关键词: 加速康复外科, 应激, 围手术期处理

Abstract:

Enhanced recovery after surgery: current controversies and concerns        YANG Yin-mo. Department of Surgery，Beijing University First Hospital，Beijing 100034，China
Abstract    The enhanced recovery after surgery（ERAS） protocol is an evidence based，perioperative care pathway，which is to reduce the physiological neuroendocrine stress response to surgery，with the ultimate goal of improving patient recovery and outcomes. In clinical practice, the multidisciplinary team，multimodal approach，and individualized program are necessary to get the ERAS protocol implemented. It is the most important approach for patient recovery to improve the quality of surgery so as to reduce the surgical stress. The goals of ERAS should be realistic and the related program should be implemented under national conditions by adhering to the principle of safety first，and efficiency second.

Key words: enhanced recovery after surgery, stress, perioperative care