术后饮食在ERAS协议中:D-ERAS范围审查
Camilla Fiorindi1, Pauline Raoul2, Valentina Moretto3
1Department of Allied Health Professions, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy. camilla.fiorindi@unifi.it.
European journal of clinical nutrition
|December 18, 2025
概括
手术后改善恢复 (ERAS) 准则建议早期口服养 (EOF),但本次审查发现许多研究比建议晚开始养. 协议缺乏标准化,这阻碍了遵守ERAS以获得最佳的患者康复.
科学领域:
- 手术营养是指手术营养.
- 增强的恢复途径
- 术后护理 术后护理
背景情况:
- 手术后增强恢复 (ERAS) 计划包括早期口服养 (EOF) 以加速患者的康复.
- 目前的ERAS指南建议在手术后24小时内恢复口服,但缺乏关于饮食进展和组成的具体细节.
研究的目的:
- 对各种腹部手术中使用的术后口服养方案 (OFPs) 进行范围审查.
- 分析现有 OFP 中对 ERAS 建议的遵守情况,并确定不一致性.
主要方法:
- 使用PubMed和Scopus数据库进行了全面的文献搜索.
- 68篇文章详细介绍了食道,胃,肝胆,胰腺,结肠直肠,泌尿和妇科手术的OFP,并按主题进行了综合.
主要成果:
- 许多包括的研究中,口服养的时间比ERAS推的24小时时间框架晚.
- 协议通常以液体开始,并且进展缓慢,即使在鼓励开始固体食物的手术中也是如此.
- 在研究中发现了大量的不一致性和缺乏关于饮食组成 (能量,营养素,食物类型,食频率) 的标准化术语.
结论:
- 在术后口服养的时间和进展方面,人们严重不遵守ERAS指导方针.
- 缺乏标准化的OFP和详细的饮食描述,是ERAS途径中实施基于证据的营养策略的障碍.
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