| Title: | Eficacia de nutrición enteral temprana en relación a nutrición enteral tardía en apendicectomías en fases no complicadas en el Hospital Vicente Corral Moscoso |
| Authors: | Rodríguez López, Jimmy Israel |
| metadata.dc.contributor.advisor: | Rodas Reinbach, Edgar Bruck |
| metadata.dc.contributor.assessor: | Arévalo Peláez, Carlos Eduardo |
| Keywords: | Apendicectomia
Nutricion Enteral Temprana
Nutricion Enteral Tardia |
| Issue Date: | 2016 |
| metadata.dc.description.city: | Cuenca |
| Series/Report no.: | MEDCG;74 |
| metadata.dc.type: | masterThesis |
| Abstract: | Introduction: Enteral nutrition is an effective method for nutritional support in patients during their postoperative period. After abdominal surgery occurs a transient state of intestinal ileus due to failure in the normal propulsive activity of the digestive tract, which does not imply severity and resolves spontaneously within a few days depending on the type of surgery. The majority of surgeons consider the use of this track once it has been restored this function. However, it is demonstrated that the recovery absorptive function of the small intestine occurs a few hours after the surgical procedure, by which it is possible to start diets chemically made early.
Objective: To compare the effectiveness of early enteral nutrition in relation to the delayed Enteral Nutrition in appendectomies in late phases not complicated in the Vicente Corral Moscoso Hospital.
Material and methods: We carried out a randomized controlled trial simple blind, with Hospitalized appendectomies patients in the Vincente Corral Moscoso. They were divided into two groups, the first was administered early enteral nutrition with a volume of 300 ml at 6 hours post operative in a period of 6 hours; and a second group that was administered late enteral nutrition 300 ml at 6 p.m. the post operative Results: There were no statistically significant differences in the averages of the abdominal perimeter at 2, 4, 6 hours and the hospital discharge, p-value >0.05. There were no differences in the frequency of undesirable effects on the groups that received enteral nutrition and early enteral nutrition late, p>0.05. The average length of hospital stay in the group that received early feeding is 14 hours and in the group that received delayed feeding is 25 hours, p=0.000.
Conclusions: the early enteral nutrition is safe and effective for the nutritional support of patients subjected to appendectomies, with less length of hospital stay |
| Description: | Introducción: La nutrición enteral es método efectivo en el postoperatorio. La cirugía abdominal conduce un estado transitorio de íleo, que se resuelve espontáneamente dependiendo del tipo de cirugía; se considera esta vía una vez que se ha restaurado esta función. La recuperación absortiva y motilidad no se altera por el acto quirúrgico, siendo posible iniciar la dieta de manera temprana.
Objetivo: Comparar la eficacia de la Nutrición Enteral temprana en relación a la Nutrición Enteral tardía en Apendicectomías en fases no complicadas en el Hospital Vicente Corral Moscoso.
Material y métodos: Ensayo controlado aleatorizado simple ciego, con pacientes apendicectomizados del Hospital Vicente Corral Moscoso. Se conformaron grupos, al primero con nutrición temprana con un volumen de 300 ml a las 6 horas del post operatorio en un lapso de 6 horas; y un segundo nutrición enteral tardía 300 ml a las 18 horas del post operatorio en un lapso de 6 horas. Se determinó la frecuencia de signos de íleo.
Resultados: No hubieron diferencias estadísticamente significativas en los promedios del perímetro abdominal a las 8, 10,12 horas y al egreso hospitalario, valor de p >0,05. No hubo diferencias en la frecuencia de los efectos no deseados en los grupos, p>0,05. El promedio del tiempo de estadía hospitalaria en el grupo de alimentación temprana fue de 14 horas y para el segundo de 25 horas, valor de p=0,00.
Conclusiones: La nutrición enteral temprana es eficaz para el soporte nutricional de los pacientes apendicectomizados, y reduce el tiempo de estadía hospitalaria |
| metadata.dc.description.degree: | Especialista en Cirugía General |
| URI: | http://dspace.ucuenca.edu.ec/handle/123456789/23748 |
| Appears in Collections: | Tesis Especializaciones
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