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中华损伤与修复杂志(电子版) ›› 2019, Vol. 14 ›› Issue (03) : 235 -237. doi: 10.3877/cma.j.issn.1673-9450.2019.03.015

所属专题: 文献

护理园地

快速康复外科在腹部外科手术护理中的应用进展
侯宝莲1,()   
  1. 1. 100088 北京,解放军火箭军特色医学中心肝胆外科
  • 收稿日期:2019-04-23 出版日期:2019-06-01
  • 通信作者: 侯宝莲

Application and the progress of enhanced recovery after surgery in abdominal surgery nursing

Baolian Hou1,()   

  1. 1. Department of Hepatobiliary Surgery, Rocket Force Characteristic Medical Center of PLA, Beijing 100088, China
  • Received:2019-04-23 Published:2019-06-01
  • Corresponding author: Baolian Hou
  • About author:
    Corresponding author: Hou Baolian, Email:
引用本文:

侯宝莲. 快速康复外科在腹部外科手术护理中的应用进展[J/OL]. 中华损伤与修复杂志(电子版), 2019, 14(03): 235-237.

Baolian Hou. Application and the progress of enhanced recovery after surgery in abdominal surgery nursing[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2019, 14(03): 235-237.

快速康复外科(ERAS)理念是一种多模式、多学科综合的标准化康复方案。通过外科医师、麻醉医师以及护士多学科沟通合作,制定合理的围手术期方案使患者术后快速康复。通常采用术前优化宣教、合理功能训练,给予营养支持;术中优化手术流程、保温;术后改善围手术期护理等措施,旨在减少患者痛苦以及手术应激反应和器官功能障碍,降低手术并发症,缩短住院时间,加快患者的术后康复。本文就ERAS在腹部外科手术护理中具体措施及应用进行综述。

The enhanced recovery after surgery(ERAS) is a multi-mode, multidisciplinary standardized rehabilitation program. Through multidisciplinary communication and cooperation among surgeons, anesthesiologists and nurses, a reasonable perioperative program can be developed to enable patients to recover quickly after surgery. Usually preoperative optimal education, rational functional training and nutritional support; intraoperative optimization of surgical procedures and heat preservation, postoperative improvement of perioperative care and other measures. All the measures aim at reducing patient pain and surgical stress response and organ dysfunction, reducing surgical complications, shortening hospitalization time, and accelerating postoperative rehabilitation of patients. This article reviews the practical measures and application of the concept of rapid rehabilitation surgery in the nursing of abdominal surgery.

[1]
Wilmore DW, Kehelt H. Management of patients in fast track surgery[J]. BMJ, 2001, 322(7284): 473-476.
[2]
Kehelt H, Wilmore DW. Multimodal strategies to improve surgical outcome[J]. Am J Surg, 2002, 183(6): 630-641.
[3]
Mihai P, Luca P, Isidro MC. Enhanced Recovery after Emergency Surgery: A Systematic Review [J]. Bull Emerg Trauma, 2017, 5(2): 70-78.
[4]
Aditya J, Nanavati S, Prabhakar1. Fast-track surgery: Toward comprehensive peri-operative care[J]. Anesth Essays Res, 2014, 8(2): 127-133.
[5]
Vlug MS, Wind J, Hollmann MW, et al. Laparoscopy incombination with fast track multimodal management is thebest perioperative strategy in patients undergoing colonic surgery: a randomized clinical trial (LAFA-study) [J]. Ann Surg, 2011, 254(6): 868-875.
[6]
van Bree SH, Vlug MS, Bemelman WA, et al. Faster recovery of gastrointestinal transit after laparoscopy and fast-track care in patients undergoing colonic surgery[J]. Gastroenterology, 2011, 141(3): 872-880. e1-4.
[7]
Khoo CK, Vickery CJ, Forsyth N, et al. A prospective randomized controlled trial of multimodal perioperative management protocol in patients undergoing elective colorectal resection for cancer[J]. Ann Surg, 2007, 245(6): 867-872.
[8]
Lassen K, Soop M, Nygren J, et al. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations[J]. Arch Surg, 2009, 144(10): 961-969.
[9]
Gralla O, Haas F, Knoll N, et al. Fast-track surgery in laparoscopic radical prostatectomy: basic principles[J]. World J Urol, 2007, 25(2): 185-191.
[10]
Jawahar K, Scarisbrick AA. Parental perceptions in pediatric cardiac fast-track surgery[J]. AORN J, 2009, 89(4): 725-731.
[11]
杨伶俐,杨柳,廖淑梅,等. 快速康复外科理念在老年髋关节置换术围术期护理的应用进展[J]. 检验医学与临床,2014, 11(24): 3499-3500.
[12]
Feldheiser A, Aziz O, Baldini G, et al. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice[J]. Acta Anaesthesiol Scand, 2016, 60(3): 289-334.
[13]
Kagedan DJ, Ahmed M, Devitt KS, et al. Enhanced recovery after pancreatic surgery: a systematic review of the evidence[J]. HPB (Oxford), 2015, 17(1): 11-16.
[14]
吴耀禄,曹波,白铁成,等. 快速康复外科在胃癌手术中的应用现状及存在的问题[J]. 医学综述,2014, 4(22): 643-645.
[15]
Kabata P, Jastrzebski T, Kakol M. Preoperative nutritional support in cancer patients with no clinical signs of malnutrition-prospective randomized controlled trial[J]. Supportive Care Cancer, 2015, 23(2): 365-370.
[16]
Boland MR, Reynolds I, McCawley N, et al. Liberal perioperative fluid administration is an independent risk factor for morbidity and is associated with longer hospital stay after rectal cancer surgery[J]. Ann R Coll Surg Engl, 2017, 99(2): 113-116.
[17]
黄玉彬. 快速康复外科在腹腔镜肝叶切除术围手术期护理中的应用[J]. 中外医学研究,2017, 15(30): 116-117.
[18]
Sharma P, Sharma R. miRNA-mRNA crosstalk in esophageal cance: From diagnosis to therapy[J]. Crit Rev Oncol Hematol, 2015, 96 (3): 449-462.
[19]
张咏珍. 快速康复外科理念在胃癌患者围术期护理中的应用效果[J]. 实用心脑肺血管病杂志,2018, 26(S2): 115-117.
[20]
张伟. 快速康复外科及早期肠内营养在胃癌术后患者治疗中的临床价值研究[J]. 实用临床护理学杂志,2018, 3(34): 116, 118.
[21]
杨玲云,辛利萍,李柯桦,等. 快速康复外科护理在胃癌围术期中的应用[J]. 临床医学研究与实践,2018, 3(21): 156-157.
[22]
周小琴,赵文娟. 快速康复护理在肝外科的应用现状[J]. 护理实践与研究,2016, 13(11): 22-24.
[23]
林哲莹,姚晓冬,吴桂真. 快速康复外科理念在胸腹腔镜食管癌切除术患者围手术期护理中的应用[J]. 中国实用护理杂志,2015, 31(8): 580-582.
[24]
Bond-smith G, Belgaumkar AP, Davidson BR. Enhanced recovery protocols for major upper gastrointestinal, liver and pancreatic surgery[J]. Cochrane Database Syst Rev, 2016, 2(2): D11382.
[25]
Nanavatia J, Prabhakar S. Fast-track surgery:toward comprehensive peri-operative care[J]. Anesth Essays Res, 2015, 8 (2): 127-133.
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