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盆腔器官脱垂手术后的加速康复

Enhanced Recovery after Pelvic Organ Prolapse Surgery.

作者信息

Tresch Caroline, Lallemant Marine, Ramanah Rajeev

机构信息

Service de Gynécologie-Obstétrique, Université de Franche-Comté, CHU de Besançon, 25000 Besançon, France.

Service de Gynécologie, Université de Franche-Comté, CHU de Besançon, 25000 Besançon, France.

出版信息

J Clin Med. 2023 Sep 12;12(18):5911. doi: 10.3390/jcm12185911.

Abstract

The objective of this study was to review on the influence of enhanced rehabilitation in pelvic organ prolapse surgery outcomes, specifically focusing on length of hospital stay, hospital costs, pain, morbidity, and patient satisfaction. Following the PRISMA model and using PubMed as a source, eight articles pertaining to prolapse surgery and two articles concerning vaginal hysterectomies were selected, all published between 2014 and 2021. These studies revealed no significant difference in terms of operating time, intra- and post-operative complications, intra-operative blood loss and post-operative pain scores before and after the introduction of the ERAS program. Only one study noted a difference in readmission rates. There was, however, a noticeable decrease in intra-operative and post-operative intravenous intakes, opioid administration, length of stay, and overall hospital costs with the adoption of ERAS. Additionally, with ERAS, patients were able to mobilize more rapidly, and overall patient satisfaction significantly improved.

摘要

本研究的目的是回顾强化康复对盆腔器官脱垂手术结果的影响,特别关注住院时间、住院费用、疼痛、发病率和患者满意度。遵循PRISMA模型并以PubMed为来源,选取了8篇关于脱垂手术的文章和2篇关于阴道子宫切除术的文章,所有文章均发表于2014年至2021年之间。这些研究表明,在引入加速康复外科(ERAS)计划前后,手术时间、术中和术后并发症、术中失血量和术后疼痛评分方面没有显著差异。只有一项研究指出再入院率存在差异。然而,随着ERAS的采用,术中和术后静脉输液量、阿片类药物使用量、住院时间和总体住院费用明显减少。此外,采用ERAS后,患者能够更快地活动,总体患者满意度显著提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f293/10532386/b0880730345f/jcm-12-05911-g001.jpg

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