自由流体禁食对无痛胃镜检查患者胃液量的影响:一项随机对照研究
Jian-Sheng Luo1, Wen-Cai Jiang1, Xian-Jie Zhang1
1Department of Anesthesiology, Deyang People's Hospital Deyang 618000, Sichuan, China.
American journal of translational research
|June 19, 2025
概括
在无痛胃镜检查之前,自由化清洁液体摄入维持了安全的胃液体体积 (GFV). 这种方法缩短了禁食时间,并提高了患者的满意度,而不会影响安全.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
背景情况:
- 术前禁食指南的目的是尽量减少胃液量 (GFV),以减少内镜期间吸入风险.
- 传统的禁食协议可能会导致患者的不适和脱水.
研究的目的:
- 为了评估自由化透明液体摄入对无痛胃镜检查的患者GFV的影响.
- 为了比较一个自由的禁食协议与传统的禁食关于GFV,患者满意度和安全.
主要方法:
- 184名患者被随机分为自由 (清洁液体直到30分钟前的程序) 或常规 (2小时的禁食) 组.
- 胃液体体积 (GFV) 使用双模式方法进行评估:胃超声波和内镜吸收.
- 二级结局包括禁食时间,协议满意度和不良事件.
主要成果:
- 通过超声波或内镜观察,自由主义和传统的禁食组之间没有观察到GFV的显著差异.
- 自由的禁食组经历了显著更短的禁食时间和更高的满意度.
- 两组的不良事件率相似,GFV评估的方法间一致性强.
结论:
- 自由化透明液体摄入是一种安全有效的策略,用于在无痛胃镜中管理GFV.
- 这种方案优化了患者的舒适性,并减少了禁食时间,而不会增加风险.
- 支持在内镜手术中安全实施自由的禁食协议.
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