剖腹產後快速復原的方法和效果

剖腹產後快速復原乃由多科專家根據實證醫學制定各項項目程序，雖然每家醫院所施行各項細則不盡相同，但目的都是為了加速恢復正常功能，促進母、嬰健康。通常剖腹產後快速復原會包括手術前、手術中和手術後各種規範，冀望減少噁心、嘔吐、感染、栓塞和副作用。剖腹產後快速復原的結果顯示，能有效縮短住院時間，降低醫療費用，減少術後疼痛和鴉片止痛藥物的使用，提升患者滿意度，增進哺餵母乳成功率和親子關係，且不影響再住院率和併發症。剖腹產不同其它手術，因須顧及嬰兒，須有特別的照顧。剖腹產後快速復原的守則如能廣泛應用，對產婦是一大福音。

關鍵字

剖腹產後快速復原；鴉片類止痛藥物；哺餵母乳

並列摘要

Enhanced recovery after cesarean (ERAC) is a protocolized scientific pathway consisting of multidisciplinary approach based on multimodal evidence-based strategies in order to accelerate the return to normal function and improve maternal-fetal outcomes. Although the composition of ERAC pathway differes by specialty and institution, the ERAC typically includes preoperative, intraoperative and postoperative interventions to reduce nausea, vomiting, infection, thromboembolism and overall morbidity. The result of ERAC has been shown to reduce length of hospital stay, decrease cost, lowered the postoperative pain scales and opioid consumption in addition to improve patient satifaction and breastfeeding rates without a difference in readmission rates or complications. Cesarean delivery is different from all other surgeries in that patients need to care for their newborn while they recover from surgery. Therefore, the application of ERAC more broadly to the obstetric population would have widespread impact.

並列關鍵字

enhanced recovery after cesarean delivery ； opioid ； breastfeeding

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