基于EGD的干预后早期与晚期养的比较分析:元分析
Priyadarshini Loganathan1, Babu P Mohan2, Mahesh Gajendran3
1Department of Medicine, University of Texas Health Science Center, San Antonio, Texas, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
在内镜干预后24小时内恢复肠道养不会增加出血或死亡风险. 早期食缩短了住院时间,改善了患者的治疗结果和消化肠道护理资源的利用.
科学领域:
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
- 基于证据的医学基于证据的医学.
背景情况:
- 在基于内镜逆行胆细胞造影 (ERCP) 的干预措施后恢复营养的最佳时间尚不清楚.
- 在ERCP后长时间禁食可能会对患者的营养状况和临床结果产生负面影响.
研究的目的:
- 在基于ERCP的干预措施后,系统地审查和元分析早期肠道养 (24小时内) 与晚期养 (>24小时) 的影响.
- 评估食时间对复发出血,死亡率,住院和输血率的影响.
主要方法:
- 在MEDLINE,Scopus和Embase数据库 (2022年5月) 中进行了系统的文献搜索.
- 包括的研究比较了基于ERCP的干预措施后的早期 (<24小时) 和晚期 (>24小时) 养.
- 分析使用随机效应模型,评估I2统计数据的异质性和GRADE指南的证据确定性.
主要成果:
- 分析了8项涉及813名患者的研究.
- 早期和晚期养组之间没有观察到早期,晚期或总复发出血率的显著差异.
- 死亡率相似,但早期养与住院时间显著缩短有关 (SMD -1.184;P < .001).
结论:
- 在ERCP干预后24小时内进行早期肠道食是安全的,没有出现复发出血或死亡的风险增加.
- 早期食与减少住院时间有关,这表明患者康复和医疗资源管理的潜在好处.
相关概念视频
Comparing the Survival Analysis of Two or More Groups
605
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
605
Community Based Intervention
483
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
483
Qualitative Analysis
24.5K
For solutions containing mixtures of different cations, the identity of each cation can be determined by qualitative analysis. This technique involves a series of selective precipitations with different chemical reagents, each reaction producing a characteristic precipitate for a specific group of cations. Metal ions within a group are further separated by varying the pH, heating the mixture to redissolve a precipitate, or adding other reagents to form complex ions.
For instance, group IV...
For instance, group IV...
24.5K
Dimensional Analysis
64.9K
Dimensional analysis, also known as the factor label method, is a versatile approach for mathematical operations. The main principle behind this approach is: the units of quantities must be subjected to the same mathematical operations as their associated numbers. This method can be applied to computations ranging from simple unit conversions to more complex and multi-step calculations involving several different quantities and their units.
Conversion Factors and Dimensional Analysis
The unit...
Conversion Factors and Dimensional Analysis
The unit...
64.9K
Classification of Titrimetric Analysis Based on Reaction Types
1.8K
Titrimetric analysis in solution chemistry involves measuring the volume of solutions and is often called volumetric analysis. The standard solution of known concentration in the burette is called the titrant, whereas the solution of unknown concentration in the flask is called the analyte, or titrand. Titrimetric analyses can be classified into four types based on the reactions between the titrant and analyte.
Titrations between an acid and a base lead to neutralization reactions that form...
Titrations between an acid and a base lead to neutralization reactions that form...
1.8K
Pedigree Analysis
89.6K
Overview
89.6K


