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手术和肠道阻塞后改善恢复:一个范围审查
Marie Sin Ae Buhl1,2, Claudia Jaensch1,2,3, Anders Husted Madsen1,2
1Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
World journal of surgery
|August 12, 2024
概括
手术后增强恢复 (ERAS) 途径改善了急性肠道阻塞患者的治疗结果. 这次审查发现,大多数研究使用了多式联络止痛,但需要对ERAS紧急腹腔切除指南进行更多研究.
科学领域:
- 手术护理 手术护理
- 胃肠病学 胃肠病学
- 在外科手术期间的药物.
背景情况:
- 急性肠道阻塞是一种危及生命的医疗紧急情况.
- 手术后增强恢复 (ERAS) 途径对于接受紧急腹部手术的患者的管理至关重要.
- 埃拉斯协议旨在加快恢复和改善结果.
研究的目的:
- 确定和综合有关ERAS实施急性肠道阻塞手术的证据.
- 专注于ERAS途径的术后组成部分.
- 评估目前在这个患者群体中使用ERAS干预措施的情况.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 在PubMed-Medline和Embase数据库中进行了搜索.
- 从1860个已识别的记录中,包括了16项定量研究.
主要成果:
- 11项研究 (69%) 使用了10个或更多的ERAS干预措施.
- 多式系统性镇痛是最常见的干预措施.
- 血糖管理和查工具是最不常见的.
结论:
- 56%的研究使用了10个以上的ERAS干预措施,这表明采用率不同.
- 需要对紧急腹腔切除术的ERAS指南进行进一步的研究.
- 优化ERAS协议可以提高手术患者的康复.
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