视频辅助胸腔镜肺切除与或没有手术后增强的恢复:一个机构,前性随机受控研究研究
Yi Ding1, Leiming Zhou2, Lei Shan1
1Department of Thoracic Surgery, The Second Hospital of Shandong University, Jinan, China.
Frontiers in oncology
|November 25, 2024
概括
手术后增强恢复 (ERAS) 协议显著减少了通过视频辅助胸腔镜手术 (VATS) 进行肺切除的患者的手术后肺部并发症和住院时间. 这种方法可以改善患者的治疗结果和康复.
科学领域:
- 胸部外科手术 胸部外科手术
- 外科手术的结果
- 增强的恢复协议 恢复协议
背景情况:
- 视频辅助胸腔镜手术 (VATS) 是肺切除的一种微创方法.
- 优化术后恢复对于患者的福祉和减少医疗保健负担至关重要.
研究的目的:
- 为了评估肺切除术后的短期术后结果,使用VATS与手术后增强恢复 (ERAS) 协议.
- 为了比较ERAS和常规护理组之间的术后肺部并发症 (PPC) 的发生率.
主要方法:
- 一项前性随机受控研究,涉及611名接受VATS进行肺切除的患者.
- 患者被分配到ERAS协议组或常规护理组.
- 主要结果指标包括PPC和短期复苏指标.
主要成果:
- 与常规组相比,ERAS组的排水时间 (2.0 vs. 5.0天) 和住院时间 (3.0 vs. 7.0天) 显著缩短.
- 在ERAS组中,PPC的发生率明显较低 (11.5%对22.9%).
- 在ERAS小组中观察到早些时候的口服养和动员.
结论:
- 在接受VATS肺切除的患者中,ERAS协议显然降低了PPC并增强了生物恢复.
- 建议采用个性化的ERAS协议,以满足各种患者需求和机构设置.
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