在ERAS®实施前和之后接受选择性结肠直肠手术的患者早期术后恢复的比较 - - 一个单一中心的三臂队列研究
Katharina Knab1, Leon Aurnhammer1, Sylvia Büttner2
1Department of Surgery, Medical Faculty Mannheim, University Medical Center Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, D-68167, Mannheim, Germany.
International journal of colorectal disease
|December 2, 2024
概括
手术后增强恢复 (ERAS®) 协议显著改善了结直肠手术后患者的康复. 实施ERAS®导致了更早的排便,增加了食物摄入量,减少了阿片类药物使用,证明了患者的良好结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术恢复协议 手术恢复协议
背景情况:
- 手术后增强恢复 (ERAS®) 协议旨在优化患者的康复.
- 评估ERAS®对结直肠外科手术结果的影响对于临床实践至关重要.
研究的目的:
- 评估ERAS®协议在选择性结直肠手术后患者康复方面的有效性.
- 用PostopQRSTM工具分析患者的康复情况.
主要方法:
- 一个单一中心的研究比较了三个队列:两个追溯 (ERAS®前后) 和一个前性 (ERAS®后与PostopQRSTM).
- 在2020年6月至2022年2月期间,包括153名患者.
- 在德国临床试验登记册 (DRKS00026903) 进行前性注册.
主要成果:
- 实施ERAS®显著改善了肠道功能,口服食物摄入量,减少了阿片类药物使用和术后恶心和吐 (PONV).
- 在ERAS®后的队列中,98%的患者通过排泄实现了肠道运动或口腔的输出,而在ERAS®前的66% (p < 0.001).
- 术后第一天 (POD1) 固体食物摄入量较高,在ERAS®后队列中,阿片类药物使用量较低.
结论:
- 结肠直肠ERAS®的实施可以改善早期的流动性和早期的肠道排便.
- 增强的恢复协议减少了对阿片类药物的需求,并增加了POD1.1的固体食物摄入量.
- 在结直肠手术后,ERAS®协议与患者的良好康复有关.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
49
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
49
01:26Endoscopic Procedures V: ERCP
83
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
83
01:25Endoscopic Procedures II: Colonoscopy
56
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
56