裂口口腔手术后增强康复:在外展环境中制定和实施协议
Roland K Assaf1, Robert Younan1, Mario Haddad1
1Global Smile Foundation, Norwood, MA, USA.
概括
一个经过修改的手术后增强恢复 (ERAS) 协议有效地减少了外展环境中的儿科口腔裂变 (CP) 患者的并发症和住院时间. 这种方法也减少了阿片类药物的使用,同时确保了足够的疼痛控制和促进更快的恢复.
科学领域:
- 儿科手术 儿科手术
- 麻醉学 麻醉学
- 公共卫生 公共卫生
背景情况:
- palatal cleft (CP) 修复是一种常见的儿科手术程序.
- 手术后增强恢复 (ERAS) 协议优化了患者的治疗结果,并减少了住院时间.
- 资源有限的环境对实施外科康复方案提出了独特的挑战.
研究的目的:
- 描述和证明一个修改后的ERAS协议对儿科口腔裂变 (CP) 患者的有效性.
- 评估这种修改后的ERAS协议在外展医疗计划中的可重复性.
- 评估关键结果,包括并发症率,疼痛管理和出院时间.
主要方法:
- 一项前性队列研究,涉及接受CP修复的儿科患者.
- 在资源有限的外展环境中实施修改后的ERAS协议.
- 收集有关并发症率,术后疼痛管理策略和出院时间表的数据.
主要成果:
- 在三个外展计划中分析了52个CP维修.
- 报告说,整体并发症率较低,为5.8%.
- 在52名患者中,51名患者在术后第一天出院,有效的疼痛管理和最小的阿片类药物需求.
结论:
- 修改后的ERAS协议对于外展环境中的CP手术是可行的和有效的.
- 该协议导致手术后并发症减少,住院时间缩短,阿片类药物消费减少.
- 这种方法通过保持足够的疼痛控制和促进早期肠道养,成功增强了患者的康复.
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