背景胃肠(GI)手术后早期经口喂养(EOF)是加快康复和缩短住院时间的乐观方法,但它的全部效果仍有待探索。目的本研究旨在评估择期胃肠手术患者EOF的预后。方法这种开放水平,前瞻性随机对照试验在Salimullah医学院Mitford医院外科进行,达卡,从2022年3月到2023年2月。共纳入50例患者,分为早期经口喂养(EOF)和传统术后经口喂养(TOF)两组,手术前后48小时,使用系统随机抽样技术。从患者获得知情的书面同意。在手术后第1、3、5、7、14和28天监测患者。术后并发症,鼻胃管(NGT)移除的持续时间(天),肠动力的早期恢复,并记录住院时间(天)。结果在这项研究中,EOF和TOF组在年龄分布方面都被发现无动于衷,性别比例,或体重指数(BMI)。然而,术后结局存在显著差异.与EOF组相比,TOF组的鼻胃管(NGT)去除和开始口服喂养的持续时间明显更长(P值<0.001)。并发症发生率,包括恶心,呕吐,肠梗阻,吻合口漏,伤口感染,还有肺炎,组间差异无统计学意义(P值>0.05)。此外,与TOF组相比,EOF组术后肠动力恢复较早,住院时间较短(P值<0.05).结论早期开始口服喂养不会增加并发症。然而,它确实加快了恢复速度并缩短了住院时间。
Background Early oral feeding (EOF) after gastrointestinal (GI) surgery is an optimistic way to speed up recovery and shorten hospital stays, but its full effects remain unexplored. Aim This study aims to evaluate the outcomes of EOF in patients having elective gastrointestinal surgery. Methods This open-level, prospective randomized controlled trial was conducted in the Department of Surgery at Sir Salimullah Medical College Mitford Hospital, Dhaka, from March 2022 to February 2023. A total of 50 patients were enrolled and divided into two groups: early oral feeding (EOF) and traditional postoperative oral feeding (TOF), both before and after 48 hours of surgery, using a systematic random sampling technique. Informed written consent was taken from the patients. The patients were monitored on days 1, 3, 5, 7, 14, and 28 following surgeries. Postoperative complications, the duration for nasogastric tube (NGT) removal (days), the early recovery of bowel motility, and the length of the hospital stay (days) were noted. Results In this study, both EOF and TOF groups were found indifferent in terms of age distribution, gender ratio, or body mass index (BMI). However, significant differences emerged in postoperative outcomes. The TOF group experienced a significantly longer duration for nasogastric tube (NGT) removal and the initiation of oral feeding compared to the EOF group (P-value < 0.001). Complication rates, including nausea, vomiting, ileus, anastomotic leakage, wound infection, and pneumonia, did not exhibit statistically significant differences between the groups (P-value > 0.05). Moreover, the EOF group demonstrated an early recovery of bowel motility after surgery and shorter hospital stays compared to the TOF group (P-value < 0.05). Conclusion Starting oral feeding earlier does not increase complications. However, it does speed up recovery and shorten hospital stays.