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Updated: Feb 6, 2026

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在小儿外科手术中增强手术后恢复协议:对当前证据的叙述性审查
1Department of Surgery, Fundación Universitaria Sanitas, Bogotá, COL.
Cureus
|February 5, 2026
概括
儿科手术中增强后恢复 (ERAS) 协议缩短了住院时间,改善了疼痛控制. 在所有儿科外科子专业中,对特定年龄的ERAS途径需要进一步的研究.
科学领域:
- 儿科手术 儿科手术
- 在外科手术后的护理.
- 基于证据的医学基于证据的医学.
背景情况:
- 在成年人手术中建立了手术后增强恢复 (ERAS) 协议.
- 由于生理变化和证据有限,儿科ERAS的采用速度较慢.
- 通过标准化术后管理,ERAS优化了外科护理.
研究的目的:
- 审查和评估关于ERAS在儿科手术中的实施现有证据.
- 确定儿科ERAS的核心原则,成果和挑战.
- 概述ERAS在儿科外科护理中的未来方向.
主要方法:
- 使用PubMed和Scopus数据库进行叙事文献审查.
- 搜索了2010-2025年关于ERAS,儿科手术和术后护理的文章.
- 包括原始研究,评论和指导方针;不包括仅适用于成人的研究和非全文文章.
主要成果:
- 儿科ERAS与更短的住院时间和更好的疼痛管理有关.
- 埃拉斯促进了较早的口服摄入和调动,使患者满意度高.
- 结直肠,腹部和泌尿外科小儿手术的证据最强.
结论:
- 在特定的儿科手术中,ERAS协议是安全有效的.
- 挑战包括协议标准化和适应新生儿/婴儿.
- 对于特定年龄的ERAS协议,需要进行更多的多中心研究.
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