整形外科手术后增强恢复 (ERAS) 协议可降低术后恶心的发生率
Gerardo A Alvarez1, Kelsey J Hebert1, Michael C Britt2
1Harvard School of Dental Medicine.
The Journal of craniofacial surgery
|April 24, 2024
概括
手术后增强恢复 (ERAS) 协议显著降低了经过整形手术的患者的手术后恶心. 与标准护理相比,实施ERAS导致恶心病例减少.
科学领域:
- 外科手术的结果
- 麻醉学 麻醉学
- 患者的恢复 患者的恢复
背景情况:
- 建立了手术后增强恢复 (ERAS) 协议,以改善患者在各种手术过程中的结果.
- 手术后恶心和吐 (PONV) 仍然是一个重大问题,特别是在复杂的手术后,如正经手术.
- 埃拉斯对术后恶心的影响,特别是经过骨架手术后的恶心,需要进一步评估.
研究的目的:
- 评估ERAS协议在减轻骨干手术后术后恶心方面的有效性.
- 为了比较手术后恶心的发病率与没有ERAS协议管理的患者之间.
主要方法:
- 进行了一项回顾性队列研究,涉及128名接受了整形手术的患者 (12-35岁).
- 患者被分为两组:在机构ERAS协议中注册的患者和未注册的患者.
- 使用统计方法分析了手术内和手术后的数据,包括t测试,奇方位分析和多变量逻辑回归,以确定恶心的预测因素.
主要成果:
- 与非ERAS组 (68名患者) 相比,ERAS组 (60名患者) 接受的手术内液体显著减少 (937.0±462.3毫升 vs 1583.6±847.6毫升,P ≤0.001).
- 术后恶心在ERAS组 (38.3%) 与非ERAS组 (63.2%) 相比显著降低 (P = 0.005).
- ERAS协议状态是手术后恶心减少的重要预测因素,而双边骨骨折和更长的住院时间与恶心增加有关.
结论:
- 实施ERAS协议是有效的,在减少术后恶心的发生率,经过正体手术.
- 埃拉斯 (ERAS) 协议代表了一种有价值的策略,可以改善患者的康复和在整形外科手术中管理副作用.
- 进一步的研究可能会探索ERAS协议的特定组件,以最有效地减少这种患者群体中恶心.
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