禁食和非禁食疗法的结果比较在导管实验室程序之前:系统性审查和元分析
Shayan Shojaei1,2, Asma Mousavi1,2, Hanieh Radkhah3
1Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Critical pathways in cardiology
|February 5, 2026
概括
经常建议在心脏导管手术前禁食,但这项研究没有发现禁食和非禁食患者之间的安全差异很大. 不禁食可能会改善患者的体验,而不会损害阴道实验室环境中的安全性.
科学领域:
- 心脏病学 心脏病学
- 临床实践指南 临床实践指南
- 患者安全 患者安全
背景情况:
- 目前的指南建议在心脏导管实验室 (cath lab) 程序之前禁食.
- 新出现的证据表明,禁食可能不会带来实质性的临床益处,并且可能是不必要的.
研究的目的:
- 评估证据,比较患者在阴道实验室手术前的禁食和非禁食方案之间的结果.
- 确定非禁食协议是否会影响关键的安全结果.
主要方法:
- 对随机对照试验 (RCT) 进行了全面的文献搜索,比较禁食与非禁食协议.
- 对8项涉及3068名参与者的RCT数据进行了随机效应元分析.
- 评估的关键结果包括低血糖,吸气性肺炎,对比性病和死亡率.
主要成果:
- 与禁食相比,非禁食与低血糖,吸气性肺炎,对比性脏病,全因死亡率或心血管死亡率的统计学上显著差异无关.
- 几率比率和95%置信区间表明,在非禁食组中,不良事件的风险没有增加.
结论:
- 不禁食的治疗方案似乎和禁食一样安全,对于接受阴道实验室手术的患者来说.
- 实施非禁食协议可以在不影响安全的情况下增强患者体验.
- 建议进行进一步的大规模试验,以确定非禁食饮食的安全性和有效性.
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