摘要
加速康复外科(enhanced recovery after surgery,ERAS)理念诞生与微创外科技术进步密切相关。ERAS发展过程中利用技术,又融入人文因素,使其高于技术,而丰富ERAS的内涵和外延。结合近年ERAS在外科各领域的进展,总结ERAS临床应用的现状与策略:一是微创技术进步使ERAS理念的临床应用成为必然;二是外科学理论与技术的发展,深入与扩大了ERAS的内涵与外延;三是ERAS临床应用需要我们更新观念;四是ERAS的临床实践需要在医疗服务和医疗干预之间合理选择;五是ERAS临床应用加减之间应用的现实问题与策略。从而深入理解ERAS的真正临床意义,更好地指导临床实践。
The foundation of enhanced recovery after surgery(ERAS)is closely related to the minimally invasive surgery progress.In the development of ERAS,technology is utilized and humanistic factors are integrated to make it higher than technology,thus enriching the connotation and extension of ERAS.Based on the progress of ERAS in various fields of surgery in recent years,the current situation and strategies of clinical application of ERAS are summarized.First,the clinical practice of ERAS is inevitable for minimally invasive surgery progress.Second,the development of surgery theory and technology has deepened and expanded the connotation and extension of ERAS.Thirdly,the clinical application of ERAS requires us to renew our ideas.Fourth,the clinical practice of ERAS requires reasonable choice of medical service and medical intervention.The fifth is to the practical problems and strategies in clinical application of ERAS,to understand the complete clinical significance of ERAS,and better guide clinical practice.
作者
车国卫
Guowei CHE(Department of Thoracic Surgery,West China Hospital,Sichuan University,Chengdu 610041,China)
出处
《中国肺癌杂志》
CAS
CSCD
北大核心
2019年第11期681-686,共6页
Chinese Journal of Lung Cancer
关键词
加速康复外科
人文因素
医疗服务
医疗干预
Enhanced recovery after surgery
Humanistic factor
Medical service
Medical intervence
