胃切除术后立即与早期尿道导管切除在手术后增强恢复协议下:随机临床试验
Chen Wei1, Gang Wang2, Hai-Feng Wang2
1Department of Colorectal Surgery, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
BJS open
|August 19, 2025
概括
胃切除术后立即取出尿管是可行的,并且在手术后增强恢复 (ERAS) 协议中是安全的. 这种方法可以提高患者的舒适度,而不会增加尿率,从而改善术后护理.
科学领域:
- 手术瘤学手术瘤学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 麻醉学 麻醉学
背景情况:
- 手术后增强恢复 (ERAS) 协议在胃切除术中未得到充分利用,特别是在尿导管管理方面.
- 这项研究解决了胃切除术患者缺乏遵守ERAS指南的问题.
研究的目的:
- 评估激进胃切除术后立即取出尿管 (IR) 的可行性.
- 为了比较IR与尿路导管的早期切除 (ER) 在术后尿和患者舒适性方面.
主要方法:
- 一个非劣势随机临床试验,涉及接受激进胃切除术的患者.
- 患者被随机分为1:1分别立即移除 (IR) 或提前移除 (ER) 尿导管.
- 主要结局是术后尿,次要结局包括患者舒适,焦虑和抑郁.
主要成果:
- 术后尿的发生率在IR (4.4%) 和ER (3.4%) 组之间是相似的.
- 与ER组相比,IR组的患者舒适度显著更高 (P = 0.041).
结论:
- 在根据ERAS协议管理的胃切除术患者中,立即切除尿管是可行的和安全的.
- 这种做法不会增加术后尿的风险,并提高患者的舒适度.
- 顺利实施IR可能取决于多模式止痛和目标导向的流体治疗.
关键词:
保持尿液的方法是保持尿液.相关概念视频
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