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在手术后的护理在hypospadias. 常见做法和现有的证据
S Fuentes Carretero1, C Grande Moreillo2, N Vicente Sánchez3
1Pediatric Surgery Unit. Hospital Universitari Mútua de Terrassa. Terrassa (Barcelona).
概括
儿科外科医生通常使用探针和双尿布用于hypospadias手术术术后护理. 然而,在抗生素使用和早出院方面,实践各不相同,有证据支持有限的抗生素和早期的患者释放.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 术后护理在低血压手术中提供了许多选择.
- 对儿科外科医生来说,评估当前的实践和现有证据至关重要.
研究的目的:
- 为了评估目前的手术后护理景观,为hypospadias手术.
- 审查现有证据,用于小儿外科医生执行此程序.
主要方法:
- 对小儿外科医生分发了一份关于hypospadias手术后护理的调查.
- 对该主题发表的证据进行了审查.
主要成果:
- 46名外科医生做出了回应;100%使用探头/支架,87.8%使用双尿布.
- 大多数在5-7天后取出探头;65.2%允许提前放电.
- 抗生素预防有所不同,60.9%使用它与探针,34.8%使用全剂量治疗.
结论:
- 在尿路整形指导和压缩方面存在共识.
- 在抗生素使用和早期出院协议中发现的差异.
- 证据表明探针,双尿布,早出院和有限的抗生素;个体患者的经验可以指导选择.
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