背景加速康复外科(enhanced recovery after surgery,ERAS)理念的核心是降低手术创伤及应激,其中术前2h口服碳水化合物液体,能改善患者预后。目的总结目前关于术前口服碳水化合物液体应用的新进展,为其安全应用提供参考。内容分别从碳...背景加速康复外科(enhanced recovery after surgery,ERAS)理念的核心是降低手术创伤及应激,其中术前2h口服碳水化合物液体,能改善患者预后。目的总结目前关于术前口服碳水化合物液体应用的新进展,为其安全应用提供参考。内容分别从碳水化合物的代谢、对手术和肌肉功能的影响、术前应用的安全性和有效性、患者术后舒适度及其对住院时间的影响等几个方面展开论述。趋向合适的禁食、禁饮时间能改善患者术后转归。为将该理念更广泛地应用于临床工作,未来还需要提供更高质量的研究证据。展开更多
Preoperative fasting is mandatory before anesthesia to reduce the risk of aspiration.However,the prescribed 6-8 h of fasting is usually prolonged to 12-16 h for various reasons.Prolonged fasting triggers a metabolic r...Preoperative fasting is mandatory before anesthesia to reduce the risk of aspiration.However,the prescribed 6-8 h of fasting is usually prolonged to 12-16 h for various reasons.Prolonged fasting triggers a metabolic response that precipitates gluconeogenesis and increases the organic response to trauma.Various randomized trials and meta-analyses have consistently shown that is safe to reduce the preoperative fasting time with a carbohydrate-rich drink up to 2 h before surgery.Benefits related to this shorter preoperative fasting include the reduction of postoperative gastrointestinal discomfort and insulin resistance.New formulas containing amino acids such as glutamine and other peptides are being studied and are promising candidates to be used to reduce preoperative fasting time.展开更多
文摘背景加速康复外科(enhanced recovery after surgery,ERAS)理念的核心是降低手术创伤及应激,其中术前2h口服碳水化合物液体,能改善患者预后。目的总结目前关于术前口服碳水化合物液体应用的新进展,为其安全应用提供参考。内容分别从碳水化合物的代谢、对手术和肌肉功能的影响、术前应用的安全性和有效性、患者术后舒适度及其对住院时间的影响等几个方面展开论述。趋向合适的禁食、禁饮时间能改善患者术后转归。为将该理念更广泛地应用于临床工作,未来还需要提供更高质量的研究证据。
文摘Preoperative fasting is mandatory before anesthesia to reduce the risk of aspiration.However,the prescribed 6-8 h of fasting is usually prolonged to 12-16 h for various reasons.Prolonged fasting triggers a metabolic response that precipitates gluconeogenesis and increases the organic response to trauma.Various randomized trials and meta-analyses have consistently shown that is safe to reduce the preoperative fasting time with a carbohydrate-rich drink up to 2 h before surgery.Benefits related to this shorter preoperative fasting include the reduction of postoperative gastrointestinal discomfort and insulin resistance.New formulas containing amino acids such as glutamine and other peptides are being studied and are promising candidates to be used to reduce preoperative fasting time.
