术后营养对激进囊切除术后康复的影响:一项随机试验
Mohammed Lotfi Amer1, Ahmed Rabie Amer1, Sameh Fawzy Elnasharty1
1Urology Department, Tanta University Hospital, Tanta, Egypt.
BJU international
|November 28, 2025
概括
结构化的外科手术期营养优化显著改善了激进囊切除术 (RC) 后的康复. 与标准护理相比,接受营养支持的患者经历了更快的胃肠道恢复,更短的住院时间,以及更好的伤口愈合.
科学领域:
- 在瘤学瘤学.
- 手术营养是指手术营养.
- 临床营养学 临床营养学
背景情况:
- 激进囊切除术 (RC) 是一项重大手术,具有重大恢复挑战.
- 在外科手术前优化患者营养可能会减轻并发症并改善结果.
- 对于RC患者结构化营养干预的证据正在发展.
研究的目的:
- 评估结构化外科手术期间营养优化对并发症率的影响.
- 评估对康复指标的影响,包括胃肠功能和住院时间.
- 为了确定基因切除术后身体组成的变化.
主要方法:
- 一项前性随机受控试验,涉及74名接受RC的患者.
- 干预组接受了个性化手术前和手术后的饮食干预 (营养优化组,NOG).
- 对照组接受了标准护理 (标准护理组,SCG).
主要成果:
- 营养优化显著加速了胃肠道的恢复 (小便和便的通行时间).
- 在NOG中的患者住院时间显著缩短,伤口愈合速度更快.
- 骨肌肉质量和相角测量在术后30天的NOG中保存得更好.
结论:
- 结构化的外科手术期间营养优化对于接受激进囊切除术的患者是有益的.
- 它显著改善了胃肠道的恢复,减少了住院时间,加快了伤口愈合.
- 营养支持有助于在外科手术期间保持骨肌肉质量.
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