Jiang Weiwei,Tang Weibing.Enhanced recovery after surgery for intestinal atresia[J].Journal of Clinical Pediatric Surgery,2023,22(09):801-806.[doi:10.3760/cma.j.cn101785-202306012-001]
肠闭锁的快速康复策略
- Title:
- Enhanced recovery after surgery for intestinal atresia
- Keywords:
- Intestinal Atresia; Enhanced Recovery After Surgery; Surgical Procedures; Operative; Child
- 摘要:
- 肠闭锁是常见的先天性消化道畸形,近年来其治愈率已明显提高,但术后发生肠功能恢复迟缓甚至恢复障碍的情况并不少见,需要更为优化的治疗方案加速肠功能恢复,改善患儿生活质量。国内外近年来对此开展了多项研究,包括早期诊断、早期治疗、微创手术、改进手术方案、术后早期肠内营养以及促进肠蠕动药物的应用等,以期寻找肠闭锁的最优治疗方案,实现患儿的尽早康复。本文对目前肠闭锁快速康复的研究现状进行总结和分析。
- Abstract:
- Congenital intestinal atresia is a common digestive tract malformation.With continuous refining of perioperative management and surgical techniques,the curative rate has significantly improved.However,postoperative intestinal function recovery is often delayed or even obstructed.More optimized treatment is required for accelerating intestinal function recovery and enhancing the quality-of-life of children.In recent years,multiple domestic and foreign studies have been conducted on early diagnosis and treatment,mini-invasive surgery,modified surgical protocols,early enteral nutrition and drug therapy for promoting intestinal peristalsis to seek an optimal treatment plan and promoting a faster recovery.This review summarized the current research status of enhanced recovery after surgery for intestinal atresia.
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[1]张生 金先庆 李晓庆 周德凯 向丽 刘伟. 先天性肠闭锁、肠狭窄120例临床分析[J].临床小儿外科杂志,2011,10(04):273.
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备注/Memo
收稿日期:2023-6-6。
基金项目:江苏省卫健委面上项目(M2022037);江苏省卫健委高层次卫生人才"六个一工程"拔尖人才项目资助(LGY2020019);南京市卫健委医药卫生科研课题(YKK20121)
通讯作者:唐维兵,Email:twbcn@njmu.edu.cn