骨科加速康复理念与关键技术的认识与实践  

Cognition and practice of the concepts and key techniques in orthopaedic enhanced recovery after surgery

作　　者：黄泽宇[1] 裴福兴[1] HUANG Ze-yu;PEI Fu-xing(Department of Orthopaedic Surgery,West China Hospital,Sichuan University,Chengdu,Sichuan,610041,China)

机构地区：[1]四川大学华西医院骨科,成都610041

出　　处：《中国骨与关节杂志》2022年第10期722-724,共3页Chinese Journal of Bone and Joint

摘　　要：加速康复外科(enhanced recovery after surgery,ERAS)的理念由丹麦哥本哈根大学的Henrik Kehlet教授提出,是指采用一系列有循证医学证据的围术期优化措施,达到减少术后患者的生理及心理创伤应激,减少术后并发症及再入院风险和死亡风险的目的,促进患者术后加速康复[1-2]。ERAS理念的提出促进了外科学的发展,特别是围术期医学的研究与发展。外科不同专业由于解剖部位不同,疾病手术类型不同,ERAS理念在外科不同专业实施存在不同的实施措施与技术,其最终目标是一致的,即提高医疗质量与安全,减少并发症,提高患者的就医体验与满意度。骨科加速康复的终极目标是达到围术期“无血、无痛、无感、无栓、无应激、无风险”,从而提高骨科手术质量与安全,提高疗效[3-5]。Enhanced recovery after surgery(ERAS) has promoted the development of surgery.The core of ERAS is to reduce the patient’s traumatic stress physically and psychologically.The concept of ERAS meets the requirement of the modern medical model.It emphasizes medical humanistic care,as well as stress and anxiety relief.It is necessary to improve key perioperative technologies such as precise minimally invasive surgery,perioperative blood management,pain control,rehabilitation therapy,comorbidity assessment and complication reduction.Multidisciplinary research and practice of techniques will facilitate accurate implementation of ERAS in orthopedics with Chinese characteristics to further improve the medical quality,safety and patients’satisfaction.

关 键 词：矫形外科手术 术后加速康复 理疗与康复医学 

分 类 号：R687.3[医药卫生—骨科学]