不禁食与穿皮心脏手术前禁食:随机对照试验的系统审查和元分析
Elsayed Balbaa1, Ahmed A Ibrahim2, Mohammad Bazzazeh3
1Faculty of Medicine, Alexandria University, Alexandria, Egypt. elsayedbalbaa.med@gmail.com.
Perioperative medicine (London, England)
|February 28, 2025
概括
心脏手术前的禁食没有科学支持. 一项系统性审查发现,非禁食协议与禁食一样安全和有效,显著减少了患者的疲劳.
科学领域:
- 心脏病学 心脏病学
- 临床干预 临床干预
- 基于证据的医学基于证据的医学.
背景情况:
- 通过皮肤进行心脏导管治疗的传统禁食协议缺乏科学证据.
- 目前关于手术前禁食的建议可能不必要.
研究的目的:
- 系统地审查和对经过皮肤穿透心脏手术的患者的非禁食方案的结果进行元分析.
- 为了比较非禁食与禁食方法的安全性和有效性.
主要方法:
- 在主要数据库 (PubMed,Scopus,WOS,Embase,Cochrane) 进行系统的文献搜索,直到2024年9月.
- 五项随机对照试验 (RCT) 的元分析,涉及2034名患者.
- 使用风险比率 (RR) 聚合的二分结果和使用标准化平均差异 (SMD) 的连续结果.
主要成果:
- 在患者满意度,吸血,肺炎,内管道输入,恶心/吐,抗药使用,低血糖或需要内支持方面没有发现显著差异.
- 非禁食方案显著减少了患者报告的疲劳和疲劳 (SMD -0.31,P < 0.001).
结论:
- 非禁食方案在有效性,安全性和患者满意度上与传统禁食相比较.
- 证据支持采用非禁食方法在皮肤心脏手术中,以提高患者的舒适性.
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