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在南澳大利亚的一次整体手术后,肠道功能延迟恢复
Joshua G Kovoor1,2,3,4, Stephen Bacchi3,5,6,7, Brandon Stretton1,3,6
1Discipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.
Surgery in practice and science
|January 23, 2025
概括
经过整体手术后肠功能延迟恢复,定义为四天内没有便通道,显著增加了住院时间. 这项研究建立了参考范围,并确定了改善术后护理的相关临床因素.
科学领域:
- 一般外科 整体外科
- 胃肠病学 胃肠病学
- 临床结果研究研究
背景情况:
- 术后恢复肠功能至关重要,但在一般外科手术中缺乏明确的参考范围.
- 了解影响肠功能延迟的因素是患者管理的关键.
研究的目的:
- 在一般手术患者中,描述术后首次便经的时间.
- 为了确定与第一个术后便延迟相关的临床因素.
- 为了评估延迟便通道对住院时间长度的影响.
主要方法:
- 在两年时间里,两家三级医院的212名整体外科患者进行了回顾性研究.
- 使用多变量逻辑回归来分析临床因素与便延迟 (≥4天) 之间的关联.
- 评估了延迟便通道和长时间停留 (≥7天) 之间的关联.
主要成果:
- 第一次便的中位时间为2.28天 (IQR1.06-3.96).
- 几个手术特征和药物暴露与便延迟通道有关.
- 延迟的第一次术后便 (≥4天) 与延长的停留时间 (≥7天) 有显著的关联 (或4.34).
结论:
- 这项研究提供了一般外科手术中术后肠功能恢复的参考范围.
- 确定了临床因素,可以帮助优化术后护理和识别潜在的并发症.
- 第一次便的延迟是延长住院时间的重要预测因素.
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