手术后增强恢复 (ERAS) 协议,以改善接受大结肠直肠手术的患者的治疗结果
1Medicine and Surgery, Gandhi Medical College, Hyderabad, IND.
Cureus
|August 14, 2023
概括
手术后增强恢复 (ERAS) 协议显著改善了大结直肠手术患者的治疗结果. 这些协议减少了住院时间,并发症和再入院,同时提高了患者的康复和满意度.
科学领域:
- 在外科手术期间的医学.
- 结肠直肠手术 结肠直肠手术
- 基于证据的实践.
背景情况:
- 手术后增强恢复 (ERAS) 协议是公认的外科手术期间的策略.
- 它们对大结直肠手术结果的影响需要全面评估.
研究的目的:
- 系统地审查ERAS协议对大结直肠手术后患者结果的影响.
- 综合关于ERAS协议在这个手术群体中的疗效的证据.
主要方法:
- 在PubMed,Cochrane图书馆和Embase的系统文献搜索 (2010年1月至2021年9月).
- 包括评估大结直肠外科手术中的ERAS协议的研究.
- 来自18项纳入研究的数据的定性综合.
主要成果:
- ERAS协议显著减少了住院时间 (MD:-1.64天),术后并发症 (OR:0.57) 和再入院率 (OR:0.57).
- 在肠功能 (MD: -0.74天),动员 (MD: -0.55天) 和口服 (MD: -0.62天) 中观察到更快的恢复.
- 患者报告ERAS实施的满意度更高 (MD: 1.02).
结论:
- ERAS协议与大结直肠外科手术的改善结果有关.
- 实施ERAS会导致更短的住院时间,更少的并发症和更快的恢复.
- 医疗保健提供者应考虑ERAS协议,以优化外科手术期间的护理.
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