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在急性腹腔切除术后的患者中,手术后改善恢复与传统护理:前性队列研究
Kirollos Samir F Messiha1, Tarek M Sehsah1, Osama H Abd-Raboh1
1Department of General Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.
World journal of surgery
|August 20, 2025
概括
手术后增强恢复 (ERAS) 协议显著改善了紧急腹腔切除术 (EL) 患者的结果. 埃拉斯减少了住院和并发症,在这个关键的手术环境中被证明是安全有效的.
科学领域:
- 外科手术 手术手术
- 胃肠病学 胃肠病学
- 关键护理医学 关键护理医学
背景情况:
- 手术后增强恢复 (ERAS) 协议在紧急情况下未得到充分利用,例如紧急腹腔切除术 (EL).
- 紧急腹腔切除术与显著的发病率和死亡率有关.
- 这项研究评估了EL患者的ERAS协议.
研究的目的:
- 评估ERAS协议在紧急腹腔切除术中的可行性和安全性.
- 为了比较ERAS协议与传统EL护理的临床性能.
- 确定ERAS对患者康复和EL治疗结果的影响.
主要方法:
- 一项前性队列研究,涉及72名接受紧急腹腔切除术的患者.
- 患者被分为两个组:ERAS (I组) 和标准护理 (II组),每组36名患者.
- 在一个GIT单位根据ERAS协议管理的患者与另一个GIT单位的传统护理进行了比较.
主要成果:
- ERAS组的恢复速度更快,包括更早的排便,恢复液体和开始饮食 (p < 0.001).
- 在ERAS患者中,疼痛明显减少 (3.14对4.0,p=0.012) 和住院时间缩短 (4.64对8.96天,p<0.001).
- 在ERAS组 (p=0.035) 观察到术后麻性内脏病的显著减少,死亡率,再入院率或再手术率没有显著差异.
结论:
- 对于紧急腹腔切除术患者来说,ERAS协议是可行的,也是安全的.
- 埃拉斯显著减少住院和术后并发症.
- ERAS协议为紧急腹腔切除提供了实质性的临床益处,增强了患者的康复.
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