这项研究围绕一个值得麻醉医生关注的围术期临床问题展开。 因此，真正需要回答的问题是：肥胖患者进行子宫内膜癌手术时路径的应用及其对术后急性疼痛管理和出院速度的影响？
下面这篇文献将回答这个问题。
文献英文标题
Improving Postoperative Acute Pain Management and Accelerating Discharge: The Role of the ERAS Pathway in Overweight Patients Undergoing Endometrial Cancer Surgery.
英文摘要要点
Abstract excerpt: Enhanced Recovery After Surgery (ERAS) protocols have increasingly been adopted in gynecologic oncology. This study evaluates their effectiveness in patients undergoing endometrial cancer surgery, focusing on length of hospital stay (LOS), postoperative pain, and complications. A retrospective case-control study was conducted on patients treated between January 2019 and December 2024. Fifty patients managed with ERAS (Group 1) were compared with fifty patients treated with traditional care (Group 2). Groups were matched considering the American Society of Anesthesiologists physical status (ASA-PS) score, International Federation of Gynecology and Obstetrics (FIGO) stage, surgical approach, and age. Key outcomes analyzed were LOS, postoperative pain, analgesic use, and complications. Patients in the ERAS group had a significantly shorter length of stay (LOS) (p < .001), lower pain scores on the numeric rating scale (NRS) at 8, 16, 32, and 48 hours (p < .01-.001), but not at 40 hours (p = .13) at rest, and required fewer opioids (p < 0.001). Additionally, they experienced fewer nausea/vomiting episodes (p = .05). ERAS implementation in endometrial cancer surgery appears to improve recovery, reduce opioid use, and shorten hospitalization without compromising safety. These findings may support ERAS for optimizing perioperative outcomes, especially in overweight patients undergoing endometrial cancer surgery.
文献标题中文翻译
疼痛管理策略
文献简介
当前任务未提供全文 Introduction；本文简介根据英文摘要背景部分作保守整理，具体研究背景仍建议结合原文 Introduction 核对。