在甲状腺手术中修改与常规输管以及早期与延迟的口服摄入:一个2 × 2因子随机对照试验
Juelun Wu1, Yuelun Zhang2, Le Shen3,4
1Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, 100730, China.
Perioperative medicine (London, England)
|October 10, 2025
概括
经过修改的电肌图 (EMG) 内管输入协议和早期口服 (EOI) 改善了甲状腺手术患者的舒适性和效率. 这些安全,可行的策略增强了恢复途径.
科学领域:
- 麻醉学和外科手术期间的医学.
- 手术恢复协议 手术恢复协议
- 甲状腺手术 创新 甲状腺手术 创新
背景情况:
- 甲状腺手术后增强恢复 甲状腺手术协议不一致地应用.
- 最佳的内管道输入技术和术后养计划仍然是争论的主题.
研究的目的:
- 评估修改的电肌图学 (EMG) 内管输入方案的安全性和可行性,与甲状腺手术后的早期口服 (EOI) 结合起来.
- 评估这些干预措施对患者康复,程序效率和舒适性的影响.
主要方法:
- 一个前性的2x2因子随机受控试验,涉及200名接受选择性甲状腺手术的成年患者,并进行手术内神经监测.
- 患者被分配到修改或常规的EMG输管协议和早期 (在1小时内) 或延迟 (6小时) 的口服输管后.
- 主要结局:术后第一天的康复质量-15 (QoR-15) 评分;次要结局包括手术指标,患者报告的症状和不良事件.
主要成果:
- 在手术后第一天的QoR-15分数中,两组之间没有显著差异.
- 修改后的EMG输管协议导致输管时间缩短,喉疼痛的严重程度降低.
- 早期口服 (EOI) 有效地减少了口渴和饥饿,而不会增加不良事件;停留时间和患者满意度在不同组中相似.
结论:
- 虽然整体康复得分没有显著改变,但修改后的EMG输管协议和EOI显然提高了术后舒适度和程序效率.
- 这些干预措施被认为是安全和可行的,可以整合到甲状腺手术后增强恢复 (ERAS) 途径中.
相关概念视频
Endotracheal Intubation I: Procedure
7.4K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
7.4K
Endotracheal Intubation II: Nursing Management
2.4K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
2.4K
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
469
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
469
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
826
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
826


