目的 通过Meta分析系统地评估心脏瓣膜病患者围手术期应用快速康复外科(enhanced recovery after surgery,ERAS)的效果.方法 检索中国知网、万方数据知识服务平台、中国生物医学文献数据库等8个数据库中ERAS应用于心脏瓣膜病患者围手术期的随机对照试验,检索时限为2015年1月至2024年6月.由两名研究者独立对文献进行筛选和数据提取,并使用RevMan5.4软件对纳入的研究进行Meta分析.结果 共纳入文献26篇,涉及研究对象2664例.Meta分析结果表明,实验组患者的术后首次排气、首次排便、首次下床时间及住院时长、术后并发症发生率均明显下降,患者生活质量明显提高.结论 在心脏瓣膜病患者中应用ERAS可有效促进患者的康复进程,降低并发症发生率,提高患者生活质量.
Abstract
Objective To evaluate the perioperative application of enhanced recovery after surgery(ERAS)in patients with valvular heart disease systematically through Meta-analysis.Methods Randomized controlled trials investigating the use of ERAS protocols during the perioperative period in patients with valvular heart disease were searched,including China Knowledge Network,WanFang Database,and China Biomedical Literature Databas,eight databases spanning literature from January 2015 to June 2024.Two researchers conducted an independent review of the literature and extracted pertinent data.A Meta-analysis was conducted by using RevMan 5.4 software on the selected studies.Results A total of 26 studies,involving 2664 participants analyzed.The Meta-analysis revealed that patients in ERAS group experienced a significant reduction in postoperative time to first defecation and bowel movement,as well as a quicker time to first ambulation,reduced hospital stay duration,and fewer postoperative complications.Additionally,there was a notable improvement in patients'quality of life.Conclusion The application of ERAS protocols in patients undergoing heart valve surgery markedly promote recovery,reduce the frequency of complications,and improve overall standard of living.
关键词
快速康复外科/心脏瓣膜病/围手术期/Meta分析
Key words
Enhanced recovery after surgery/Valvular heart disease/Perioperative period/Meta analysis
万方数据