在低收入和中等收入国家进行胸部手术后改善康复:可行性和结果
Abdessalem Hentati1,2, Ahmed Ben Ayed1,3, Jihen Jdidi1,4
1University of Sfax Faculty of Medicine of Sfax, Sfax, Tunisia.
Asian cardiovascular & thoracic annals
|November 23, 2023
概括
这项研究适应了手术后增强恢复 (ERAS) 协议,用于低资源环境中的胸部手术 (ERATS). 经过调整的ERATS方法改善了突尼斯患者的术后结果,并减少了疼痛.
科学领域:
- 胸部外科手术 胸部外科手术
- 外科手术的结果
- 在LMICs的公共卫生.
背景情况:
- 手术后增强恢复 (ERAS) 协议优化术后护理,以减少发病率,死亡率和住院时间.
- 在低收入和中等收入国家 (LMICs) 实施ERATS存在独特的挑战.
- 这项研究评估了突尼斯适应的ERATS协议.
研究的目的:
- 评估适应ERATS协议在LMIC环境中的可行性和有效性.
- 确定适应的ERATS协议对胸部手术患者的术后结果的影响.
- 提供一个实用的ERATS协议,适用于资源有限的医院.
主要方法:
- 在2015年12月至2017年8月期间进行了一项随机对照试验.
- 一百名接受胸部手术的患者被随机分为ERATS和对照组.
- 收集和分析了有关并发症,疼痛程度和住院时间的数据.
主要成果:
- 在ERATS组显示较低的并发症率,包括多发性溢液 (0%对10.86%,p=0.05).
- 在手术后3小时至15天的ERATS组中观察到术后疼痛显著减少,并减少了止痛药的使用.
- 住院时间在ERATS组较短 (中位数为6天与7天,p=0.17).
结论:
- 在LMIC条件下,适应ERATS协议是可行的和有效的,用于胸部手术.
- 该协议可以在不同的手术方法和切除类型中应用.
- 经过调整的ERATS协议有可能在资源有限的环境中改善术后结果.
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