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较短的手术前流体禁食对患者结果的影响:一个安全的大脑倡议回顾性队列分析

Florian Bubser¹, Karina Jakobsen¹, Basak Ceyda Meco²

¹From the Department of Anaesthesiology and Intensive Care, Sjællands University Hospital (SUH), Nykøbing F, Denmark.

Anesthesia and analgesia

|November 24, 2025

概括

将手术前流体禁食时间 (FFT) 缩短到 2-4 小时,可以显著改善患者的治疗结果和医院的效率. 较短的FFT减少了术后妄想和住院时间,提高了患者的幸福感.

科学领域:

麻醉学麻醉学
在外科手术期间的医学.
患者安全患者安全

背景情况:

手术前的禁食实践显著影响患者的结果.
由于指示不清楚和安排问题,长时间的术前流体禁食时间 (FFT) 是常见的.
优化FT对于提高患者护理和医疗资源利用率至关重要.

研究的目的:

在临床实践中确定实际的手术前流体禁食时间 (FFT).
评估更短的FFT对患者结果和医疗保健资源的影响.
为了评估对2小时FFT协议的遵守.

主要方法:

从安全大脑倡议护理包 (SBI-CB) 数据库中对15837名患者进行了多中心,回顾性观察分析.
比较短 (2-4小时) 与长 (5-24小时) FFT,控制混因素.
评估的初级结果:FFT,短期的FFT坚持. 二次结局:术后妄想,住院时间,以及患者报告的结局指标 (PROM).

主要成果:

中位数FFT为6.3小时; 40.3%的人坚持短期FFT (2-4小时).
短FFT显著减少了18.0小时的住院时间和手术后妄想.
所有的PROM,包括口渴,疼痛,恶心和幸福感,都显示出较短的FFT显著改善.

结论:

越来越多地遵守短FFT协议是可以实现和有益的.
较短的手术前流体禁食时间 (FFT) 与改善患者的治疗结果和高效的医疗资源使用有关.
优化手术前禁食对于提高患者护理和医院效率至关重要.

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