摘要
快速康复外科是2001年由丹麦外科医生Kehlet和Wilmore首先提出的,目前已有16年的临床应用历史,已在许多外科领域中取得了显著的成绩。其核心是减少围手术期的应激反应、降低术后并发症的发生率、缩短住院时间。虽然快速康复外科在成人外科领域中开展较为广泛,但是在小儿外科应用过程中遇到了一些困难与阻碍。快速康复外科理念在小儿外科中的应用与成人外科基本一致,但是又有其特点,今后我们应该加大对儿童手术创伤应激及代谢规律的研究,在重视应用已有的快速康复外科研究证据的基础上,加大临床的转化应用,最终实现手术无痛与无风险的目标。
Since the concept of fast track surgery was first introduced by Danish surgeon Kehlet and Wilrnore in 2001, it has been 16 years of clinical practice. Significant achievements have been made in different fields of surgery, its core is reducing the perioperative stress response,reducing the incidence of postoperative complications,and shortening the length of hospital stay. Although fast track surgery have widely carded out in adult surgery, but there are still some difficulties and obstacles in pediatric surgery. The concepts of fast track surgery in pediatric surgery and adult surgery is basically the same, but also has its characteristics.In the future we should increase the study of the children＇s surgical trauma stress and metabolic laws. On the basis of emphasis the existing evidence of fast track surgery researches,increase the conversion of clinical applications, and ultimately to achieve the goals of painless and risk-free surgery.
出处
《当代医学》
2018年第7期178-182,共5页
Contemporary Medicine
关键词
快速康复外科
小儿外科
进展
Fast track surgery
Pediatric surgery
Advance
