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在手术后实施一种针对炎症性肠病的增强恢复方案:一项观察性队列研究
V Lin1, J K Poulsen2, A F Juvik2
1Center for Surgical Science, Zealand University Hospital Koge, Lykkebækvej 1, 4600, Køge, Denmark. vial@regionsjaelland.dk.
Techniques in coloproctology
|May 25, 2024
概括
在炎症性肠病 (IBD) 手术中,手术后增强恢复 (ERAS) 协议加速了患者的康复. 然而,ERAS并没有显著影响IBD患者的严重并发症或再入院率.
科学领域:
- 外科手术的结果
- 炎症性肠病 (IBD) 研究研究
- 手术后增强恢复 (ERAS) 协议
背景情况:
- 手术后增强恢复 (ERAS) 协议改善了结直肠癌手术的结果.
- 关于ERAS协议在炎症性肠病 (IBD) 手术中的可行性和影响的证据有限.
研究的目的:
- 评估IBD特定的ERAS协议对术后结果的影响.
- 为了比较严重并发症率,停留时间和再入院时间,在IBD手术中实施ERAS之前和之后.
主要方法:
- 追溯观察队列研究,比较患者的发展轨迹.
- 包括在2017年至2023年期间接受IBD手术的394名患者.
- 对Clavien-Dindo等级≥3并发症,术后停留时间和再入院率的评估.
主要成果:
- 在严重的术后并发症中没有显著差异 (15.6%的ERAS与18.8%的非ERAS;p=0.420).
- 在ERAS队列中,术后停留时间显著缩短 (中位数为4天而不是6天;p<0.001).
- 在ERAS和非ERAS队伍之间,再接收率相似 (22.4%对16.0%;p=0.125).
结论:
- 在IBD手术中实施ERAS与更快的患者康复有关.
- 在IBD手术中,ERAS协议没有显著降低严重的术后并发症或再入院率.
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