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在紧急腹腔切除术中的术后营养实践.

Jannick Brander Hansen1,2,3, Bente Hegstad1,2, Nadia Boujida1,2

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在紧急腹腔切除术后的术后营养是具有挑战性的. 目前这些患者营养支持的做法往往偏离了既定的指导方针,强调了需要量身定制的方法.

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科学领域:

  • 手术营养是指手术营养.
  • 胃肠病学 胃肠病学
  • 临床实践指南 临床实践指南

背景情况:

  • 在紧急腹部手术后的术后营养管理带来了重大挑战.
  • 这一患者群的基于证据的营养策略需要纳入临床指南.
  • 紧急腹腔切除术后的当前营养实践需要根据现有建议进行评估.

研究的目的:

  • 在大学医院接受紧急腹腔切除术的患者中描述当前的营养实践.
  • 将观察到的营养管理与当前基于证据的指南进行比较.
  • 为了确定常规护理和推的营养支持之间的差异.

主要方法:

  • 进行了一项单一中心的回顾性队列研究.
  • 包括2021年8月至2022年8月间连续接受紧急腹腔切除术的患者.
  • 从手术后的第1天到第30天,每天评估营养数据,不包括转移的患者.

主要成果:

  • 分析了231名患者,51.1%是男性,平均年龄为71岁.
  • 肠道阻塞是最常见的诊断 (62.3%).
  • 只有48.9%的患者在术后1天获得了口服;28.6%的患者接受了肠道营养,手术后4天的中位数开始.

结论:

  • 早期的口服摄入仅在一半的紧急腹腔切除术患者中实现.
  • 常规的手术后营养做法经常与当前的指导方针有所不同.
  • 与选择性手术病例相比,紧急腹腔切除术患者需要不同的营养考虑.