■增强术后恢复(ERAS)是一种优化患者护理的多学科方法。这种方法的目的是通过优化围手术期营养状况来减少机体对手术应激的反应,无阿片类药物促进镇痛,术后早期喂养。在儿科患者中,非常有限的文献可用于ERAS协议的应用。这项研究是为了评估ERAS协议在小儿肝胆和胰腺患者中的应用。
■这是一项在印度北部三级中心进行的为期2年的随机前瞻性研究。共有40名愿意参与研究的肝胆和胰腺患者被纳入研究。通过计算机生成的方法将患者随机分组,并收集有关人口统计学的数据,临床诊断,术前和术后检查,和围手术期护理,包括镇痛,疼痛评分,术后恢复,住院,和并发症。术后随访6个月,采用SPSS软件对结果进行评价。
该研究包括常规组和ERAS组的20名患者,中位年龄为11.5岁和7.1岁,分别。数据分析显示,ERAS组患者在住院时间和引流管拔除时间方面均有较好的预后,差异有统计学意义。两组的疼痛评分和并发症几乎相同。
■ERAS的原则可以安全地应用于在当前出现感染的时代接受大手术的儿科患者,并且还增加了患者负担而没有发病。
UNASSIGNED: Enhanced recovery after surgery (ERAS) is a multidisciplinary approach to optimize patient care. The goal of this approach is to reduce the body\'s reaction to surgical stress by optimizing the perioperative nutritional status, promoting analgesia without opioids, and early postoperative feeding. In pediatric patients, very limited literature is available for the application of ERAS protocol. This study was done to evaluate the application of ERAS protocol in pediatric
hepatobiliary and pancreatic patients.
UNASSIGNED: This is a randomized prospective study conducted over a period of 2 years at a tertiary center in North India. A total of 40
hepatobiliary and pancreatic patients who were willing to participate in the study were included in the study. Patients were randomized by computer-generated method and data were collected regarding demography, clinical diagnosis, preoperative and postoperative workup, and peri-operative care including analgesia, pain scores, postoperative recovery, hospital stay, and complications. These patients were followed for 6 months postoperatively and the results were evaluated using SPSS software.
UNASSIGNED: The study included 20 patients each in both the conventional and ERAS group with median ages of 11.5 years and 7.1 years, respectively. The data analysis showed that the ERAS group of patients had better outcomes in terms of hospital stay and drain removal time with significant statistical differences. Pain scores and complications are almost the same in both groups.
UNASSIGNED: Principles of ERAS can be safely applied in pediatric patients undergoing major surgery in the present era of emerging infections and also increasing patient burden without morbidity.