针对患者量身定制的方法,以改善手术后的恢复
Steffen Seyfried1, Florian Herrle1, Patrick Téoule1
1Department of Surgery, Universitätsmedizin Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Visceral medicine
|November 16, 2023
概括
手术后增强恢复 (ERAS®) 协议广泛适用. 预康复增强了ERAS®的坚持,这表明一种更适应的方法对患者的康复有益.
科学领域:
- 在外科手术期间的医学.
- 外科手术的结果
- 患者的恢复 患者的恢复
背景情况:
- 手术后增强恢复 (ERAS®) 协议在临床实践中越来越受欢迎.
- 实施挑战和批评阻碍了广泛采用.
- 这就需要探索更个性化的患者护理方法.
研究的目的:
- 调查量身定制方法在增强外科康复的有效性.
- 为了确定个性化的ERAS®协议是否能改善患者的治疗结果.
- 评估预康复在适应性外科护理中的作用.
主要方法:
- 在2022年3月16日进行了全面的文献搜索.
- 搜索术语包括"ERAS®"",手术后增强恢复"",快速恢复"",快速追踪"和"量身定制"或"个人"方法.
- 用修改的搜索字符串查询数据库.
主要成果:
- 尽管有大量的研究,但根据表型 (例如年龄) 或疾病模式的患者分层是有限的.
- 对于几乎所有患者来说,通用ERAS®协议似乎是可行的.
- 预康复成为一个关键的适应策略.
结论:
- 在全面实施时,ERAS®协议是有效的,并且适用于大多数患者.
- 前期康复改善了适应能力和遵守ERAS®协议.
- 在疾病特定指南之外的量身定制计划可能不会提供额外的好处.
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