协和医学杂志

2019, v.10(06) 621-626

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加速康复外科在妇科手术领域的进展
Enhanced Recovery after Surgery in Gynecology:Current Practice and Future Perspective

任远;刘海元;孙大为;
REN Yuan;LIU Hai-yuan;SUN Da-wei;Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;

摘要(Abstract):

加速康复外科(enhanced recovery after surgery,ERAS)旨在通过优化围手术期处理,减轻手术应激,缩短患者术后恢复时间,现已广泛应用于结直肠外科、骨科、泌尿外科等领域,并逐渐被妇科医生所重视。已有研究表明,无论在妇科良性疾病还是恶性肿瘤手术中,ERAS均能够减轻患者术后疼痛、降低术后恶心呕吐发生率、促进术后肠道功能恢复,缩短住院日及降低住院费用,提高患者满意度,同时不增加术后并发症及再次住院发生率。ERAS的实施需要多学科紧密协作,同时需要设计严谨科学的前瞻性研究提供高质量的证据支持,推动其不断发展和完善,使患者实际获益。
Enhanced recovery after surgery( ERAS) aims at reducing surgical stress and accelerating patients' postoperative recovery by optimizing perioperative management,which has been widely applied in multiple fields such as colorectal surgery,orthopedics,and urology,and has gained attention from gynecologists over the last decade. It has been showed that ERAS can reduce postoperative pain,bring down the incidence of postoperative nausea and vomiting,promote the recovery of bowel function,save hospitalization expenses,and improve patient satisfaction in both benign and malignant gynecological conditions. The successful implementation of ERAS requires close collaboration among multiple disciplines as well as rigorous and scientific prospective study providing high-quality evidence support,so as to promote the continuous improvement of ERAS program and bring maximum benefits to patients.

关键词(KeyWords): 加速康复外科;围手术期管理;妇科手术;多模式镇痛;术后恶心呕吐
enhanced recovery after surgery;perioperative management;gynecologic surgery;multimodal analgesia;postoperative nausea and vomiting

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作者(Author): 任远;刘海元;孙大为;
REN Yuan;LIU Hai-yuan;SUN Da-wei;Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;

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