中国实用外科杂志

中国实用外科杂志

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加速康复外科与手术并发症防治

陈    凛，张珂诚   

  1. 中国人民解放军总医院普通外科，北京 100853
  • 出版日期:2017-04-01 发布日期:2017-03-31

  • Online:2017-04-01 Published:2017-03-31

摘要：

手术相关应激增加了病人术后并发症发生风险。加速康复外科（ERAS）整合一系列具有循证医学基础的研究结果，以减轻手术应激反应为核心理念，优化病人围手术期机能状态，具有降低并发症发生风险的生理机制基础。准确详尽记录并发症、重视出院随访、辨识高危人群有助于更好地评估ERAS的临床疗效，并制定适合高危人群的个体化ERAS方案。基于共识和指南，探索建立适合各自医院实施的ERAS方案，并确保依从率，才能实现并发症的有效防治，促进病人快速康复的最终目的。

关键词: 加速康复外科, 并发症, 手术应激

Abstract:

Enhanced recovery after surgery and complication prevention after gastrectomy        CHEN Lin，ZHANG Ke-cheng. Department of General Surgery，Chinese PLA General Hospital，Beijing 100853，China
Corresponding author：CHEN Lin，E-mail：chenlinbj@vip.sina.com
Abstract    Surgical stress increase the risk of complication. Integrating multiple evidenced procedures and aiming at alleviate surgical response, enhanced recovery after surgery（ERAS）optimize patients’ physiological function perioperatively，and have the potential to decrease postoperative complications. Detail records and classification of complication, emphasis on the follow-up, combining with identification of patients at high risk of complication, would facilitate better evaluation and individualized ERAS program establishment. Based on the guideline consensus, exploring and establishing ERAS protocol which is readily implemented for hospital, and improving compliance would contribute to achieving the goal of complication prevention and accelerating recovery.

Key words: enhanced recovery after surgery, complication, surgical stress