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术后恢复的多模式方法。

Multimodal approach to postoperative recovery.

作者信息

Kehlet Henrik

机构信息

Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Blegdamsvej 9, Copenhagen 2100, Denmark.

出版信息

Curr Opin Crit Care. 2009 Aug;15(4):355-8. doi: 10.1097/MCC.0b013e32832fbbe7.

Abstract

PURPOSE OF REVIEW

To provide updated information on recent developments within individual components of multimodal interventions to improve postoperative outcome (fast-track methodology).

RECENT FINDINGS

The value of the fast-track methodology to improve recovery and decrease hospital stay and morbidity has been firmly consolidated, especially in colorectal procedures. An increasing amount of data from other procedures supports the value of the fast-track concept across procedures. Fast-track programs should be based on the analysis of procedure-specific factors that may influence outcome and implemented through a multidisciplinary collaboration. However, compared with the amount of available evidence of the fast-track methodology, the implementation continues to be slow.

SUMMARY

Procedure-specific standardization of perioperative care programs (the fast-track methodology) should be adopted more widely and adjusted to current scientific evidence.

摘要

综述目的

提供多模式干预各组成部分近期进展的最新信息,以改善术后结局(快速康复方法)。

最新发现

快速康复方法在改善恢复、缩短住院时间和降低发病率方面的价值已得到稳固确立,尤其是在结直肠手术中。来自其他手术的越来越多的数据支持了快速康复理念在各类手术中的价值。快速康复计划应基于对可能影响结局的特定手术因素的分析,并通过多学科协作来实施。然而,与快速康复方法的现有证据量相比,其实施速度仍然缓慢。

总结

围手术期护理计划的特定手术标准化(快速康复方法)应更广泛地采用,并根据当前科学证据进行调整。

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