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胃肠道手术后早期术后动员的影响:系统性审查和元分析
Antonie Willner1,2, Christian Teske3,4,5,6,7, Thilo Hackert1
1Department of General, Visceral and Thoracic Surgery, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
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|October 17, 2023
概括
早期的术后动员可能会加速胃肠道的恢复,但不会显著减少发病率或住院时间. 需要进一步的研究,以确定有效的早期动员方案,以改善手术后的恢复.
科学领域:
- 手术恢复协议 手术恢复协议
- 胃肠道外科手术的结果
- 患者流动性研究 患者流动性研究
背景情况:
- 早期术后动员是手术后增强恢复 (ERAS) 协议的基石.
- 这项研究旨在评估早期动员对胃肠道手术后康复,流动性,发病率和住院时间的影响.
研究的目的:
- 系统地审查胃肠道手术后早期术后动员的影响.
- 评估其对患者康复,流动性,发病率和住院时间的影响.
主要方法:
- 在2022年12月,在PubMed,Web of Science和Cochrane控制试验中央注册表中进行了系统的文献搜索.
- 包括控制试验,评估胃肠道手术患者的早期术后动员.
- 评估了偏差风险,结果包括胃肠道恢复,流动性,发病率和住院时间.
主要成果:
- 包含了15项涉及3538名患者的研究,操作和干预的异质性.
- 早期调动显著加速了临床胃肠道恢复 (p=0.03).
- 在患病率 (p=0.59),术后流动性 (p=0.28) 或住院时间 (p=0.47) 中没有明显改善.
结论:
- 目前的证据不支持早期术后动员作为一个独立的干预措施,以减少发病率或住院时间.
- 进一步的精心设计的试验是必要的,以建立有效的早期术后动员方案,用于胃肠道手术患者.
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