在骨盆器官脱落手术后改善康复
Caroline Tresch1, Marine Lallemant1, Rajeev Ramanah2
1Service de Gynécologie-Obstétrique, Université de Franche-Comté, CHU de Besançon, 25000 Besançon, France.
Journal of clinical medicine
|September 28, 2023
概括
在骨盆器官脱落手术中,增强的康复方案 (ERAS) 显著提高了患者的满意度,并减少了住院和医院费用. 虽然没有影响操作时间或疼痛,但ERAS可以增强康复和患者体验.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 外科手术的结果
- 康复医学 康复医学 康复医学
背景情况:
- 骨盆器官脱落 (POP) 显著影响女性的生活质量.
- 对POP的外科干预是常见的,目前正在努力优化患者的康复.
- 手术后增强恢复 (ERAS) 协议旨在改善手术结果和患者体验.
研究的目的:
- 审查ERAS协议对骨盆器官脱落手术结果的影响.
- 具体评估ERAS对住院,费用,疼痛,发病率和患者满意度的影响.
主要方法:
- 按照PRISMA模型进行系统审查.
- 在PubMed.com上进行文献搜索.
- 包括2014-2021年间发表的研究,重点关注POP手术和阴道切除术.
主要成果:
- 没有观察到与ERAS的操作时间,手术内/手术后并发症,血液损失或疼痛得分的显著差异.
- 采用ERAS导致了静脉注射液体摄入量和阿片类药物使用量的减少.
- 医院住院时间和整体医院费用显著减少.
- 接受ERAS协议的患者表现出更快的动员和更好的整体满意度.
结论:
- 在骨盆器官脱落手术中,ERAS协议对患者的康复和满意度产生了积极的影响.
- ERAS可以大大减少医院资源利用率和患者的不适.
- 进一步的研究可能会探索特定的ERAS组件,以便在泌尿外科手术中获得最大的益处.
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