[1]青 青,袁丹凤,谢 玥,等.肝硬化食管胃曲张静脉内镜治疗术后饮食策略 与预后的关系:系统评价[J].肠外与肠内营养杂志,2020,(02):84-88,93.[doi:10.16151/j.1007-810x.2020.02.005]
　QING Qing,YUAN Dan-feng,XIE Yue,et al.Dietary strategies and the relationships with prognosis after endoscopic treatments of gastroesophageal varices in patients with cirrhosis: a systematic review[J].PARENTERAL & ENTERAL NUTRITION,2020,(02):84-88,93.[doi:10.16151/j.1007-810x.2020.02.005]
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肝硬化食管胃曲张静脉内镜治疗术后饮食策略 与预后的关系:系统评价
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2020年02期
页码:
84-88,93
栏目:
论著
出版日期:
2020-03-10

文章信息/Info

Title:
Dietary strategies and the relationships with prognosis after endoscopic treatments of gastroesophageal varices in patients with cirrhosis: a systematic review
作者:
青 青1; 袁丹凤2; 谢 玥 3; 余建林 3; 毛 华 3; 张绍衡 3
1.广州医科大学附属第三医院消化内科，广东广州 510150；2.南方医科大学第二临床医学院， 广东广州 510282；3.南方医科大学珠江医院消化内科，广东广州 510282
Author(s):
QING Qing1;  YUAN Dan-feng2;  XIE Yue3;  YU Jian-lin3;  MAO Hua3;  ZHANG Shao-heng3
1. Department of Gastroenterology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, Guangdong, China；2. Second Affiliated Clinical College, Southern Medical University, Guangzhou 510282, Guangdong, China；3. Department of Gastroenterology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, Guangdong, China
关键词:
肝硬化 ; 食管胃静脉曲张 ; 内镜治疗 ; 饮食策略 ; 预后
Keywords:
Liver cirrhosis;  Gastroesophageal varices;  Endoscopic treatment;  Diet management;  Prognosis
分类号:
R571+3
DOI:
10.16151/j.1007-810x.2020.02.005
文献标志码:
A
摘要:
目的：从初次进食时间、食物性质、进食途径等方面探讨食管胃曲张静脉(GOV)及其出血(EVB)的胃 镜下硬化剂/组织粘合剂注射及套扎等治疗术后的饮食策略与预后的关系。 方法：选择中、外文数据库(包括 CNKI、万方数据、重庆维普、PubMed、Web of science、EMbase，自建库至2019年04月30日)，检索GOV/EVB内镜术 后与饮食管理相关的随机对照试验的报道，评价其饮食方案与预后指标等的关系，必要时采用RevMan 5.3进行 meta分析。 结果：通过文献检索共检出文献207篇；其中，8项研究(n = 592)被纳入系统评价。经分析得出：内镜 术后早期进食(≤8 h)并不增加病人出血风险(OR = 0.64, P = 0.29)、死亡率和其他并发症的发生率；早期进食可缩短 住院时间、改善病人心理状况；术后应首先考虑主动经口饮食，忌食粗硬、适量进食。 结论：GOV/EVB内镜治疗 术后早期经口的合理进食是总体安全的；有必要增加对术后病人饮食管理的关注、制定科学规范的饮食策略以减 少GOV/EVB术后不良事件发生。
Abstract:
1. Department of Gastroenterology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, Guangdong, China；2. Second Affiliated Clinical College, Southern Medical University, Guangzhou 510282, Guangdong, China；3. Department of Gastroenterology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, Guangdong, China patient's psychological condition; Oral feeding with a soft, moderate amount diet should be considered. Conclusion: Early oral feeding with soft, moderate amount diet is generally safe. More awareness of diet managements, and optimized diet strategies are still needed for reducing the adverse events after GOV/EVB endoscopic treatments.

参考文献/References:


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备注/Memo

备注/Memo:
基金项目 ：国家自然科学基金青年项目(81800460)；2018年度广东省科技创新战略专项资金(2018A030310166)；广州医科大学附属第三医 院2017年度博士启动科研项目(2017B03)资助 作者简介 ：青 青，主治医师，医学博士，主要从事胃肠屏障及炎症调控的基础研究。E-mail:qingqing1961@126.com 共同第一作者 ：袁丹凤，医学学士，主要从事肝脏疾病的循证医学的研究。E-mail:536557571@qq.com 通讯作者 ：张绍衡，E-mail:zshiny2008@sina.com
更新日期/Last Update: 1900-01-01