应用增强恢复原则应急腹腔切除术透腹部创伤:一个案例匹配研究
Mariana Kumaira Fonseca1,2, Laís Borges Rizental3, Carlos Eduardo Bastian da Cunha3,4
1Hospital de Pronto Socorro de Porto Alegre, Porto Alegre, Brazil. marianakumaira@gmail.com.
概括
在外科手术程序 (ERP) 后增强恢复可以安全地应用于创伤腹腔切除术患者. 这项研究发现,ERP显著减少了住院时间和阿片类药物使用,而不会增加并发症.
科学领域:
- 创伤外科 手术 创伤外科
- 外科手术的结果
- 在外科手术期间的护理.
背景情况:
- 手术后增强恢复计划 (ERP) 改善了跨专业的手术结果.
- 在创伤外科手术中ERP的适用性尚未确立.
研究的目的:
- 为创伤性腹腔切除术患者设计和实施ERP.
- 评估这个ERP的安全性,可行性和有效性.
- 将ERP结果与传统创伤护理进行比较.
主要方法:
- 一项案例匹配研究比较了36名创伤腹腔切除术患者在新的ERP与36名历史对照.
- 患者根据人口统计,受伤类型和严重程度进行了匹配.
- 结果包括停留时间,并发症和功能恢复,通过回归分析.
主要成果:
- 在ERP组中,住院时间 (LOS) 减少了39%.
- 两组之间没有观察到术后并发症的显著差异.
- ERP患者显著减少了阿片类药物消费,并更早地恢复了口服和排水.
结论:
- 对于穿透腹部创伤的标准化ERP是安全有效的.
- 在被选定的创伤患者中,ERP可以显著降低LOS并改善功能恢复.
- 这些发现支持将ERP原则纳入创伤外科手术协议.
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