在ERAS途径内,心脏手术后口服摄入量的充足性:一项前性观察性研究
Bianca Beaulieu1, Yoan Lamarche2,3, Nicolas Rousseau-Saine2,3
1Department of Nutrition, Université de Montréal, Montreal, Quebec, Canada.
概括
在心脏外科手术患者的手术后口服营养被评估在手术后增强恢复路径上. 虽然大多数患者恢复了饮食,但只有41%的人满足了营养需求,这凸显了需要改善口服营养补充剂的坚持.
科学领域:
- 心脏病学 心脏病学
- 手术营养是指手术营养.
- 临界护理医学 临界护理医学
背景情况:
- 心脏外科手术后改善恢复 (ERACS) 准则缺乏具体的术后营养建议.
- 有限的研究存在于ERACS途径内的心脏手术后口服摄入的充分性.
- 这项研究通过评估术后口服摄入量和口服营养补充剂 (ONS) 的遵守来弥补这一差距.
研究的目的:
- 为了评估心脏手术 (CS) 患者在 ERACS 途径内进行术后口服摄入的充分性.
- 评估口服营养补充剂 (ONSs) 对患者摄入的坚持和贡献.
- 确定营养支持优化的潜在领域.
主要方法:
- 一项前性观察性研究分析了从手术后的第一天 (POD) 到第四天的口服摄入量.
- 从POD2到POD4对餐盘消费的直接观察和对ONS消费的评估.
- 记录遵守其他ERACS建议,包括手术前营养优化.
主要成果:
- 包括43名患者;95%的人在POD1.0上恢复了口服.
- 从POD2-4中摄取的平均卡路里和蛋白质摄入量不足,只有41%满足估计需求的≥70%.
- 在POD2 (35%卡路里,38%蛋白质) 的摄入量中,ONSs的贡献很大,但消费量从POD3.3下降.
结论:
- 在ERACS途径中,41%的患者在CS后的前4天内获得了足够的口服摄入量,即使有ONS支持.
- 遵守ONS需要优化以改善营养结果.
- 进一步的研究应该集中在加强心脏手术后的ONS坚持的策略上.
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