Rapid recovery after total knee replacement
Conditions
Interventions
Early carbohydrate feeding group (EOF group):drank 10.5% of 5 mL/kg body weight (100mL containing 12.5g maltodextrin, fructose and glucose)
Routine feeding group (control group):Return to the ward to continue to fast and drink for at least 6h, and start to drink gradually after anal exhaust
Sponsors
Nanjing First Hospital
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective knee replacement surgery; 2. The patient gave informed consent; 3. Aged >= 65 years, sex is not limited; 4. American Society of Anesthesiologists (ASA) I-III level; 5. Body Mass Index (BMI) 18~28 kg/m2.
Exclusion criteria
Exclusion criteria: 1. Preoperative gastric emptying disorders, such as gastroesophageal reflux or previous surgery; 2. Diabetes mellitus, severe renal insufficiency, or other severe metabolic diseases; 3. History of motion sickness; 4. Mental disorders, alcoholism, or a history of substance abuse; 5. Patients with abnormal swallowing function; 6. Maltodextrin, fructose allergy or intolerance; 7. Surgery time was greater than 3 hours.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prealbumin levels in venous blood; | — |
Secondary
| Measure | Time frame |
|---|---|
| The fasting retinol-bound protein levels in venous blood of the patient;The insulin resistance index in venous blood was checked;NRS score of thirst and hunger ;The NRS score of the degree of abdominal distension ;The incidence of hypoxemia and reflux aspiration ;Time of the first anal exhaust after surgery;Time of the first ambulation session after surgery;length of patient stays;Postoperative subject satisfaction score; | — |
Countries
China
Contacts
Public ContactHan Liu
Nanjing First Hospital
Outcome results
None listed