目的 系统评价加速康复外科(enhanced recovery after surgery,ERAS)护理在主动脉夹层患者中的应用效果.方法 检索PubMed、中国知网等9个数据库中主动脉夹层患者接受ERAS护理的随机对照试验,检索时限为建库至2024年3月.依据《Cochrane干预措施系统评价手册(版本5.1.0)》进行文献质量分析,使用RevMan5.4软件进行Meta分析.结果 本研究共纳入9篇相关文献,涉及723例患者.Meta分析结果显示,ERAS护理模式可有效促进主动脉夹层患者的术后恢复进程,患者的术后机械通气时间、术后首次下床活动时间、管路拔除时间、并发症发生率、住院时间和疼痛感知程度等指标均显著优于常规护理模式患者(P＜0.05).结论 基于ERAS理念的护理模式在主动脉夹层术后患者中的应用效果显著,可有效改善患者的术后康复,值得临床推广应用.
Effect of enhanced recovery after surgery nursing on dissection of aorta patients:A Meta-analysis
Objective To systematically review the efficacy of enhanced recovery after surgery(ERAS)nursing on patients with dissection of aorta.Methods Nine databases,including PubMed,CNKI,etc were searched to identify randomized controlled trials involving dissection of aorta patients undergoing ERAS nursing.The retrieval time was from setting up of the databases until March 2024.Literature quality assessment followed by"Cochrane handbook for systematic reviews of interventions.Version 5.1.0",and Meta-analysis was conducted utilizing software of RevMan 5.4.Results Nine literatures with a total of 723 patients were included.The results of Meta-analysis showed that compared with the conventional nursing model,the application of ERAS nursing model could effectively promote the process of patients'postoperative recovery,and there were significant differences in indicators such as the time of postoperative mechanical ventilation,the time of the first postoperative out-of-bed activity,the time of tubing removal,the incidence of complications,the length of hospital stay,and the degree of perceived pain(P＜0.05).Conclusion Implementing nursing model based on ERAS on dissection of aorta patients can effectively enhance patients'postoperative recovery outcomes,thus worth clinical promotion and application.
Dissection of aortaEnhanced recovery after surgeryMeta-analysis
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