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硬膜外髓外脊髓肿瘤围手术期强化康复与常规护理的临床评价:一项多中心随机对照试验研究方案。

Clinical evaluation of enhanced recovery versus conventional care in the perioperative period for intradural extramedullary spinal tumors: a study protocol for a multicenter, randomized controlled trial.

机构信息

Department of Neurosurgery Nursing, Fujian Medical University Union Hospital, Fuzhou, 350001, China.

Changde Hospital, Xiangya School of Medicine, Central South University, Hunan, 415099, China.

出版信息

Trials. 2024 Aug 24;25(1):561. doi: 10.1186/s13063-024-08227-1.

DOI:10.1186/s13063-024-08227-1
PMID:39182133
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11344951/
Abstract

BACKGROUND

This randomized clinical trial protocol aimed to investigate the comparative efficacy of an enhanced recovery after surgery (ERAS) protocol versus traditional perioperative care programs in patients with intradural extramedullary spinal tumors.

METHODS

The study included 180 patients aged 18-80 years, who were randomly assigned to two groups: Group A receiving traditional perioperative care and Group B receiving accelerated rehabilitation perioperative care. The nurse responsible for patient care was informed of the group assignment, but the patients themselves remained blinded to the intervention. The primary outcome measure was the Karnofsky Performance Scale score, which assessed functional status. The secondary outcomes included the Japanese Orthopedic Association Scale, Numeric Pain Rating Scale, length of postoperative hospital stay, duration of urethral catheterization, patient satisfaction questionnaire, and complication rates. Follow-up assessments were conducted telephonically 1 month, 3 months, and 6 months after the surgery.

DISCUSSION

This study protocol provided a structured approach to assess the potential benefits of ERAS during the perioperative period for patients with intradural extramedullary tumors, aiming to improve patient outcomes and overall care efficiency.

TRIAL REGISTRATION

This study has been registered with the China Clinical Trials Registry (Project No: ChiCTR2200063347). Registered on September 5 2022.

摘要

背景

本随机临床试验方案旨在探究强化术后康复(ERAS)方案与传统围手术期护理方案在硬脊膜外髓外肿瘤患者中的比较疗效。

方法

本研究纳入了 180 名年龄在 18-80 岁之间的患者,将其随机分为两组:A 组接受传统围手术期护理,B 组接受加速康复围手术期护理。负责患者护理的护士了解分组情况,但患者本人对干预措施保持盲态。主要结局指标是卡诺夫斯基表现量表评分,用于评估功能状态。次要结局指标包括日本矫形协会量表、数字疼痛评分量表、术后住院时间、导尿管留置时间、患者满意度问卷和并发症发生率。术后 1 个月、3 个月和 6 个月通过电话进行随访评估。

讨论

本研究方案提供了一种结构化的方法来评估强化康复方案在硬脊膜外髓外肿瘤患者围手术期的潜在益处,旨在改善患者的预后和整体护理效率。

试验注册

本研究已在中国临床试验注册中心(注册号:ChiCTR2200063347)注册。注册日期为 2022 年 9 月 5 日。

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本文引用的文献

1
Primary intraspinal benign tumors treated surgically: an analysis from China.手术治疗的原发性脊髓内良性肿瘤:来自中国的分析。
Br J Neurosurg. 2021 Oct;35(5):603-606. doi: 10.1080/02688697.2021.1923648. Epub 2021 Jun 4.
2
Stereotactic Radiosurgery for Benign Spinal Tumors.立体定向放射外科治疗良性脊柱肿瘤。
Neurosurg Clin N Am. 2020 Apr;31(2):231-235. doi: 10.1016/j.nec.2019.12.003. Epub 2020 Feb 6.
3
Safety and efficacy of a novel neurosurgical enhanced recovery after surgery protocol for elective craniotomy: a prospective randomized controlled trial.一种新型神经外科择期开颅手术后加速康复方案的安全性和有效性:一项前瞻性随机对照试验
J Neurosurg. 2018 Jun 22;130(5):1680-1691. doi: 10.3171/2018.1.JNS171552. Print 2019 May 1.
4
The two most popular malnutrition screening tools in the light of the new ESPEN consensus definition of the diagnostic criteria for malnutrition.根据欧洲临床营养和代谢学会(ESPEN)关于营养不良诊断标准的新共识定义,两种最常用的营养不良筛查工具。
Clin Nutr. 2017 Aug;36(4):1130-1135. doi: 10.1016/j.clnu.2016.07.014. Epub 2016 Aug 12.
5
Comparison of the Japanese Orthopaedic Association (JOA) score and modified JOA (mJOA) score for the assessment of cervical myelopathy: a multicenter observational study.日本矫形外科学会(JOA)评分与改良JOA(mJOA)评分在评估脊髓型颈椎病中的比较:一项多中心观察性研究。
PLoS One. 2015 Apr 2;10(4):e0123022. doi: 10.1371/journal.pone.0123022. eCollection 2015.
6
Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations.择期直肠/骨盆手术围手术期护理指南:术后加速康复(ERAS®)协会建议。
Clin Nutr. 2012 Dec;31(6):801-16. doi: 10.1016/j.clnu.2012.08.012. Epub 2012 Sep 26.
7
Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP).成人疼痛测量方法:疼痛视觉模拟量表(VAS疼痛)、疼痛数字评定量表(NRS疼痛)、麦吉尔疼痛问卷(MPQ)、简化麦吉尔疼痛问卷(SF-MPQ)、慢性疼痛分级量表(CPGS)、简短健康调查36项身体疼痛量表(SF-36 BPS)以及间歇性和持续性骨关节炎疼痛测量量表(ICOAP)。
Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S240-52. doi: 10.1002/acr.20543.
8
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Crit Rev Oncol Hematol. 2011 Feb;77(2):142-7. doi: 10.1016/j.critrevonc.2010.01.015. Epub 2010 Feb 24.
9
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J Neurooncol. 2008 Apr;87(2):173-9. doi: 10.1007/s11060-007-9507-z. Epub 2007 Dec 15.
10
Thrombosis risk assessment as a guide to quality patient care.血栓形成风险评估作为优质患者护理的指南。
Dis Mon. 2005 Feb-Mar;51(2-3):70-8. doi: 10.1016/j.disamonth.2005.02.003.