加速康复外科推广过程中面临的挑战与对策

doi:10.6040/j.issn.1671-7554.0.2019.533

摘要/Abstract

摘要： 加速康复外科(ERAS)围手术期理念自首次提出并应用于临床至今已有20余年,国内外已经在胃肠外科、肝胆外科、骨科、妇产科、泌尿外科等学科开展了多个临床研究,结果显示,ERAS能够显著缩短肠功能恢复时间、减少手术后并发症、缩短住院天数、减少住院费用,虽然取得了满意的研究结果,但ERAS理念在国内推广起来仍然存在一些阻力,本文笔者分析ERAS在国内推广过程中存在的挑战,并提出相应的对策,希望为ERAS理念在我国的顺利推广提供思路。

关键词: 加速康复外科, 围手术期, 多学科协作, 胃切除术, 结直肠外科

Abstract: The concept of perioperative enhanced recovery after surgery(ERAS)has been proposed and practiced forover 20 years. Clinical studies have been carried out in fields of gastrointestinal surgery, hepatobiliary surgery, orthopedics, obstetrics and gynecology, and urology at home and abroad. Results showed that ERAS could significantly shorten the recovery time of intestinal function, reduce the incidence of postoperative complications, shorten the length of hospitalization days and reduce hospital costs. Although the findings are encouraging, there are still obstacles restricting the development of EARS in China. In this review, the authors analyze the challenges of promoting ERAS, and propose countermeasures, hoping to provide ideas for the promotion of ERAS in China.

Key words: Enhanced recovery after surgery, Perioperative period, Multidisciplinary collaboration, Gastrectomy, Colorectal surgery

中图分类号:

王刚,江志伟. 加速康复外科推广过程中面临的挑战与对策[J]. 山东大学学报 (医学版), 2019, 57(9): 24-27.

WANG Gang, JIANG Zhiwei. Challenges and countermeasures in the spread of enhanced recovery after surgery[J]. Journal of Shandong University (Health Sciences), 2019, 57(9): 24-27.

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