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在儿科结肠静脉关闭中实施ERAS协议:一项随机临床试验

Fatemeh Shahrahmani¹, Mahdi Parvizi Mashhadi², Alireza Khadembashi¹

¹Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Pediatric surgery international

|May 30, 2025

概括

手术后增强恢复 (ERAS) 协议显著缩短了住院时间,并减少了儿科结肠直肠切除关闭时的麻醉剂使用. 埃拉斯是安全有效的,没有增加并发症或再录取.

科学领域:

儿科手术儿科手术
结肠直肠手术结肠直肠手术
手术后增强恢复 (ERAS) 协议

背景情况:

手术后增强恢复 (ERAS) 是一种多模式的方法,以最大限度地减少手术压力并优化患者的康复.
它在儿科结直肠外科手术中的应用,特别是用于结直肠关闭,需要进一步评估.

研究的目的:

评估ERAS协议对接受结肠静脉关闭的儿科患者的影响.
评估ERAS对住院时间,口服饮食恢复,麻醉剂消费和并发症率的影响.

主要方法:

一项前性随机临床试验,涉及77名接受结肠口关闭的儿科患者.
患者被随机分配到ERAS组 (ERASG) 或对照组 (CG).
该ERAS协议涵盖了手术前,手术内和手术后的干预.

主要成果:

ERAS组的住院时间显著缩短 (3.30天与6.43天相比;p=0.002).
实施ERAS导致恢复正常饮食和平均药物使用的时间大幅缩短.
两组之间没有发现术后并发症或一个月再入院率的显著差异.

结论:

对于儿科大肠关闭,ERAS协议是可行的,也是安全的.
埃拉斯显著改善了康复结果,包括减少逗留时间和麻醉品消费.
这些发现支持在儿童结直肠外科手术中更广泛地实施ERAS.

关键词:

结肠直肠切除术 (colostomy) 是一个大肠直肠切除术.埃拉斯 (Eras) 是一个国际组织.胃肠道手术胃肠道手术在医院住院的时间.儿科外科手术儿科外科手术

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