加速康复外科理念在胸外科临床实践指导的瑞金医院专家共识  

Expert consensus of Ruijin Hospital on the concept of enhanced recovery after surgery in the clinical practice of thoracic surgery

作　　者：韩丁培[1] 严越 曹羽钦 孙昕[4] 胡琰霞 汪敏娴 罗艳[6] 施咏梅[7] 谢青[4] 杭钧彪[1] 李鹤成[1] HAN Dingpei;YAN Yue;CAO Yuqin;SUN Xin;HU Yanxia;WANG Minxian;LUO Yan;SHI Yongmei;XIE Qing;HANG Junbiao;LI Hecheng(Department of Thoracic Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;School of Medicine,Tsinghua University,Beijing 100084,China;School of Health Care Management,Tsinghua University,Beijing 100084,China;Department of Rehabilitation,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Social Work,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Anesthesiology,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Clinical Nutrition,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院胸外科,上海200025 [2]清华大学医学院,北京100084 [3]清华大学医疗管理学院,北京100084 [4]上海交通大学医学院附属瑞金医院康复医学科,上海200025 [5]上海交通大学医学院附属瑞金医院社会工作部,上海200025 [6]上海交通大学医学院附属瑞金医院麻醉科,上海200025 [7]上海交通大学医学院附属瑞金医院临床营养科,上海200025

出　　处：《山东大学学报（医学版）》2022年第11期11-16,共6页Journal of Shandong University:Health Sciences

基　　金：国家自然科学基金面上项目(82072557,81871882);国家重点研发计划(2021YFC2500903);上海市卫生计生系统优秀学科带头人培养计划(2017BR055);上海市教育委员会高峰高原学科建设计划(20172005)

摘　　要：加速康复外科的理念自1997年被提出后,已被广泛应用于胸外科等领域。通过外科、麻醉、护理、康复、营养等多学科协作,基于循证医学证据,采用一系列围手术期优化处理措施,减少患者的生理和心理创伤应激,从而达到缩短住院时间、减少并发症发生、加速术后康复的目的。本文结合多学科专家意见,总结瑞金医院胸外科在ERAS理念下开展的一系列临床实践,以供各位学者参考。Since the proposal of enhanced recovery after surgery(EARS) concept in 1997, it has been widely used in thoracic surgery and other surgical fields. Through the multidisciplinary collaboration of surgery, anesthesia, nursing, rehabilitation and clinical nutrition, a series of perioperative optimization measures are adopted to reduce the physical and psychological stress of patients, shorten the length of hospital stay, reduce the incidence of complications and accelerate postoperative rehabilitation. Based on the consensus of multidisciplinary experts, this article summarizes the clinical practice carried out under the concept of ERAS in the Department of Thoracic Surgery of Ruijin Hospital for the reference of other medical staff.

关 键 词：加速康复外科 胸外科 肺癌 食管癌 围手术期管理 多学科协作 

分 类 号：R473.6[医药卫生—护理学]