加速康复外科理念在麻醉后恢复室的临床应用进展  

Application progress of enhanced recovery after surgery in postanesthesia care unit

作　　者：律峰[1] 闵苏[1] 陈利好 Lv Feng;Min Su;Chen Lihao(Department of Anesthesiology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院麻醉科,重庆400016

出　　处：《中国医师杂志》2022年第6期805-809,813,共6页Journal of Chinese Physician

基　　金：重庆市社会科学规划项目(2021PY27);国家临床重点专科建设项目(财社(2011)170号);重庆市医学重点学科(渝卫科教〔2007〕2号);重庆市卫生适宜技术推广项目(2021jstg026);重庆市科卫联合医学科研项目(2021MSXM178);重庆市英才计划"包干制项目"(cstc2021ycjh-bgzxm0259)。

摘　　要：加速康复外科理念贯穿整个围手术期,要求降低疾病、手术和麻醉引起的创伤应激和心理应激,减少术后并发症,加速术后早期康复和改善术后远期预后。麻醉恢复期具有特殊性,是患者多项并发症的高发时期,其严重程度可能危及患者生命。如何使患者快速安全地从麻醉状态恢复到接近麻醉前的生理状态,从而减少患者麻醉后恢复室并发症,缩短停留时间,安全舒适地恢复,对麻醉后恢复室医护人员来说是一项重大挑战。因此,本文就加速康复外科理念在麻醉后恢复室的临床应用进展进行综述。The strategy of enhanced recovery after surgery(ERAS)runs through the whole perioperative period,which requires to reduce the traumatic stress and psychological stress caused by disease,surgery and anesthesia,reduce postoperative complications,accelerate the early postoperative rehabilitation and improve the long-term prognosis.The recovery period of anesthesia is a special period with high incidence of multiple complications,and its severity may endanger the lives of patients.It is a great challenge for the medical staff in the post anesthesia recovery room to quickly and safely recover the patients from the anesthesia state to the physiological state close to the pre anesthesia state,so as to reduce the complications in the post anesthesia recovery room,shorten the residence time,and achieve safe and comfortable recovery.Therefore,this article reviews the clinical progress of ERAS strategy in postanesthesia care unit.

关 键 词：麻醉恢复期 加速康复外科 麻醉后恢复室 

分 类 号：R614[医药卫生—麻醉学]