黑咖啡与咖啡与奶油在胃排空时间中的比较:非随机对照试验
Killian M Pache1, W Garrett Haffke1, Alexander W Estright1,2
1From the Case Western Reserve University School of Medicine, Cleveland, Ohio.
A&A practice
|March 6, 2026
概括
将奶油添加到咖啡中并没有显著延迟胃排空时间. 这一发现表明,目前的手术前禁食指南可能需要对服用咖啡与奶油的患者进行修订.
科学领域:
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
- 术前医学 术前医学
背景情况:
- 目前的手术前禁食指南通常将咖啡与奶油分类为一种不清晰的液体,需要6小时的禁食.
- 有限的证据支持这些延长的禁食时间,导致频繁的案件延误和取消.
- 这项研究调查了奶油与黑咖啡相比,奶油对胃空化的影响.
研究的目的:
- 为了确定是否添加奶油咖啡显著延迟胃排空超出2小时透明液体禁食期间.
- 为修订当前手术前禁食建议提供证据.
主要方法:
- 进行了一项非随机对照试验,交替分配.
- 健康的志愿者消耗了16司的黑咖啡或16司的咖啡与两个标准的半半奶油.
- 每小时使用扫描来评估胃空气,直到达到零级的胃空气.
主要成果:
- 在黑咖啡和咖啡与奶油组之间没有观察到胃排空时间的显著差异.
- 2小时后,94%的黑咖啡组和97%的咖啡与奶油组的胃是空的.
- 两组所有参与者都在3小时内胃空了.
结论:
- 在健康的志愿者中,将两个标准的半半奶油添加到16司咖啡中,不会临床改变胃排空时间.
- 这些发现支持需要基于证据的重新评估手术前禁食指南,以奶油咖啡为准.
- 目前关于咖啡与奶油的6小时禁食建议可能是不必要的限制.
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