儿童腹部手术后的食五个教训:我们可以停止不必要的禁食吗?
James Cope1, Joyce Ly1, Saleha Sehgol1
1School of Clinical Medicine, University of New South Wales, Sydney, Australia.
Journal of paediatrics and child health
|May 7, 2025
概括
早期的肠道营养,或在胃肠道手术后24小时内养儿童,是安全有效的. 这种方法改善了康复,减少了住院时间,与传统禁食相比,提高了患者的满意度.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 手术营养是指手术营养.
背景情况:
- 儿童胃肠道外科手术中的传统术后禁食正在重新评估.
- 早期肠道营养 (EEN) 涉及在手术后24小时内开始食.
- 越来越多的证据支持长时间禁食的EEN.
研究的目的:
- 评估早期肠道营养在胃肠道手术后的儿科患者的安全性和有效性.
- 将EEN与传统的术后禁食协议进行比较.
- 评估EEN与基于价值的医疗保健原则的协调程度.
主要方法:
- 审查当前的证据和临床实践指南,关于在儿科手术术术后食.
- 对早期肠道营养与传统禁食相关结果的分析.
- 将EEN整合到手术后增强恢复 (ERAS) 协议中.
主要成果:
- 在胃肠道手术后的儿科患者中,早期肠道营养是安全的.
- EEN与更早的肠功能恢复有关,包括更短的时间到第一次便.
- 接受EEN的患者经历了更快的进展到全,减少住院时间,以及更高的满意度,并没有增加并发症.
结论:
- 早期肠道营养是儿科手术患者的安全和有益的养策略.
- 通过改善患者的治疗结果和资源利用,EEN与以价值为基础的医疗保健保持一致.
- 在儿科外科实践中,EEN是现代手术后复原的关键组成部分.
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