在急性尾炎的腹腔镜尾切除手术后增强康复的临床研究
Zhu-Lin Li1, Hua-Chong Ma1, Yong Yang1
1Department of General Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China.
World journal of gastrointestinal surgery
|April 5, 2024
概括
手术后增强恢复 (ERAS) 协议加速了腹腔镜尾切除术患者的恢复. 这种方法缩短了住院时间,降低了成本,在急性尾炎治疗中被证明是安全有效的.
科学领域:
- 手术恢复协议手术恢复协议
- 最少侵入性手术的结果
- 治疗急性尾炎的方法
背景情况:
- 手术后增强恢复 (ERAS) 是一种多模式的方法,优化了患者的恢复,特别是在消化瘤切除后.
- 与其在主要腹部手术中的使用相比,ERAS在尾切除术中的应用尚未得到充分研究.
研究的目的:
- 评估ERAS协议在接受急性尾炎腹腔镜手术的患者的疗效和影响.
主要方法:
- 一项随机对照试验,涉及120名急性尾炎患者进行腹腔镜尾切除.
- 患者被分配到ERAS协议组 (n=63) 或传统护理组 (n=57).
- 测量的主要结果包括耗尽的时间,住院时间,医疗费用和疼痛得分.
主要成果:
- 两组之间没有发现显著的人口或临床差异 (年龄,BMI,尾炎等级).
- ERAS组在统计学上表现出显著的改善:更早的排气时间,更短的住院时间,更低的成本和更低的疼痛分数 (P < 0.01).
结论:
- 在急性尾炎的腹腔镜尾切除术后,ERAS协议显著增强了恢复.
- 实施ERAS导致住院时间缩短,医疗保健成本降低.
- 证实ERAS是治疗急性尾炎的安全有效策略.
相关概念视频
01:29Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
80
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
80