快速跟踪与传统的外科手术期间护理协议在儿科肠胃关闭 - - 一项随机研究
Tanzil Farhad1, Md Khurshid Alam Sarwar, Mohammad Zonaid Chowdhury
1Department of Paediatric Surgery, Chittagong Medical College and Hospital, Chittagong, Bangladesh.
African journal of paediatric surgery : AJPS
|March 28, 2024
概括
快速通道 (FT) 手术对于儿科肠静脉关闭是安全有效的,其结果与传统护理相当. 这种方法可以最大限度地减少儿科手术患者不必要的干预.
科学领域:
- 儿科手术 儿科手术
- 手术创新 在外科创新.
- 增强的恢复途径
背景情况:
- 在儿科手术中快速 (FT) 手术的适用性仍然不清楚.
- 评估FT协议与儿科肠道静脉关闭常规护理的比较至关重要.
研究的目的:
- 为了比较FT和传统外科手术前护理在儿科肠道静脉关闭中的结果.
- 评估FT协议对未来儿科外科应用的安全性.
主要方法:
- 对26名接受肠道静脉关闭的儿科患者进行前性随机研究.
- 组A:常规护理;组B:FT协议 (最小的禁食,没有肠道准备,早期养/动员,非阿片类药物止痛).
- 组间术后住院和并发症率的比较.
主要成果:
- 在两组之间,无显著的差异在解静脉泄漏,伤口感染或脱.
- 类似的术后停留时间 (中位数为5天而不是6天) 和肠道功能 (中位数为2天) 的时间.
- 在FT组中,伤口感染和脱落率为0%,而在常规组中为7.7%.
结论:
- 快速手术可与儿科肠道静脉关闭常规方法相提并论.
- FT协议可以减少不必要的干预,而不会影响患者的安全.
- 这项研究支持FT手术在儿科外科环境中的安全应用.
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