在全身麻醉下选择性胆囊切除术患者中比较术后养策略:一项前性随机试验
Yangzin Lamo1, Yashwant Singh Payal2, Navin Kumar3
1Anaesthesiology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, IND.
Cureus
|December 6, 2024
概括
手术后的早期口服养,当患者要求时,可以改善满意度,而不会增加恶心或吐. 这种方法与手术后增强恢复协议一致,为术后营养提供了一种安全和首选的方法.
科学领域:
- 手术恢复协议手术恢复协议
- 优化手术后护理的优化
- 以患者为中心的营养
背景情况:
- 早期口服养是手术后恢复 (ERAS) 的关键.
- 在过渡到口服时,确保安全和患者满意度至关重要.
- 目前的做法往往涉及预先确定的食时间表,这可能与个体患者的准备程度不一致.
研究的目的:
- 为了比较按需与预先确定时间的初始术后口服养的疗效.
- 评估对术后恶心和吐 (PONV) 和患者满意度的影响.
- 为了评估患者要求的选择性胆囊切除术后早期口服的安全性和可行性.
主要方法:
- 一项前性,随机化,结果评估者盲人控制的研究,涉及120名接受选择性胆囊切除术的患者.
- 患者被分为两组:按需 (组OD) 根据要求接受子水,预定时间 (组OT) 在手术后4小时接受.
- 评估的结果包括初始口服时间,PONV发生率和患者满意度.
主要成果:
- 在按需组 (21.7%) 和预定时间组 (25%) 之间,术后恶心和吐 (PONV) 的发生率没有显著差异.
- 两个组中的大多数患者都希望在手术后2小时内口服.
- 与预定时间组相比,按需组的整体患者满意度明显高于预定时间组 (p < 0.001).
结论:
- 在患者的要求下允许术后口服养,提高了满意度.
- 患者要求的食不会影响安全,类似的PONV率证明了这一点.
- 这种方法代表了一种安全和首选的替代固定时间表养方案在手术后增强恢复的背景下.
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