大型选择性上部胃肠道手术后的腹腔营养:描述性队列研究
Georgia Stringer1, Oana A Tatucu Babet2,3, Graeme Duke4
1Department of Nutrition and Dietetics, Eastern Health, Melbourne, Victoria, Australia.
JPEN. Journal of parenteral and enteral nutrition
|January 6, 2026
概括
大多数在经过重大上部胃肠道手术后需要亲肠道营养的患者没有得到它. 这项研究突出了高风险手术患者营养支持的差距,表明需要进一步调查亲肠道营养指标.
科学领域:
- 手术营养是指手术营养.
- 胃肠道手术 胃肠道手术
- 父母肠道营养是一种营养.
背景情况:
- 接受重大上部胃肠道手术的患者面临着严重的营养风险.
- 当口腔或肠道途径不可行时,亲肠道营养是关键选择.
- 国际指导方针存在于这些患者的肠外营养指示.
研究的目的:
- 确定在经过重大上部胃肠道手术但没有接受肠营养的患者的数量.
- 评估遵守营养支持的国际共识指南.
主要方法:
- 在2021年8月至2023年12月期间,对100名接受了重大上部胃肠道手术的患者进行了回顾性审计.
- 数据收集包括基线特征,营养治疗和摄入量充足度.
- 分析的重点是识别那些有迹象,但没有接受门营养的患者.
主要成果:
- 在42% (100人中42人) 的患者中,注射营养是适用的.
- 只有7% (3/42) 的患者在手术后7天内接受了肠外营养.
- 在第7天,能量和蛋白质充足率分别为53%和58%,低于最佳水平.
结论:
- 在主要上部胃肠道手术后为患者提供指示的亲肠道营养方面存在重大差距.
- 这些发现表明,在高风险的手术患者群体中,营养管理不足.
- 需要进一步研究关节肠道营养使用指标.
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