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对Roux-en-Y胃绕道术患者的术后护理方案的评估,同日出院
Suzanne C Kleipool1, Pim W J van Rutte2, Laurens D Eeftinck Schattenkerk2
1Department of Surgery, OLVG Hospital, Amsterdam, The Netherlands. s.c.kleipool@olvg.nl.
Obesity surgery
|June 22, 2023
概括
减肥手术后同日出院是安全的. 一个新的远程监测协议有效地检测早期并发症,并监测Roux-en-Y胃绕道手术后患者的康复.
科学领域:
- 腹腔外科手术的结果
- 术后护理协议 术后护理协议
- 对患者进行监测.
背景情况:
- 减肥手术后的同一天排泄 (SDD) 越来越常见.
- 在SDD后早期发现并发症可能具有挑战性.
- 为了解决这一问题,开发了一种新的术后护理方案.
研究的目的:
- 评估新手术后护理方案对经过Roux-en-Y胃绕道 (RYGB) 后SDD的患者的有效性.
- 评估该协议能够检测早期并发症并监测患者康复的能力.
主要方法:
- 对373名患有SDD的RYGB患者进行了回顾性观察性研究.
- 协议包括远程监测 (脉冲氧计,温度计),电话咨询 (POD 1) 和体面咨询 (POD 2-4).
- 对POD1的疼痛评分,止痛药使用,恶心和吐的分析.
主要成果:
- 19名 (5.1%) 患者通过POD4重新入院.
- 12名患者自我介绍,7名患者在咨询后重新入院.
- 十次再入院是由于心动减速;恶心和吐分别发生在13.9%和6.7%的患者中.
结论:
- 在RYGB之后SDD开发的术后护理协议是有效的.
- 该协议成功监测患者的康复,并检测所有早期并发症.
- 简单的远程监控与及时咨询相结合,可确保患者的安全.
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