在手术前一天晚上用佐尔皮德姆改善睡眠质量的后术胃肠功能对腹腔镜部分结直肠切除患者的影响:一项随机,双盲,受控试验
Ruijia Gao1, Yu Huang2, Shimeng Mao1
1Department of Anesthesiology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, No. 6 Zhenhua East Road, Lianyungang, 222002, Jiangsu, China.
BMC anesthesiology
|February 18, 2025
概括
使用佐尔皮来改善手术前睡眠对手术患者有好处. 这项研究发现,佐尔皮德姆改善了术后胃肠功能,并减少了睡眠障碍患者的疼痛.
科学领域:
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
- 睡眠医学 睡眠医学
背景情况:
- 手术前睡眠障碍会对手术患者的结果产生负面影响,并与胃肠道功能障碍有关.
- 关于改善手术前睡眠以增强术后胃肠道恢复的有效性,目前的研究有限.
研究的目的:
- 研究用于改善手术前睡眠质量的皮对术后胃肠功能恢复的影响.
主要方法:
- 一个前性,随机的,双盲试验,涉及76名睡眠障碍患者,接受了选择性腹腔镜结肠直肠切除.
- 患者在手术前一天晚上接受佐尔皮 (10毫克) 或安慰剂囊.
- 结果包括I-FEED得分,第一次浮/便/食物摄入的时间,疼痛得分 (VAS),止痛药的使用和炎症标志物.
主要成果:
- 与对照组相比,索尔皮组在术后第一天的I-FEED得分较低,并比对照组更快地恢复浮和首次摄入食物.
- 在疼痛评分,患者控制的静脉静脉止痛 (PCIA) 使用和患者满意度中观察到显著差异,有利于佐尔皮组.
结论:
- 在患有睡眠障碍的患者中,手术前使用佐尔皮德姆可以部分改善手术后的胃肠功能.
- 皮的使用与手术后疼痛的减少和患者满意度的增加有关.
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