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在膀癌的激进囊切除术后,关于胃肠功能恢复的最佳证据摘要
Yumei Dai1,2, Xiaoju Zhang1,2, Qianwen Lin1,2
1Department of Nursing, Fudan University Shanghai Cancer Center, Shanghai 200032, China.
Asia-Pacific journal of oncology nursing
|January 16, 2026
概括
这项研究总结了在膀癌激进囊切除术后胃肠功能恢复的证据. 它将手术后增强恢复与传统中医相结合,以改善患者的治疗结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 基于证据的医学基于证据的医学.
背景情况:
- 激进囊切除术是治疗膀癌的一项重大手术.
- 胃肠功能恢复是手术后患者护理的一个关键方面.
- 优化康复途径可以显著影响患者的结果和生活质量.
研究的目的:
- 系统地审查和综合有关为膀癌进行激进囊切除术的患者胃肠功能恢复的最佳现有证据.
- 确定基于证据的建议,以加强胃肠道的恢复.
- 将现代手术恢复概念与补充医学方法相结合.
主要方法:
- 使用基于证据的医疗保健金字塔5.0框架进行了系统的文献搜索.
- 在数据库,专业协会网站和临床决策支持工具中搜索到到2025年3月31日的相关文献.
- 两个独立的审稿人评估了研究质量,并从包含的文章中提取了证据.
主要成果:
- 包括九篇高质量的文章:四个临床指南和五个专家共识.
- 在手术前,手术内和手术后阶段,共确定了与胃肠道恢复相关的18项证据.
- 建议将手术后增强恢复 (ERAS) 概念与传统中医 (TCM) 技术相结合.
结论:
- 确定了18个基于证据的建议,以改善激进囊切除术后的胃肠道恢复.
- ERAS和TCM的整合提供了一种新的方法来提高护理和患者的结果.
- 需要进一步的研究来验证这些综合战略的实施和有效性.
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