加速康复外科方案在围术期麻醉管理中的应用进展  

Application progress of enhanced recovery after surgery in perioperative anesthesia management

作　　者：靳红绪 黄立宁[2] JIN Hong-xu;HUANG Li-ning(Deparment of Anesthesiology,Harrison International Peace Hospital,Hebei Medical University,Hengshui Hebei 053000,China;Deparment of Anesthesiology,Second Hospital of Hebei Medical University,Shijiazhuang Hebei 050000,China)

机构地区：[1]河北医科大学附属哈励逊国际和平医院麻醉科,河北衡水053000 [2]河北医科大学第二医院麻醉科,河北石家庄050000

出　　处：《局解手术学杂志》2019年第1期75-79,共5页Journal of Regional Anatomy and Operative Surgery

摘　　要：加速康复外科是围术期多模式管理的路径,由麻醉医生、外科医生、护理人员、营养师及康复治疗师多个学科成员协同参与,旨在减轻患者围术期的应激反应,以利于手术前后机体和器官功能的维护,从而达到早期康复的目的。加速康复外科整合了围术期一系列干预措施,以维持生理功能,并促进术后康复,其核心目标是减少创伤和应激,以达到减轻患者痛苦、减少并发症、缩短住院时间和降低住院费用,最终实现加速患者康复的目的,是围术期医学发展的方向。麻醉管理作为其中不可或缺的重要组成部分,麻醉医师的专业水准和执行能力对加速康复外科的成败至关重要。Enhanced recovery after surgery is the path of perioperative multi-modal management.It is coordinated by anesthesiologists,surgeons,nursing staff,nutritionists and rehabilitation physician to reduce the perioperative stress response of patients.Maintenance of the body and organ functions before and after surgery to achieve early rehabilitation.Enhanced recovery after surgery integrates a series of interventions during the perioperative period to maintain physiological function and promote postoperative recovery.Its core goal is to reduce trauma and stress,to reduce pain and complications of patient,shorten hospital stay and reduce hospitalization costs.The ultimate goal is to accelerate patients recovery.So it is the direction of perioperative medical development.As an indispensable part of anesthesia management,the professionalism and ability of anesthesiologists will be critical to accelerating the success of rehabilitation surgery.

关 键 词：加速康复外科 手术 麻醉管理 围术期 术前评估 快通道外科 

分 类 号：R614[医药卫生—麻醉学]