中国实用外科杂志

中国实用外科杂志

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围手术期处理进展——ERAS、围手术期外科之家与围手术期医学

朱维铭1，许奕晗2，黎介寿1   

  1. 1中国人民解放军东部战区总医院（原南京军区总医院）普通外科，江苏南京 210002；2南京医科大学金陵临床医学院，江苏南京 210002
  • 出版日期:2019-02-01 发布日期:2019-01-31

  • Online:2019-02-01 Published:2019-01-31

摘要：

手术在外科疾病的治疗中具有举足轻重的作用，也由此推动了以手术为核心的加速康复外科（ERAS）的兴起与发展。但是随着理念的更新与技术的进步，临床医生逐渐认识到疾病治疗的重点不仅在于手术本身，术前、术后的处理也同样重要，以病人为主体的围手术期处理与疾病的预后息息相关。因此，“围手术期医学”、“围手术期外科之家”等强调术前、术中、术后3个阶段整体治疗，涵盖整个疾病治疗过程的新兴治疗理念受到越来越多地关注。

关键词:  , 围手术期医学, 加速康复外科, 围手术期外科之家, 预康复

Abstract:

Advance in the perioperative management：Enhanced recovery after surgery，perioperative surgical home and perioperative medicine        ZHU Wei-ming*，XU Yi-han，LI Jie-shou. *Department of General Surgery，General Hospital of Eastern Military Command of PLA，Nanjing 210002，China
Corresponding author：LI Jie-shou，E-mail：lijiesou@public.ptt.js.cn
Abstract  Surgery plays a pivotal role in the treatment of certain diseases，which in turn promotes the development of enhanced recovery after surgery (ERAS). However，with the renewal of concept and technology，it is gradually realized that the key to a successful treatment is not only surgery itself but also preoperative and postoperative management. Patient-based perioperative management is closely related to the prognosis of the disease. Therefore，“perioperative medicine” and “perioperative surgical home (PSH)” are gaining more and more attention from all over the world. These novel concepts aim to cover the whole disease treatment process and improve the prognosis.

Key words: perioperative medicine, enhanced recovery after surgery(ERAS), perioperative surgical home, prehabilitation