加速康复外科(Enhanced Recovery After Surgery, ERAS)是一种提升胃肠手术患者术后恢复和生活质量的综合管理策略。本综述旨在全面总结ERAS在胃肠手术中的应用现状,特别是呼吸功能训练的实施与效用。通过对手术前体能管理、呼吸功能训...加速康复外科(Enhanced Recovery After Surgery, ERAS)是一种提升胃肠手术患者术后恢复和生活质量的综合管理策略。本综述旨在全面总结ERAS在胃肠手术中的应用现状,特别是呼吸功能训练的实施与效用。通过对手术前体能管理、呼吸功能训练以及运动训练的深入探讨,本文揭示了这些措施在减少手术后的并发症和缩短住院时间上的显著效果。此外,本文还强调了多学科团队合作(Multi-Disciplinary Treatment)在制定和执行ERAS路径中的关键作用,指出这种合作模式对于提升ERAS临床实践的有效性和患者的整体满意度至关重要。研究结果显示,ERAS的应用不仅显著改善了患者的术后恢复速度,还有助于降低医疗成本,提高资源利用效率。因此,本文的结论对于推动ERAS在胃肠手术领域的进一步应用,以及指导相关政策制定具有重要意义。Enhanced Recovery after Surgery is a comprehensive management strategy designed to enhance postoperative recovery and improve the quality of life for patients undergoing gastrointestinal surgery. This review aims to comprehensively summarize the current application status of ERAS in gastrointestinal surgery, particularly focusing on the implementation and efficacy of respiratory function training. Through in-depth discussions on preoperative physical fitness management, respiratory function training, and exercise training, this paper reveals the significant effects of these measures in reducing postoperative complications and shortening hospital stays. Furthermore, it emphasizes the crucial role of multi-disciplinary treatmments in developing and implementing ERAS pathways, noting that this collaborative model is vital for enhancing the effectiveness of ERAS clinical practices and overall patient satisfaction. The research findings indicate that the application of ERAS not only significantly improves patients’ postoperative recovery speed but also helps reduce medical costs and enhance resource展开更多
手术是结直肠癌的主要的治疗手段,然而手术、麻醉等多种原因会延迟术后胃肠功能的恢复。加速康复外科(enhanced recovery after surgery, ERAS)基于循证医学证据,通过多学科之间相互协作,优化围术期的各种干预措施,从而减轻患者在围术...手术是结直肠癌的主要的治疗手段,然而手术、麻醉等多种原因会延迟术后胃肠功能的恢复。加速康复外科(enhanced recovery after surgery, ERAS)基于循证医学证据,通过多学科之间相互协作,优化围术期的各种干预措施,从而减轻患者在围术期的应激反应,达到改善预后及促进机体康复的目标。目前ERAS被广泛应用于结直肠领域,其可促进结直肠癌患者术后胃肠功能的恢复,目前可以促进肠道功能恢复的基于ERAS理念的非药物干预措施有咀嚼口香糖、术后早期经口进食、术后早期活动。本文将对其分别进行综述,以期为结直肠癌患者术后胃肠功能加速康复提供理论依据,为未来研究及临床应用提供借鉴和帮助。展开更多
文摘加速康复外科(Enhanced Recovery After Surgery, ERAS)是一种提升胃肠手术患者术后恢复和生活质量的综合管理策略。本综述旨在全面总结ERAS在胃肠手术中的应用现状,特别是呼吸功能训练的实施与效用。通过对手术前体能管理、呼吸功能训练以及运动训练的深入探讨,本文揭示了这些措施在减少手术后的并发症和缩短住院时间上的显著效果。此外,本文还强调了多学科团队合作(Multi-Disciplinary Treatment)在制定和执行ERAS路径中的关键作用,指出这种合作模式对于提升ERAS临床实践的有效性和患者的整体满意度至关重要。研究结果显示,ERAS的应用不仅显著改善了患者的术后恢复速度,还有助于降低医疗成本,提高资源利用效率。因此,本文的结论对于推动ERAS在胃肠手术领域的进一步应用,以及指导相关政策制定具有重要意义。Enhanced Recovery after Surgery is a comprehensive management strategy designed to enhance postoperative recovery and improve the quality of life for patients undergoing gastrointestinal surgery. This review aims to comprehensively summarize the current application status of ERAS in gastrointestinal surgery, particularly focusing on the implementation and efficacy of respiratory function training. Through in-depth discussions on preoperative physical fitness management, respiratory function training, and exercise training, this paper reveals the significant effects of these measures in reducing postoperative complications and shortening hospital stays. Furthermore, it emphasizes the crucial role of multi-disciplinary treatmments in developing and implementing ERAS pathways, noting that this collaborative model is vital for enhancing the effectiveness of ERAS clinical practices and overall patient satisfaction. The research findings indicate that the application of ERAS not only significantly improves patients’ postoperative recovery speed but also helps reduce medical costs and enhance resource
文摘手术是结直肠癌的主要的治疗手段,然而手术、麻醉等多种原因会延迟术后胃肠功能的恢复。加速康复外科(enhanced recovery after surgery, ERAS)基于循证医学证据,通过多学科之间相互协作,优化围术期的各种干预措施,从而减轻患者在围术期的应激反应,达到改善预后及促进机体康复的目标。目前ERAS被广泛应用于结直肠领域,其可促进结直肠癌患者术后胃肠功能的恢复,目前可以促进肠道功能恢复的基于ERAS理念的非药物干预措施有咀嚼口香糖、术后早期经口进食、术后早期活动。本文将对其分别进行综述,以期为结直肠癌患者术后胃肠功能加速康复提供理论依据,为未来研究及临床应用提供借鉴和帮助。
