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定量早期活动计划对胃肠功能在 laparoscopic 胰腺管切除术后的影响:单中心回顾性分析
Ling Zhang1,2, Fan Zhang1,2, Chen-Jie Xiao1,2
1Departments of Nursing Administration, Fudan University Shanghai Cancer Center.
Surgical laparoscopy, endoscopy & percutaneous techniques
|February 3, 2025
概括
添加到手术后增强恢复 (ERAS) 协议的定量早期活动计划,显著改善了腹腔镜胰腺二管切除术 (LPD) 后的胃肠功能恢复. 这种增强的ERAS方法可以提高患者的活动,减少疼痛,帮助更快地恢复.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 增强手术后康复 - 手术协议后增强康复
背景情况:
- 腹腔镜胰腺二切除术 (LPD) 是一项复杂的手术,具有重大的术后康复挑战.
- 手术后增强恢复 (ERAS) 协议旨在优化患者的治疗结果并缩短恢复时间.
- 早期患者动员和活动是ERAS的关键组成部分,但坚持可以变化.
研究的目的:
- 评估ERAS中集成的定量早期活动计划对LPD后胃肠功能的影响.
- 评估这种增强的ERAS协议是否改善了关键的康复指标和患者的坚持.
主要方法:
- 对接受LPD的203名患者进行了回顾性分析.
- 患者被分为两组:标准ERAS (A组) 和ERAS带有定量早期活动计划 (B组).
- 术后结果包括肠道声音恢复,第一次门排气,动员时间,活动遵守和疼痛发生率进行了比较.
主要成果:
- 与A组相比,B组在肠道声音恢复时间,第一次门排气时间和第一次动员时间方面表现出统计学上显著的改善 (P <0.05).
- 手术后一周的活动遵守和突破性疼痛的发生率在B组明显较低.
- 两组之间在术后并发症发生率或住院时间长度方面没有发现显著差异.
结论:
- 将定量早期活动计划集成到ERAS协议中,可以显著提高LPD患者的术后胃肠功能恢复.
- 这种方法可以改善患者遵守活动指南,并减少突破性疼痛.
- 改进的ERAS协议显示,它有望在临床采用中改善LPD患者的治疗结果.
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