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为接受胰腺手术的患者制定和遵守ERAS®和预康复方案:一项观察性研究
Monika Fagevik Olsén1, Thomas Andersson2,3, Micheline Al Nouh4
1Department of Physical Therapy, Sahlgrenska University Hospital S-413 45 Gothenburg Sweden.
概括
手术后增强恢复 (ERAS) 协议和预康复改善了胰腺开放手术的坚持和结果. 这些多式通道减少了停留时间,并可能减少手术前的体重减轻和改善肠道功能.
科学领域:
- 手术瘤学手术瘤学
- 在外科手术期间的药物.
- 多式联络护理是多式联络护理.
背景情况:
- 关于在胰腺外科手术中坚持多式途径的知识差距存在.
- 手术后增强恢复 (ERAS) 和预康复是现代手术护理的关键组成部分.
研究的目的:
- 在接受开放性胰腺手术的患者中探索和评估ERAS和预康复方案.
- 评估这些协议对患者结果的遵守和影响.
主要方法:
- 一项比较研究包括两个前性系列 (有/没有预康复的ERAS) 和一个历史对照组.
- 从数据库和医疗记录中收集了关于协议遵守和患者结果的数据.
- 通过问卷评估患者遵守手术前的建议.
主要成果:
- 患者报告高坚持记住的建议;医疗保健专业人员的坚持有所不同.
- 实施ERAS增加了肠道运动的刺激,减少了外周麻醉,排水和尿导管的持续时间.
- 预康复改善了营养查和手术前训练;体重,第一次浮的时间和停留时间均有显著改善.
结论:
- 实施ERAS和预康复协议提高了患者和医疗保健专业人员的坚持.
- 这些协议减少了停留时间,并可能减少了手术前的体重减轻和排便时间.
关键词:
坚持的坚持 坚持的坚持欧拉斯 (ERAS®) 系统是为什么呢?并发症可能导致并发症.营养 营养 营养 营养胰腺 胰腺是什么呼吸器肌肉训练是指进行呼吸肌肉训练.手术 手术 手术 手术 手术 手术 手术更多相关视频
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