术前口服碳水化合物负载与口服补水溶液对在选择性开放性妇科手术中手术后增强康复的影响:一项前性干预研究
Saniya Jaiswal1, Pooja Singh1, Vaishali Waindeskar1
1Department of Anesthesiology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Journal of anaesthesiology, clinical pharmacology
|April 18, 2025
概括
与口服补水溶液或水相比,手术前的碳水化合物饮料显著减少了患者的不适和改善了恢复结果. 碳水化合物溶液改善了手术后的康复质量和胃肠功能.
科学领域:
- 麻醉学和外科手术期间的医学.
- 手术恢复协议 手术恢复协议
- 在医学中的营养支持.
背景情况:
- 手术后增强康复 (ERAS) 方案建议在手术前摄入碳水化合物,以减轻手术前的压力.
- 优化手术前营养对于改善患者的治疗结果和减少手术并发症至关重要.
研究的目的:
- 为了比较手术前碳水化合物饮料与口服补水溶液 (ORS) 和矿泉水的疗效.
- 评估对患者报告的饥饿,口渴,焦虑和疲劳等结果的影响.
- 评估包括术后血糖和康复质量 (QoR) 在内的客观措施.
主要方法:
- 一项前性干预研究,涉及105名接受选择性开放性妇科手术的成年患者.
- 患者在手术前接受碳水化合物饮料,ORS或矿泉水.
- 视觉模拟秤,血糖监测和QoR-40问卷被用于评估.
主要成果:
- 碳水化合物饮料组报告说,饥饿,口渴和焦虑感明显减少.
- 在碳水化合物饮料组 (P < 0.001) 中观察到更高质量的恢复得分.
- 接受碳水化合物饮料的患者经历了更早恢复胃肠功能和更短的住院时间.
结论:
- 商业上可用的手术前碳水化合物溶液比ORS和矿泉水更有效地促进手术恢复.
- ORS提供了一个可行的,低成本的替代方案,具有令人满意的结果,特别是在资源有限的环境中.
- 手术前的碳水化合物负载是改善患者体验和选择性手术结果的有益策略.
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