对顶改造程序进行手术后增强恢复协议的实施
Clarice A Swift1, Colton J Fernstrum2, Haven M Howell1
1School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
概括
实施术后增强恢复 (ERAS) 协议,减少麻醉剂的使用和重症监护室 (ICU) 停留时间 (LOS),改善患者的治疗结果.
科学领域:
- 神经外科 神经外科
- 儿科手术 儿科手术
- 外科手术的结果
背景情况:
- 手术后增强恢复 (ERAS) 协议在各种外科领域越来越多地被采用.
- 顶重塑用于鼻是复杂的程序,正在探索ERAS的实施.
- 这项研究重点关注ERAS协议在一家大型医院的骨突手术中的应用.
研究的目的:
- 评估ERAS协议对接受骨改造治疗的患者的影响.
- 评估关键术后结果的变化,如重症监护室停留时间和麻醉剂的使用.
- 确定ERAS在这个特定的儿科手术群体中的可行性和好处.
主要方法:
- 在10年的时间里,对168名患者进行了回顾性分析,这些患者在10年的时间里接受了骨改造,以进行骨突.
- 收集的数据包括患者的人口统计数据,骨突症细节和手术信息.
- 主要结局指标是重症监护室停留时间 (ICU LOS) 和总麻醉剂使用量,分析使用奇平方和独立的t测试.
主要成果:
- ERAS协议与最初的24小时和总吗啡等效使用量 (p <0.01) 的统计学显著下降有关.
- 根据ERAS协议管理的患者表现出显著更短的ICU LOS (p < 0.01).
- 没有观察到在住院总长度的显著变化.
结论:
- 实施ERAS协议用于骨重塑在骨缩症患者的重建,产生显著的好处.
- 该协议有效地减少了手术后的麻醉剂需求,并缩短了重症监护室的停留时间.
- 这些发现表明,ERAS协议可以优化患者的康复,并可能提高医院的报销和临床结果.
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