基于ERAS的多学科护理模式对接受口腔癌彻底切除术的患者手术后恢复的影响
1Oral and Maxillofacial Head and Neck Oncology Surgery Ward II, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University (Nanjing Stomatological Hospital), Nanjing 210008, Jiangsu, China.
Journal of stomatology, oral and maxillofacial surgery
|November 9, 2025
概括
手术后多学科增强恢复 (ERAS) 护理模式显著加快了口腔癌患者的恢复速度. 这种方法可以减少住院,并发症和疼痛,同时改善生活质量.
科学领域:
- 在瘤学瘤学.
- 手术护理 医疗护理
- 患者的恢复 患者的恢复
背景情况:
- 口腔癌切除通常涉及复杂的手术,具有重大的术后恢复挑战.
- 优化患者的康复和减少并发症是口腔癌护理的关键目标.
研究的目的:
- 评估基于手术后多学科增强恢复 (ERAS) 护理模型的有效性.
- 评估ERAS模型对经过彻底切除口腔癌的患者术后恢复的影响.
主要方法:
- 一项随机对照试验,涉及288名接受激进口腔癌切除术的患者.
- 基于ERAS的护理组与对照组之间的比较.
- 评估结果,包括第一次养的时间,住院时间,并发症,疼痛,炎症性细胞因子和生活质量.
主要成果:
- ERAS小组显示,第一次食的时间和住院时间显著缩短.
- 埃拉斯显著降低了疼痛评分,白素-6和瘤缩因子α水平.
- 在ERAS组中,感染和消化不良的并发症率显著降低,生活质量得分也有所改善.
结论:
- 基于ERAS的多学科护理模式有效地加速了口腔癌手术后的康复.
- ERAS模型显著减少并发症,提高患者的生活质量.
- 老年人,营养不良和早期口腔癌患者从ERAS方法中获得了最大的好处.
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