在计划的剖腹产分娩后,失败的增强恢复的风险因素
Marquet Manon1, Aurélia Hili2, Hélène Heckenroth3
1Department of Gynecology and Obstetrics, AP-HM, Assistance Publique-Hôpitaux de Marseille, Marseille, France; EA 3279, CEReSS, Health Service Research and Quality of Life Center, Aix-Marseille University, Marseille, France.
Journal of gynecology obstetrics and human reproduction
|April 13, 2025
概括
手术后增强恢复 (ERAS) 协议的失败在计划式剖腹产中很罕见. 没有确定任何特定的风险因素,支持其广泛应用以改善患者的治疗结果.
科学领域:
- 产科和妇科 产科和妇科
- 手术患者护理手术患者护理
背景情况:
- 手术后增强恢复 (ERAS) 协议越来越多地用于计划的剖腹产.
- 在这种情况下,ERAS协议失败的风险因素尚未得到充分确定.
研究的目的:
- 为了确定与计划剖腹产中ERAS协议失败相关的术前孕产妇和产科因素.
主要方法:
- 一项回顾性队列研究包括147名根据ERAS协议接受计划剖腹产的妇女.
- 协议的失败被定义为住院>5天,尿液保留,胃肠道阻塞,ICU入院或重新干预.
- 分析了母亲的特征,病史和怀孕结果.
主要成果:
- 在7.5%的病例中发生了ERAS协议失败,主要是由于长时间住院或尿液保留.
- 肥胖,先前的腹部手术和多次剖腹产并没有与失败率的增加有关.
结论:
- 在计划的剖腹产中,ERAS协议的失败并不常见.
- 没有特定的术前风险因素被确定,支持该协议的广泛适用性.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
35
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...
35
01:29Appendicitis-II: Diagnostic Studies and Management
53
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
53