摘要
加速术后康复理念指通过循证医学证据,采取多学科合作,减轻手术创伤和应激,促进术后恢复,减少术后并发症,缩短住院时间。2018年12月和2019年9月,《美国妇产科杂志》相继发表了加速术后康复协会关于剖宫产手术的围术期指南。该指南包括术前、术中和术后等3部分,含择期和非择期剖宫产路径,重点关注产妇的围术期处理,也包括新生儿的即刻处理。本文对其中主要部分进行解读。
Enhanced recovery after surgery(ERAS)refers to an evidence-based,multidisciplinary approach to reduce postoperative surgical trauma,stress response,and complications,thereby improving recovery and shortening hospital stay.In December 2018 and September 2019,the American Journal of Obstetrics and Gynecology has published ERAS guidelines for perioperative care in cesarean delivery,consisting of three parts:preoperative,intraoperative,and postoperative phases,including elective and emergent cesarean section pathways.The guidelines focused on perioperative maternal care and immediate neonatal care,aiming to enhance cesarean delivery's quality and safety and improve maternal and neonatal outcomes.This article interprets the central part of the guideline.
作者
耿志宇
孙瑜
Geng Zhiyu;Sun Yu(Department of Anesthesiology,Peking University First Hospital,Beijing 100034,China;Department of Obstetrics and Gynecology,Peking University First Hospital,Beijing 100034,China)
出处
《中华围产医学杂志》
CAS
CSCD
北大核心
2020年第11期733-736,共4页
Chinese Journal of Perinatal Medicine
关键词
加速术后康复
剖宫产术
围手术期医护
Enhanced recovery after surgery
Cesarean section
Perioperative care