在手术前给予5%葡萄糖溶液后,对老年人胃空化的内镜评估:一项随机对照研究
1Department of Anesthesiology, Chengdu Jinniu District People's Hospital (Sichuan Provincial People's Hospital Jinniu Hospital), 389#, the Huazhaobi Zhongheng Street, Jinniu District, Chengdu, Sichuan, 610041, China.
BMC anesthesiology
|December 19, 2024
概括
在老年患者胃镜检查前喝5%的乳糖溶液,与禁食患者相比,胃体积没有增加. 然而,它减少了患者的不适,并在手术期间改善了可视化.
科学领域:
- 胃肠病学 胃肠病学
- 老年医学 老年医学
- 麻醉学 麻醉学
背景情况:
- 在老年患者中,延迟胃排空可能会增加吸入逆流风险.
- 在胃镜检查前研究口服乳糖溶液对胃空化的作用对于患者的安全至关重要.
- 在接受需要镇静的手术的老年患者中,吸血风险是一个重大问题.
研究的目的:
- 在胃镜检查之前,评估5%的乳糖溶液对老年患者胃体积的影响.
- 为了比较禁食和摄取乳糖溶液的群体之间的胃空化.
- 为了评估患者的舒适性和程序的清晰度,用德克斯特溶液摄入.
主要方法:
- 100名老年患者被随机分为NPO (零分量) 或5%的乳糖溶液 (5毫升/千克,前2小时) 组.
- 胃体积 (GV) 是主要的终点,在胃镜检查期间测量.
- 二级结局包括每体重的GV,血糖,患者的不适 (VAS),可视化清晰度和不良事件.
主要成果:
- 两组之间胃体积 (GV) 或每体重 (GV/W) 的GV没有显著差异.
- 配糖组报告的不适 (VAS) 显著降低 (P<0.001).
- 胃粘膜可视化清晰度在乳糖组显著更好 (P=0.038).
- 年轻的年龄和更高的功能性消化不良症状日记得分预测了更大的胃体积.
结论:
- 在胃镜检查前2小时,摄入5%乳糖溶液5毫升/千克,与禁食相比,老年患者的胃体积不会增加.
- 摄入德克斯特溶液可能会改善患者的舒适度和内镜可视化.
- 进一步的研究可以探索为老年人最佳的手术前水化策略.
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