Đánh giá hiệu quả của phục hồi nhanh trong phẫu thuật thay khớp gối=Evaluation of the effectiveness of fast - track

Đánh giá hiệu quả của phục hồi nhanh trong phẫu thuật thay khớp gối=Evaluation of the effectiveness of fast - track - recovery in knee arthroplasty

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Minh Hiếu Hà, Thị Oanh Kim, Thị Thùy Lã, Chí Việt Lê, Văn Chung Lê, Thành Chơn Nguyễn, Quyên Quyên Phạm, Thanh Phong Phan

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.120-127

Bộ sưu tập: Metadata

ID: 477564

Thêm vào giỏ

Chương trình hồi phục nhanh sau phẫu thuật (FTR) nằm trong chương trình tăng cường phục hồi sau phẫu thuật (ERAS) được xây dựng trên nhiều tiêu chí với mục đích tối ưu hóa tình trạng người bệnh trước mổ, từ đó giảm thiểu các tác động do cuộc phẫu thuật và thúc đẩy nhanh quá trình hồi phục. Mục tiêu: Xác định kết quả khi áp dụng FTR tại Bệnh viện SÀI GÒN-ITO Phú Nhuận. Phương pháp: Nghiên cứu mô tả loạt người bệnh, trên đối tượng là người bệnh phẫu thuật thay khớp gối chương trình được chăm sóc theo FTR thực hiện từ tháng 1 đến tháng 9 năm 2023. Kết quả: Trong nghiên cứu có 40 người bệnh, có độ tuổi trung bình là 60,6 ± 12,5 tuổi, tỉ lệ nam/ nữ là 10/30, thời gian phẫu thuật trung vị là 175±20,5 phút, lượng máu mất trung bình là 500ml, gặp biến chứng chứng nhẹ là 10%. Thời gian nằm viện giai đoạn hậu phẫu là 6 ngày. Kết luận: Bước đầu áp dụng FTR tại Bệnh viện ITO Phú Nhuận đối với người bệnh phẫu thay khớp gối cho kết quả tương tự với các nghiên cứu của các tác giả khác trên thế giới về thời gian nằm viện sau phẫu thuật. Nghiên cứu bước đầu chứng tỏ việc áp dụng FTR trong điều kiện thực hành lâm sàng tại bệnh viện ITO Phú Nhuận là hoàn toàn khả thi.The fast - track recovery after surgery (FTR) program is part of the enhanced recovery after surgery (ERAS) program built on many criteria with the aim of optimizing the preoperative patient's condition, thereby minimizing the impact surgery and accelerating the recovery process. Objective: Determinate the early results when applying FTR at SAI GON-ITO Phu Nhuan Hospital. Methods: Case series report, on patients with elective knee arthroplasty surgery under FTR protocol performed from january to septeber 2023. Results: In the study there are 40 patients, with the average age of 60.6 ± 12.5 years old, the ratio of men / women is 10/40, the median surgery time is 175 ± 20 minutes, the average blood loss is 500ml, the mild complication rate is 10%. The length of hospital stay in the postoperative period is 6 days. Conclusion: Initial application of FTR at SAI GON- ITO Phú Nhuận Hospital for knee arthroplasty surgery patients also showed similar results with studies of other foreign authors for length on hospital stay. The research initially proves that the application of FTR in clinical practice at SAI GON ITO Phu Nhuan Hospital is feasible.

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