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在胸腔手术中开发静脉血栓栓塞预防和疼痛药物治疗途径 加强手术后恢复程序
Bin Zhang1, Jing Li1, Jialin Sun1
1Department of Pharmacy, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
在胸腔外科手术中实施药物治疗途径,加强手术后恢复 (ERAS) 计划显著改善了静脉血栓塞栓症 (VTE) 预防和疼痛管理,同时降低了成本和停留时间.
科学领域:
- 药理学 药理学是指药理学的学科.
- 手术护理 手术护理
- 提高质量 提高质量
背景情况:
- 临床药剂师在优化患者护理方面发挥着至关重要的作用.
- 手术后增强恢复 (ERAS) 计划旨在改善外科手术的结果.
- 药物管理是ERAS协议的一个关键组成部分.
研究的目的:
- 评估临床药剂师领导的质量改进项目的影响.
- 为了将药物治疗途径纳入胸部手术ERAS计划.
- 评估该途径对静脉瘤预防和疼痛管理的影响.
主要方法:
- 进行了一项回顾性队列研究.
- 为胸部手术ERAS开发了一条VTE预防和止痛药的途径.
- 收集了有关静脉瘤事件,疼痛,不良事件,成本和停留时间的数据,并比较了干预前后的情况.
主要成果:
- 在干预后,VTE风险评估超过95%,VTE病例减少.
- 疼痛缓解显著改善,恶心/吐发生率下降.
- 人均药物费用,住院时间和住院总费用均降低.
结论:
- 药物治疗途径在改善胸部手术中静脉瘤预防和疼痛管理方面是有效的.
- 该途径可以成功地集成到ERAS计划中.
- 建议使用最新数据进行进一步的研究.
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