus
|November 15, 2024
概括
接受手术的患者往往比建议的时间更长的时间禁食,特别是在下午的手术中. 遵守术前禁食的国际指导方针仍然是一个挑战,影响患者的康复.
科学领域:
- 麻醉学 麻醉学
- 手术患者护理手术患者护理
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 国际指导方针建议进行手术前禁食,以减少麻醉期间吸入风险.
- 长时间的手术前禁食会导致脱水和电解质失衡,对手术恢复产生负面影响.
- 一项先前的研究发现,人们对手术前禁食指南的遵守程度较差,这促使制定了一项行动计划.
研究的目的:
- 评估医院对手术前禁食的行动计划的遵守情况.
- 评估在手术科中遵守有关术前禁食的国际共识.
- 确定影响术前禁食时间的因素.
主要方法:
- 一项对306名接受心脏,胸部和血管手术的成年患者的调查.
- 在2023年4个月内收集关于透明液体和固体食品的手术前禁食时间的数据.
- 用于收集禁食信息的标准化问卷.
主要成果:
- 整体中位数的禁食时间为透明液体4.5小时,固体食物14.5小时.
- 长时间的禁食 (12小时以上的液体,24小时的固体) 是常见的,影响14.1%和13.1%的患者,分别.
- 与早上手术相比,下午的手术与明显更长的禁食时间有关 (p<0.001).
结论:
- 患者经常超过推的手术前禁食时间,偏离全球共识.
- 下午手术安排与长时间的手术前禁食时间有关.
- 改善对手术前禁食指南的遵守是必要的,以优化患者的结果.
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