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实施增强恢复协议以改善创伤腹腔切除术结果:单中心试点研究

Hayaki Uchino¹, William Davalan², Kosar Khwaja³

¹Division of Surgical and Interventional Sciences, McGill University, 1650 Cedar Avenue, A7-117, Montreal, QC, H3G 1A4, Canada; Division of General Surgery, McGill University, 1650 Cedar Avenue, L9.309, Montreal, QC, H3G 1A4, Canada.

|March 9, 2025

概括

增强恢复协议 (ERP) 在创伤护理方面表现有前途. 实施创伤腹腔切除治疗途径 (TLCP) 减少了创伤腹腔切除患者的住院时间,而不会增加并发症.

科学领域:

创伤外科手术创伤外科
手术重症监护手术重症监护
增强的恢复协议恢复协议

背景情况:

增强恢复协议 (ERP) 优化术后恢复,是选择性手术的标准.
在紧急一般外科手术中ERP的应用正在增长,但在创伤性腹腔切除术中有限.
这项研究开发并评估了创伤性腹腔切除术患者的ERP.

研究的目的:

为创伤腹腔切除术开发一个量身定制的增强恢复协议.
评估该方案对患者治疗结果的影响.
在现实临床环境中评估可行性和安全性.

主要方法:

一个多学科的团队创建了创伤拉皮切除术护理路径 (TLCP).
一个单一中心的试点研究将TLCP患者与历史队列进行了比较.
分析了对关键术后组件的遵守以及患者的治疗结果.

主要成果:

在TLCP组 (31名患者) 的住院时间显著缩短 (4.0 vs 6.0天,p=0.002).
遵守TLCP组件的比例在54.5%至67.7%之间.
两组之间没有观察到并发症或30天再入院的显著差异.

结论:

创伤腹腔切除术护理途径 (TLCP) 的实施减少了创伤腹腔切除术患者住院时间.
该方案似乎是安全的,并没有增加并发症或再入院.
对于某些创伤性腹腔切除术患者来说,ERP可能是有益的,需要进一步调查.

关键词:

腹部创伤腹部创伤在手术后改善恢复.增强的恢复协议恢复协议.住院时间住院时间创伤拉皮切除术护理途径创伤性腹腔切除术是一种创伤性腹腔切除术.

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