摘要
加速康复外科（enhanced recovery after surgery,ERAS）理念进入中国已有近十年,其核心内涵在于降低医疗应激反应,加快机体生理功能恢复.结合临床经验,在单一住院时间外综合运用多种指标分期评价加速康复效果更为合适.提高对ERAS方案的依从执行是确保疗效的关键,指南相关因素、行政管理、医务工作者和患方是影响依从执行率的重要方面.整合所有利益相关方的力量,加强多学科团队沟通合作,理论结合实践,将有助于破解ERAS临床推广应用的难题.
It has already been ten years since the concept of enhanced recovery after surgery （ERAS） was introduced in China.The ERAS protocol focuses on relieving surgical stress and accelerating physiological recovery.From our perspective,besides the post hospital stay,it would be better to evaluate patient＇s recovery by different indicators.It is important to improve the compliance of ERAS protocol.The guideline-related factors,administration,medical staff and patients have impact on compliance.Integrating stakeholders,strengthening communication and cooperation among multidiscipline teams,combining theory with practice would facilitate use of ERAS protocol in clinical settings.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2017年第5期325-327,共3页
Chinese Journal of Surgery
关键词
胃肠肿瘤
围手术期医护
康复
Gastrointestinal neoplasms
Perioperative care
Rehabilitation
