加速术后康复在肝切除术患者中麻醉管理的应用进展  

Update regarding anesthetic management of enhanced recovery after surgery in patients undergoing hepatectomy

作　　者：赵梦芸 陈唯韫[1] 黄宇光[1] ZHAO Meng-yun;CHEN Wei-yun;HUANG Yu-guang(Dept.of Anesthesiology,Peking Union Medical College Hospital,CAMS ＆ PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院麻醉科,北京100730

出　　处：《基础医学与临床》2018年第10期1480-1483,共4页Basic and Clinical Medicine

摘　　要：加速术后康复(ERAS)是指在临床多学科合作下,采取一系列循证医学证据支持的围手术期多模式优化措施,以改善患者预后,促进患者术后康复。肝切除术目前为治疗原发性和转移性肝癌首选的方法,其术后的并发症发生率和病死率高。在肝切除术中应用ERAS策略,包括术前评估与准备、术前预防血栓形成、多模式麻醉镇痛和术中循环及液体管理等,以减少术后并发症,加速器官功能恢复,缩短住院时间。Enhanced recovery after surgery（ERAS） is a series of evidence-based multimodal perioperative optimization program with multidisciplinary approach, to improve clinical outcomes and accelerate the recovery process. Hepatectomy is the preferred treatment for a variety of primary and secondary liver tumors. It is associated with a high rate of postoperative morbidity and mortality. The adoption of ERAS protocols in hepatectomy, including preoperative evaluation and preparation, anti-thrombotic prophylaxis, multimodal anesthesia and analgesia, and circulation and fluid management, has been shown to decrease postoperative complications, accelerate functional recovery, and shorten hospital length of stay.

关 键 词：加速术后康复 肝切除术 术前评估与准备 多模式麻醉镇痛 循环和液体管理 

分 类 号：R614[医药卫生—麻醉学]