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经过手术后修改后增强恢复 (ERAS) 协议与非ERAS协议在接受急性肠道阻塞紧急腹腔切除术的患者中:一项随机对照试验

Ankit Aggarwal¹, Santosh Irrinki¹, Kailash C Kurdia¹

¹Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.

World journal of surgery

|September 23, 2023

概括

手术后增强恢复 (ERAS) 显著减少了紧急肠道阻塞患者的住院时间3天. 这种方法也加速了胃肠功能恢复,而不会增加并发症或死亡率.

科学领域:

外科手术的结果
患者恢复协议患者恢复协议

背景情况:

手术后增强恢复 (ERAS) 是一种多模式护理方法,在改善患者的治疗结果方面被证明是有效的.
新出现的证据表明,ERAS原则可以适应紧急腹部手术患者.

研究的目的:

为了评估修改后的ERAS协议在接受急性肠道阻塞紧急腹腔切除术的患者中的疗效.
为了比较ERAS和非ERAS组之间的术后住院,发病率,再入院和死亡率.

主要方法:

进行了一项随机对照试验,涉及60名急性肠道阻塞患者.
患者被分配到修改后的ERAS协议或标准非ERAS护理组.
主要终点是手术后住院;次要终点包括发病率,30天再入院和死亡率.

主要成果:

与非ERAS组相比,ERAS组的住院时间显著减少了3天 (中位数为5.5 vs 8.0天,p=0.003).
ERAS与胃肠功能更早恢复有关,包括浮和便的通过,以及更早的饮食进步.
两组之间30天再入院,死亡率或并发症率没有显著差异.

结论:

修改后的ERAS协议适用于肠道阻塞患者,有利于其,从而加速康复和减少住院时间.
埃拉斯的病发率和死亡率与标准护理相当,同时改善了术后康复.
需要进一步的研究,以充分确定ERAS在紧急胃肠道手术中的作用.

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