儿童的日用胃口插入:一个可实现的现实
David Thompson1, Maddie Allam1, Karen Dick1
1Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK.
Pediatric surgery international
|January 24, 2025
概括
日间胃口插入是可行的,对于选定的患者是安全的,旨在减少住院时间. 进一步的路径修改可能会加强这种方法在胃口术程序中的采用.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 临床结果 临床结果
背景情况:
- 胃口插入是营养支持的常见程序.
- 减少住院时间 (LOS) 是优化患者护理和医疗资源利用的关键目标.
- 日常胃口切除 (DCG) 是简化胃口切除插入过程的潜在策略.
研究的目的:
- 评估日用胃口术 (DCG) 插入的初始经验和可行性.
- 评估儿童群体中DCG的安全性和结果.
- 确定影响DCG成功实施的因素.
主要方法:
- 在2018年4月至2024年4月期间对所有初级胃口插入的回顾性审查.
- 定义DCG是指在手术当天出院的患者.
- 收集人口统计,操作和临床数据,所有病例都通过标准化养途径进行管理.
主要成果:
- 在432例胃口切除术中,有15例是DCG,平均年龄为3.5岁,LOS为12小时.
- 营养补充是最常见的指示 (n=9). 技术包括单阶段皮肤穿快速插入胃口关节按 (SPRING) 和皮肤穿内镜胃口 (PEG).
- 发生了四次轻微并发症,其中两次需要再入院. 很大一部分 (8/15) 没有先前的鼻胃管养经验.
结论:
- 日间胃口术 (DCG) 是对精心挑选的患者来说可行且安全的选择.
- 虽然大多数DCG是在早上手术清单上进行的,但之前的鼻胃管养经验并不普遍.
- 建议进一步修改护理途径,以增加DCG程序的采用率和成功率.
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