快速康复理念在外科围手术期中的应用  

The application of concept of enhanced recovery after surgery in perioperative period

作　　者：杨逸[1] 项建斌[1] 钦伦秀[1] 

机构地区：[1]复旦大学附属华山医院外科,上海200040

出　　处：《上海医药》2017年第12期3-6,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：快速康复外科(enhanced recovery after surgery,ERAS)可减轻患者心理和生理的创伤应激反应,减少并发症,缩短患者住院时间,降低再入院、死亡风险和医疗费用,是临床治疗模式的重大突破。ERAS主要由术前准备、麻醉与镇痛、外科干预及术后康复四部分组成。20年来,ERAS在国内外已经逐渐拓展至普外科、泌尿外科、心胸外科、妇产科等各个领域,并取得了卓越成效。目前,ERAS在国内尚无统一的治疗规范,实际应用中也有许多因素限制其发展,其中传统习惯亦是导致其推广障碍的重要原因。通过进一步摸索进行转化应用,有望形成具有中国特色的ERAS途径。Enhanced recovery after surgery （ERAS） , which can reduce the psychological and physiological stress reaction of patients caused by trauma, decrease complications, shorten the time of stay in the hospital, reduce readmission and mortality risk and medical costs, is a major breakthrough in clinical treatment. ERAS is mainly composed of preoperative preparation, anesthesia and analgesia, surgical intervention and postoperative rehabilitation. Over the past 20 years both at home and abroad, ERAS has been gradually extended to general surgery, urology, cardiothoracic surgery, obstetrics and gynecology and other fields, and achieved remarkable results. At present, the application of ERAS is lack of unified specification, also there are many factors restricting its development, such as the traditional habit which is one of the important reasons lead to its promotion barriers. A scheme for ERAS with Chinese characteristics will be formed after further study on transforming application.

关 键 词：快速康复 外科 围手术期 

分 类 号：R61[医药卫生—外科学]