老年人围术期快速康复研究进展  

Research progress of the enhanced recovery after surgery for the aged

作　　者：安仕琪 蒋安[1] An Shiqi;Jiang An(Department of Hepatobiliary pancreas and liver transplantation,The Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710000,China)

机构地区：[1]西安交通大学第二附属医院肝胆胰与肝移植外科,西安710000

出　　处：《中华老年医学杂志》2024年第10期1362-1366,共5页Chinese Journal of Geriatrics

基　　金：陕西省重点研发计划项目(2022SF-372)。

摘　　要：快速康复外科主张通过一系列围手术期优化措施,减少手术和麻醉对患者心理和生理的创伤应激,减少并发症达到术后快速康复,减少住院时间和住院费用的目的。老年外科患者相较于年轻患者常常由于身患多种疾病以及多重用药而在围术期处于特殊的、个体化差异较大的病理生理状态。所以与一般的快速康复理念相比,围术期选择合适的个体化快速康复措施更为重要。本文将近年来老年外科患者快速康复研究进展做一综述。Enhanced recovery after surgery promotes a series of perioperative optimization measures aimed at minimizing the psychological and physiological stress associated with surgery and anesthesia.These measures are designed to reduce complications,facilitate rapid postoperative recovery,and decrease both the length of hospital stay and associated costs.Elderly surgical patients often present with unique and individualized pathophysiological states during the perioperative period due to the presence of multiple comorbidities and medications,in contrast to younger patients.Consequently,it is crucial to select appropriate individualized rapid rehabilitation strategies during the perioperative phase,rather than relying solely on general rapid rehabilitation concepts.The recent advancements in the rapid rehabilitation of geriatric surgical patients are summarized as follows.

关 键 词：老年人 围术期 快速康复外科 

分 类 号：R493[医药卫生—康复医学]