El Nakeeb Ayman, Fikry Amir, El Metwally Teto, Fouda Elyamani, Youssef Mohamed, Ghazy Hosam, Badr Sabry, Khafagy Wael, Farid Mohamed
Mansoura University Hospital, General Surgery Department, Mansoura, Egypt.
Int J Surg. 2009 Jun;7(3):206-9. doi: 10.1016/j.ijsu.2009.03.003. Epub 2009 Mar 28.
This study assesses the safety outcome of early oral feeding and reports on the factors affecting early postoperative feeding after colorectal procedures.
Between June 2005 and April 2008, 120 consecutive patients underwent elective colonic anastomosis and were then randomized into two groups. The early feeding group began fluids on the first postoperative day while the regular feeding group was managed in the traditional way - nothing by mouth until the resolution of ileus.
The majority of patients (75%) tolerated the early feeding. The times to first passage of flatus (3.3+/-0.9 days vs 4.2+/-1.2 days) and stool (4.1+/-1.2 days vs 4.9+/-1.2 days) were significantly quicker in group 1. Hospital stay was also significantly shorter in the early feeding group (6.2+/-0.2 days vs 6.9+/-0.5 days). Operative time and amount of blood loss had an impact on the tolerability of early feeding while age, gender, type of operation and previous abdominal operation had no such impact.
Early oral feeding after colorectal surgery is safe and tolerated by the majority of patients. Operative time and amount of blood loss do, however, have an impact on the tolerability of early feeding.
本研究评估早期经口进食的安全性结果，并报告影响结直肠手术后早期进食的因素。
2005年6月至2008年4月期间，120例连续接受择期结肠吻合术的患者被随机分为两组。早期进食组术后第一天开始进流食，而常规进食组采用传统方式处理——直到肠梗阻解除前禁食。
大多数患者（75%）耐受早期进食。第一组患者首次排气时间（3.3±0.9天对4.2±1.2天）和排便时间（4.1±1.2天对4.9±1.2天）明显更快。早期进食组的住院时间也明显更短（6.2±0.2天对6.9±0.5天）。手术时间和失血量对早期进食的耐受性有影响，而年龄、性别、手术类型和既往腹部手术则无此影响。
结直肠手术后早期经口进食是安全的，且大多数患者能够耐受。然而，手术时间和失血量确实会对早期进食的耐受性产生影响。
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