立即"吸"与延迟口服液体摄入术后的输出:一个随机对照试验
Šárka Sedláčková1, Věra Nigrovičová1, Monika Pecková2
1Department of Anesthesiology and Intensive Care Medicine, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague Lung Transplant Program, Prague, Czech Republic.
输出管后立即口服液体的摄入对于重症监护室 (ICU) 患者来说是安全和有益的. 早点喝酒可以减少口渴和不适,但不会增加不良影响,挑战传统的禁食协议.
科学领域:
- 关键护理医学 关键护理医学
- 在外科手术后的护理.
- 胃肠病学 胃肠病学
背景情况:
- 延迟口服液体摄入术后是常见的,但往往缺乏基于证据的理由.
- 当前的做法可能源于传统而不是临床数据.
- 这项研究解决了在输出管后流体管理中需要证据的需求.
研究的目的:
- 评估在重症监护室 (ICU) 患者的输管术后立即口服液体摄入 (吸取) 的安全性和有效性.
- 为了确定早期喝水是否会减少患者的口渴和不适.
- 评估与立即摄入液体相关的不良影响的发生率.
主要方法:
- 一个单中心,前性,随机对照试验,涉及160名ICU患者,符合输出的标准.
- 患者被随机分配到延迟的液体摄入 (输出管后2小时) 或立即饮 (在2小时内饮3毫升/千克).
- 饥渴,不适和不良事件 (恶心,吐,吸血) 在多个时间点评估,直到输出管后120分钟.
主要成果:
- 虽然整体口渴的患病率在120分钟后是相似的,但饮酒组的口渴缓解显著增加 (11.3%对1.3%,p=0.0338).
- 在90分钟后,饮小组的喉不适明显减少 (23.8%对42.5%,p=0.0118).
- 恶心和吐等不良反应是罕见的,在各组之间是可比的;没有出现吸入事件.
结论:
- 输出管后立即喝口服液是ICU患者的安全措施.
- 早期补水可以改善口渴,减少患者的不适.
- 这些发现支持挑战传统的禁食实践,并在输出管外术后的护理中实施早期口服液体摄入.
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