对于先天性十二指管阻塞的增强恢复协议 - 开发和实施的初步经验
Henrik Røkkum1,2, Martin Alavi Treider3,4, Wenche Bakken Børke5
1Department of Pediatric Surgery, Oslo University Hospital, Nydalen, P. O. Box 4950, N-0424, Oslo, Norway. henrik.rokkum@ous-hf.no.
Pediatric surgery international
|December 27, 2024
概括
新生儿先天性十二指肠阻塞 (CDO) 手术的增强恢复协议 (ERP) 是一种新鲜事物. 为CDO实施ERP减少了食时间,增加了无并发症的微创手术使用.
科学领域:
- 新生儿手术 新生儿手术
- 外科手术的协议.
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 在新生儿肠道手术中,对手术后增强恢复 (ERAS) 协议的经验有限.
- 先天性十二指管阻塞 (CDO) 是一种需要新生儿手术干预的疾病.
- 新生儿CDO的标准化外科手术周护理途径尚未得到充分确立.
研究的目的:
- 为患有CDO的新生儿开发和实施专门的增强恢复协议 (ERP).
- 描述ERP在这个特定人群中开发和实施的过程.
- 评估CDO-ERP实施后的早期临床结果.
主要方法:
- 一个多学科的团队开发并实施了一个针对CDO量身定制的ERP.
- 在ERP设计过程中,利益相关者的参与至关重要.
- 在 (2015-2020年) 之前和 (2022-2024年) 实施ERP后治疗的新生儿的临床结果进行了比较.
主要成果:
- 成功实施,在实施后的21名患者中实现了80%的ERP合规性.
- 与ERP前的40名患者相比,实施后的组显示微创手术使用率增加.
- 术后第一个肠道和母乳养的时间显著减少,并没有增加并发症.
结论:
- 专门设计用于先天十二指管阻塞的ERP在新生儿中是可行的和安全的.
- 该研究提供了关于开发和实施此类协议的独特描述.
- 早期的结果表明,新生儿CDO的恢复和手术方法可能有好处.
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