Hiệu quả bổ sung dung dịch maltodextrin đường uống lên mức độ đói khát trên người bệnh phẫu thuật cắt túi mật nội soi=Effectiveness of oral maltodextrin supplementation on preoperative hunger and thirst levels in patients undergoing laparoscopic cholecystectomy

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Tác giả: Thị Hà Thu Nguyễn, Thùy Linh Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.33-40

Bộ sưu tập: Metadata

ID: 477491

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Đánh giá hiệu quả bổ sung dung dịch Maltodextrin đường uống lên mức độ đói, khát trên người bệnh phẫu thuật nội soi cắt túi mật tại khoa Ngoại tổng hợp Bệnh viện Bưu điện. Đối tượng và phương pháp nghiên cứu: Nghiên cứu thử nghiệm lâm sàng ngẫu nhiên có đối chứng trên 70 người bệnh phẫu thuật cắt túi mật nội soi được chia thành 2 nhóm: nhóm can thiệp được uống 400ml Maltodextrin 12,5% từ 21 giờ tối trước hôm phẫu thuật, và 200ml Maltodextrin 12,5% trước phẫu thuật 2-3 giờ, ăn trở lại sau khi có nhu động ruột. Nhóm chứng nhịn ăn từ 21 giờ hôm trước cho đến thời điểm phẫu thuật và ăn trở lại sau khi trung tiện được. Kết quả: Uống dung dịch đường Maltodextrin trước phẫu thuật làm giảm điểm trung bình cảm giác đói và khát của người bệnh ở nhóm can thiệp so với nhóm chứng có ý nghĩa thống kê (p<
0,0001). Tỷ lệ người bệnh có tình trạng bụng chướng nhẹ sau phẫu thuật ở nhóm chứng là 14,3%, trong khi ở nhóm can thiệp tỷ lệ chướng nhẹ là 2,9%, sự khác biệt không có ý nghĩa thống kê (p>
0,05). Tỷ lệ người bệnh có nôn/ buồn nôn sau phẫu thuật ở cả 2 nhóm không có sự khác biệt với tỷ lệ là 57,1%. Kết luận: Bổ sung dung dịch maltodextrin đường uống trước phẫu thuật theo chương trình ERAS đã chứng minh được hiệu quả làm giảm cảm giác đói, khát của người bệnh trước và sau quá trình phẫu thuật cắt túi mật nội soi.To evaluate the effectiveness of oral maltodextrin supplementation on preoperative hunger and thirst levels in patients undergoing laparoscopic cholecystectomy at the General Surgery Department of Hospital of Post and Telecommunications. Subject and method: A randomized controlled clinical trial was conducted on 70 patients undergoing laparoscopic cholecystectomy. These patients were divided into two groups: the intervention group, which received 400ml of Maltodextrin solution starting at 21:00 the night before the surgery and continued with 200ml of Maltodextrin solution 2-3 hours before the surgery, resuming normal eating once bowel sounds were audible. The control group abstained from eating starting at 21:00 the night before the surgery and resumed eating after first flatus. Results: Preoperative oral maltodextrin supplementation significantly reduced the average hunger and thirst scores in the intervention group compared to the control group (p<
0.0001). The incidence of mild abdominal distention after surgery was 14.3% in the control group and 2.9% in the intervention group, with no statistically significant difference (p>
0.05). The rates of postoperative nausea/vomiting were not significantly different between the two groups, with a rate of 57.1% in both groups. Conclusion: Preoperative oral maltodextrin supplementation (400ml the day before surgery and 200ml 2-3 hours before surgery) following the ERAS program has demonstrated its effectiveness in reducing hunger and thirst sensations in patients before and after laparoscopic cholecystectomy.

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