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胃肠手术与加速康复外科

Gastrointestinal Surgery and Enhanced Recovery After Surgery

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【作者】 朱州

【Author】 ZHU Zhou;Department of Gastrointestinal Surgery, Guangxi Zhuang Autonomous Region People’s Hospital;

【机构】 广西壮族自治区人民医院胃肠外科

【摘要】 加速康复外科(ERAS)是在循证医学证据基础之上通过多学科协作模式在围手术期采取的一系列优化处理措施,以减轻手术对患者心理生理创伤应激反应、改善器官功能紊乱、减少并发症、加速患者术后康复、缩短住院时间、降低再入院风险和死亡风险。这些优化措施包括术前准备、控制手术应激和胰岛素抵抗、麻醉和术后镇痛、体液平衡、术后肠功能恢复。减少手术应激是ERAS理念的核心原则。

【Abstract】 enhanced recovery after surgery(ERAS) are a series of optimized measures in perioperative period through multidisciplinary collaboration model based on evidence-based medicine, to reduce patient’s psychological and physiological stress response of surgical trauma, improve organ dysfunction, reduce complications, enhance patient’s recovery after surgery, shorten hospitalization time and reduce readmission and death riskf. These optimized measures include preoperative preparation, control of surgical stress and insulin resistance, anesthesia and postoperative analgesia, fluid balance and postoperative bowel function recovery. Reducing surgical stress is the core principle of ERAS concept.

  • 【文献出处】 世界最新医学信息文摘 ,World Latest Medicine Information , 编辑部邮箱 ,2017年63期
  • 【分类号】R473.6
  • 【被引频次】2
  • 【下载频次】69
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