心脏导管之前的禁食:仍然需要吗? 随机临床试验的系统审查和元分析
Adil Salihu1, Stephane Fournier1, Sarah Hugelshofer1
1Service of Cardiology Lausanne University Hospital and University of Lausanne Lausanne Switzerland.
Journal of the American Heart Association
|May 22, 2025
概括
在冠状动脉动图之前禁食并不会减少不良事件,但会降低患者的满意度. 这些发现建议重新考虑这种程序的常规禁食协议.
科学领域:
- 心脏病学 心脏病学
- 临床试验 临床试验
- 基于证据的医学基于证据的医学.
背景情况:
- 在选择性冠状动脉血管造影之前,常规禁食是常见的做法.
- 禁食旨在将吸入性肺炎等风险降到最低.
- 这项研究评估了禁食与非禁食协议对患者结果和满意度的影响.
研究的目的:
- 系统地审查和元分析随机临床试验.
- 为了比较禁食和非禁食组之间的不良事件率.
- 评估两种方案之间的患者满意度差异.
主要方法:
- 在PubMed,Embase和Cochrane图书馆搜索相关的随机临床试验.
- 主要结局:不良事件的组合 (肺炎,低血糖,恶心/吐).
- 二次结果:个别不良事件和患者满意度;使用概率比率和标准化平均差异的元分析.
主要成果:
- 包括8项随机临床试验,共3147名患者.
- 禁食和非禁食组之间的复合不良事件没有显著差异 (OR 1.08).
- 在非禁食方案中,患者满意度显著更高 (SMD 0.62).
结论:
- 在选择性冠状动脉血管造影之前禁食并不能减少不良事件.
- 禁食协议与较低的患者满意度有关.
- 需要重新评估常规的血管造影前禁食的必要性.
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