Comparison of Complications With Semisolid Versus Liquid Diet Via Nasogastric Feeding Tube After Orthognathic Surgery

Comparison of Complications With Semisolid Versus Liquid Diet Via Nasogastric Feeding Tube After Orthognathic Surgery
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DOI:
10.1016/j.joms.2018.10.012
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发表时间:
2019-02-01
影响因子:
1.9
通讯作者:
Iino, Mitsuyoshi
Iino, Mitsuyoshi
中科院分区:
医学4区
文献类型:
--
作者:
Ishikawa, Shigeo;Matsumura, Hiroyoshi;Iino, Mitsuyoshi

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目的:本回顾性研究的目的是比较鼻胃管(NGT)喂养的半固体饮食与液体饮食后正颌手术patients和方法的有效性:正颌手术患者相对年轻,一般健康,没有严重的内科疾病。在这些患者中,26例接受液体喂养(液体饮食组[LG],给药速率为100 mL/h),30例接受高给药速率的半固体喂养(半固体饮食-快速给药组[SSRAG],200 - 500 mL/h),33例接受较慢速率的半固体喂养(半固体饮食-缓慢给药组[SSSAG],100 mL/h)。我们回顾性地调查了NGT喂养的并发症,在每个group.Results:腹泻的发生率明显低于SSRAG比在LG。在下消化道症状的患者中,粪便形态量表评分和每天最大排便频率显着低于SSRAG比在LG(P = 0.001)。快速管理的半固体饮食通过NGT导致并发症少,喂养时间短,为正颌外科patients.Conclusions:快速管理的半固体饮食通过NGT应减少NGT喂养的并发症,提高围手术期的患者质量。这项研究的结果将有助于临床医生为相对年轻,健康的患者,如正颌手术患者选择NGT饮食。(C)2018年美国口腔颌面外科医师协会
Purpose: The aim of this retrospective study was to compare the effectiveness of nasogastric tube (NGT) feeding of a semisolid diet versus a liquid diet after orthognathic surgeryPatients and Methods: The orthognathic surgery patients were relatively young and generally healthy, without severe medical disease. Of the patients, 26 received liquid feeding (liquid diet group [LG], with an administration rate of 100 mL/hour), 30 received semisolid feeding at a high administration rate (semisolid diet-rapid administration group [SSRAG], 200 to 500 mL/hour), and 33 received semisolid feeding at a slower rate (semisolid diet-slow administration group [SSSAG], 100 mL/hour). We retrospectively investigated the complications of NGT feeding in each group.Results: The incidence of diarrhea was clearly lower in the SSRAG than in the LG. Among patients with lower-gastrointestinal tract symptoms, stool form scale scores and maximum defecation frequency per day were significantly lower in the SSRAG than in the LG (P = .001 for both). Rapid administration of a semisolid diet via an NGT resulted in fewer complications and shorter feeding times for orthognathic surgery patients.Conclusions: The rapid administration of a semisolid diet via an NGT should decrease the complications of NGT feeding and improve the quality of the perioperative period for patients. The findings of this study will help clinicians select NGT diets for relatively young, healthy patients, such as orthognathic surgery patients. (C) 2018 American Association of Oral and Maxillofacial Surgeons