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游离皮瓣增强恢复方案在头颈部手术中的应用。

Free Flap Enhanced Recovery Protocols in Head and Neck Surgery.

机构信息

Department of Otolaryngology, University of Florida, Gainesville, FL, USA.

Department of Otolaryngology, University of South Florida, Tampa, FL, USA.

出版信息

Facial Plast Surg Clin North Am. 2025 Feb;33(1):1-19. doi: 10.1016/j.fsc.2024.07.003. Epub 2024 Sep 17.

Abstract

Enhanced recovery after surgery (ERAS) protocols facilitates a standardized patient care regimen with a goal of reducing the metabolic stress of surgery. Adapted to head and neck free flap reconstructive surgery in 2017, these protocols focused on several key domains such as perioperative nutritional optimization, multimodal pain control, and early mobilization. Studies have shown that in addition to ERAS implementation, the maintenance and improvement of ERAS protocol compliance rates improve perioperative outcomes such as hospital length of stay and decrease major postoperative complications.

摘要

术后加速康复(ERAS)方案通过标准化的患者护理方案,旨在减轻手术带来的代谢应激。该方案于 2017 年被应用于头颈部游离皮瓣重建手术,其重点关注几个关键领域,如围手术期营养优化、多模式疼痛控制和早期活动。研究表明,除了实施 ERAS 外,维持和提高 ERAS 方案的依从率还可以改善围手术期的结果,如住院时间,并减少主要术后并发症。

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