HIỆU QUẢ CHĂM SÓC DINH DƯỠNG THEO TIẾP CẬN ERAS LÊN SỰ PHỤC HỒI CHỨC NĂNG RUỘT Ở BỆNH NHÂN PHẪU THUẬT UNG THƯ ĐẠI TRÀNG TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC NĂM 2021 – 2022

Abstract

We recruited 60 patients who aged from 18 years old and were admitted to Viet Duc Hospital University for elective colorectal resection surgery (colectomy). 30 patients in each control and intervention group were well matched for age, sex, type of operation and method of analgesia. Patients of the intervention group were followed the nutritional care according to the ERAS concept. This study aimed to prospectively evaluate the effectiveness of nutritional care following the Enhanced Recovery After Surgery (ERAS) guidelines in the return of bowel function after surgery. In the intervention group, patients received oral carbohydrate loading and an earlier postoperative enteral comparing with control group (23.5 vs 62 hours) (p<0.05). The majority of patients in ERAS group tolerated the new procedure. Approximately 70% of energy intake came from oral diet. Passage flatus (36 ±19 vs. 56 ±25 hours) and bower movement (73±39 vs. 80±39) were significantly earlier in the early feeding group. There was no change in terms of infections, anastomotic leakage or overall complication between control and intervention group. Hospitalization (8.5±2.8 vs. 9.9±2.9) was shorter in the early feeding group.