减肥手术后增强恢复的逐步实施的有效性:我们的经验
S Nigro1, A Gioffrè1, S Ursino1
1General Surgery and Surgical Oncology Unit, Department of Human Pathology 'Gaetano Barresi', University of Messina, Messina, Italy.
Updates in surgery
|June 27, 2025
概括
减肥手术后增强恢复 (ERABS) 显著减少住院时间,疼痛和恶心. 逐步实施 ERABS 协议导致了逐步改善的结果,而不会增加并发症或再录取.
科学领域:
- 腹部外科 腹部外科
- 外科手术的结果
- 增强的恢复协议 恢复协议
背景情况:
- 腹腔外科手术是肥胖管理的一个常见程序.
- 优化术后恢复对于患者的治疗结果至关重要.
- 传统的外科护理途径可能对低体重患者来说不够.
研究的目的:
- 评估减肥手术后增强恢复 (ERABS) 协议对关键术后结果的影响.
- 评估ERABS逐步实施对住院时间,疼痛,恶心,吐,并发症和再入院的影响.
- 为了比较接受ERABS和传统护理方法的患者之间的结果.
主要方法:
- 一项观察性,受控的前性研究,涉及367名接受袖子胃切除术的患者.
- 患者被分为对照组 (传统护理) 和两个ERABS组,并逐步实施协议 (12项,然后14项).
- 收集的数据包括住院时间,术后疼痛,恶心和吐,坚持,并发症和再入院率.
主要成果:
- ERABS协议显著减少了住院时间的中位数,从4.5天 (对照组) 减少到3.8天 (ERABS第一步) 和2.3天 (ERABS第二步).
- 手术后疼痛呈现下降趋势 (35.7%至25%),手术后恶心和吐 (PONV) 率在ERABS组明显较低.
- 随着逐步实施,ERABS协议的遵守率从67%提高到80%;在30天并发症或再接收率上没有发现显著差异.
结论:
- ERABS协议有效地改善了腹部手术后的停留时间,术后疼痛和PONV.
- 逐步实施 ERABS 显示出越来越好的结果.
- 可以安全地实施ERABS,而不会增加术后并发症或再入院率.
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