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妇科多模式围手术期管理的重要方面。

Important aspects of the multimodal perioperative management in gynecology.

作者信息

Reuter Susanne, Schmalfeldt Babara, Haas Sebastian

机构信息

Department of Gynecology, Hamburg-Eppendorf University Medical Center, Martinistraße 52, 20246, Hamburg, Germany.

Rudolf-Zenker-Institute for Experimental Surgery, University Medical Center Rostock, Schillingallee 69a, 18057, Rostock, Germany.

出版信息

Arch Gynecol Obstet. 2025 May 14. doi: 10.1007/s00404-025-08043-1.

DOI:10.1007/s00404-025-08043-1
PMID:40366439
Abstract

Multimodal perioperative management is an integrative, holistic approach to optimizing perioperative patient care. The aim is to accelerate postoperative recovery, minimize complications and increase patient satisfaction. This approach combines various strategies that are tailored to the individual needs of patients. A comprehensive preoperative assessment, in particular preoperative individual risk stratification and perioperative medication management, makes it possible to identify risk factors and take targeted measures. Our overview is intended to provide compact information, particularly for the preoperative setting, and to provide suggestions for practice based on the guideline-oriented summary.

摘要

多模式围手术期管理是一种优化围手术期患者护理的综合、整体方法。其目的是加速术后恢复、将并发症降至最低并提高患者满意度。这种方法结合了根据患者个体需求定制的各种策略。全面的术前评估,尤其是术前个体风险分层和围手术期药物管理,能够识别风险因素并采取针对性措施。我们的概述旨在提供简洁信息,特别是针对术前情况,并根据以指南为导向的总结提供实践建议。

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Arch Gynecol Obstet. 2025 May 14. doi: 10.1007/s00404-025-08043-1.
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本文引用的文献

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Minimally invasive hysterectomy same-day discharge: systematic review and meta-analysis of predictors.微创子宫切除术当日出院:预测因素的系统评价与荟萃分析
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Perioperative Antibiotic Prophylaxis—Indications and Modalities for the Prevention of Postoperative Wound Infection.
围手术期抗生素预防——预防术后伤口感染的指征与方式
Dtsch Arztebl Int. 2024 Apr 5;121(7):233-242. doi: 10.3238/arztebl.m2024.0037.
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Impact of Introducing a PACU24 Concept on the Perioperative Outcome of Patients with Advanced Ovarian Cancer Treated with Cytoreductive Surgery.引入PACU24理念对接受减瘤手术治疗的晚期卵巢癌患者围手术期结局的影响
Geburtshilfe Frauenheilkd. 2023 Jun 2;83(8):1022-1030. doi: 10.1055/a-2055-9349. eCollection 2023 Aug.
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2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery.2022年欧洲心脏病学会非心脏手术患者心血管评估与管理指南。
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Arch Gynecol Obstet. 2022 Dec;306(6):2001-2007. doi: 10.1007/s00404-022-06727-6. Epub 2022 Aug 5.
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Fast-Track in Minimally Invasive Gynecology: A Randomized Trial Comparing Costs and Clinical Outcomes.微创妇科快速康复:一项比较成本与临床结局的随机试验
Front Surg. 2021 Nov 11;8:773653. doi: 10.3389/fsurg.2021.773653. eCollection 2021.
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Anaesthesist. 2022 Feb;71(2):123-128. doi: 10.1007/s00101-021-01045-z. Epub 2021 Oct 1.
9
Perioperative Cardiovascular Risk Assessment and Management for Noncardiac Surgery: A Review.非心脏手术的围手术期心血管风险评估与管理:综述。
JAMA. 2020 Jul 21;324(3):279-290. doi: 10.1001/jama.2020.7840.
10
Association between complications and death within 30 days after noncardiac surgery.非心脏手术后 30 天内并发症与死亡的关系。
CMAJ. 2019 Jul 29;191(30):E830-E837. doi: 10.1503/cmaj.190221.