Abstract：
OBJECTIVE: Preoperative oral carbohydrate loading is a component of enhanced recovery after surgery protocols. The aim of this study is to investigate the effects of preoperative oral carbohydrate loading on postoperative clinical outcomes in spinal surgery patients.
METHODS: This is a prospective case-control study.
METHODS: This study was conducted with patients who underwent spinal surgery from October 1, 2020 to October 1, 2021 in a neurosurgery clinic of an education and research hospital. The intervention group (n = 46) ingested 800 mL oral carbohydrate drinks at least 8 hours before surgery. The postoperative clinical outcomes were nausea, vomiting, antiemetic and analgesic drug medication, inflammation, and bleeding. The first flatus and defecation time, oral intake time, mobilization time, and length of stay in hospital were assessed postoperatively. Adverse events were monitored up to 24 hours postoperatively. The control group (n = 46) underwent routine fasting protocols.
RESULTS: Lower rates of vomiting and bleeding during and after surgery and earlier defecation time and first mobilization time were determined in the intervention group, and the difference compared with the control group was statistically significant.
CONCLUSIONS: Preoperative oral carbohydrate loading is a nonpharmacological intervention that has a positive effect on postoperative clinical outcomes in patients who underwent spinal surgery and should be included in the enhanced recovery after surgery protocol.
METHODS: This is a prospective case-control study.
METHODS: This study was conducted with patients who underwent spinal surgery from October 1, 2020 to October 1, 2021 in a neurosurgery clinic of an education and research hospital. The intervention group (n = 46) ingested 800 mL oral carbohydrate drinks at least 8 hours before surgery. The postoperative clinical outcomes were nausea, vomiting, antiemetic and analgesic drug medication, inflammation, and bleeding. The first flatus and defecation time, oral intake time, mobilization time, and length of stay in hospital were assessed postoperatively. Adverse events were monitored up to 24 hours postoperatively. The control group (n = 46) underwent routine fasting protocols.
RESULTS: Lower rates of vomiting and bleeding during and after surgery and earlier defecation time and first mobilization time were determined in the intervention group, and the difference compared with the control group was statistically significant.
CONCLUSIONS: Preoperative oral carbohydrate loading is a nonpharmacological intervention that has a positive effect on postoperative clinical outcomes in patients who underwent spinal surgery and should be included in the enhanced recovery after surgery protocol.
摘要：
目的：术前口服碳水化合物负荷是提高术后恢复的一个组成部分。这项研究的目的是探讨术前口服碳水化合物负荷对脊柱手术患者术后临床结局的影响。
方法：这是一项前瞻性病例对照研究。
方法：这项研究是对2020年10月1日至2021年10月1日在教育和研究医院的神经外科诊所接受脊柱手术的患者进行的。干预组（n=46）在手术前至少8小时摄入800mL口服碳水化合物饮料。术后临床结果为恶心，呕吐,止吐和镇痛药物，炎症,和出血。首次排气和排便时间，口服时间，动员时间,术后评估住院时间。术后24小时监测不良事件。对照组(n=46)接受常规禁食方案。
结果：干预组术后呕吐和出血发生率较低，排便时间和首次动员时间较早，与对照组比较差异有统计学意义。
结论：术前口服碳水化合物负荷是一种非药物干预措施，对脊柱手术患者的术后临床结局有积极影响，应纳入加速术后恢复方案。
方法：这是一项前瞻性病例对照研究。
方法：这项研究是对2020年10月1日至2021年10月1日在教育和研究医院的神经外科诊所接受脊柱手术的患者进行的。干预组（n=46）在手术前至少8小时摄入800mL口服碳水化合物饮料。术后临床结果为恶心，呕吐,止吐和镇痛药物，炎症,和出血。首次排气和排便时间，口服时间，动员时间,术后评估住院时间。术后24小时监测不良事件。对照组(n=46)接受常规禁食方案。
结果：干预组术后呕吐和出血发生率较低，排便时间和首次动员时间较早，与对照组比较差异有统计学意义。
结论：术前口服碳水化合物负荷是一种非药物干预措施，对脊柱手术患者的术后临床结局有积极影响，应纳入加速术后恢复方案。
