中国实用外科杂志

中国实用外科杂志

• 普通外科进展 • 上一篇    下一篇

规范化开展加速康复外科几个关键问题

江志伟，黎介寿   

  1. 南京军区南京总医院全军普通外科研究所，江苏南京210002
  • 出版日期:2016-01-01 发布日期:2015-12-31

  • Online:2016-01-01 Published:2015-12-31

摘要：

加速康复外科（enhanced recovery after surgery，ERAS）的发展已有18年的历史，在我国的应用已有10年的初步经验。临床研究和应用结果显示，ERAS不仅仅具有缩短住院时间的优势，而且还具有减轻应激反应和疼痛，减少并发症，促进病人快速康复的优势。ERAS是一个集成创新模式，需要包括医院行政管理部门等多学科的参与，需要改变传统的临床路径。需要加大针对术后肠麻痹及肠功能康复的研究，努力实现ERAS共识与指南的临床转化。

关键词: 加速康复外科, 胃癌, 结直肠癌, 围手术期处理

Abstract:

Principles to promote the enhanced recovery after surgery        JIANG ZHI-wei,LI Jie-shou. Nanjing General Hospital of Nanjing Military Command, Nanjing210002,China
Corresponding author: JIANG ZHI-wei,E-mail:surgery34@163.com
Abstract    It has been 18 years since the concept of ERAS(enhanced recovery after surgery)been proposed, and there has been 10 years experience since it was first applicated in China. Not only it was shortened in hospital stay but also reduction in surgical stress, pain and complications. All of which leads to the patients’ fast recovery. ERAS is an integrated innovation, which involves multidisciplinary, including hospital administration and etc. The traditional clinical pathway has to be changed. Additional investigation has to be conducted on postoperative ileus and the recovery of intestinal function. Great effort should been made to the clinical applications of ERAS as well.

Key words: enhanced recovery after surgery（ERAS）, gastric cancer , colorectal cancer, perioperative care