一个快速恢复协议的头部和部瘤患者接受切除,自由重建,和气管切除术:一个可行性研究
R Niziol1, A Cooper1, E Jacovou1
1Guy's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.
International journal of oral and maxillofacial surgery
|January 4, 2024
概括
这项研究介绍了头癌手术患者的快速康复方案 (RRP),表明它显著缩短了住院时间和气管切除术的持续时间. 在不影响患者的结果的情况下,RRP提供了大量的成本节约.
科学领域:
- 在瘤学瘤学.
- 手术创新 在外科创新.
- 在外科手术后的护理.
背景情况:
- 自2017年以来,手术后增强恢复 (ERAS) 协议改善了各种外科领域的结果.
- 头部和部瘤手术在术后恢复过程中提出了独特的挑战.
- 优化康复途径对于患者福祉和医疗保健效率至关重要.
研究的目的:
- 引入和评估一个快速恢复协议 (RRP),旨在增强头瘤患者的术后护理,这些患者经历了自由重建和气管切除的重大除手术.
- 评估RRP对患者康复指标的影响,包括停留时间和气管切除术持续时间.
- 确定在医院信托中实施RRP的经济影响.
主要方法:
- 使用前性,多学科的方法来定义RRP的资格标准.
- 确定了26名患者的特定队列,这些患者接受了头部和部切除性手术,并进行了自由重建和气管切除术.
- 16名患者完成了RRP,他们的结果与9名接受标准术后护理的患者匹配的对照组进行了比较.
主要成果:
- 接受RRP的患者经历了气管切除术的平均减少5天.
- 与对照组相比,RRP组的出院时间提前了7天.
- 医院信托基金每位患者大约节省了9955英的金钱.
结论:
- 快速恢复协议 (RRP) 是一种可行且有效的策略,用于增强头瘤手术中的术后护理.
- 该RRP显著减少住院时间和相关的医疗保健费用,而不会影响患者的治疗结果.
- 建议进一步实施RRP,基于其在恢复和经济节约方面的证明好处.
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