摘要
加速康复外科(ERAS)是一种优化围手术期管理、改善临床结果并降低医疗成本的系统护理方法,近年来ERAS被引入腹壁疝修补术中,通过健康宣教、戒烟、体重控制、血糖及疼痛管理、感染及血栓预防等术前管理优化措施,预防低体温、标准化麻醉管理、补液控制、微创操作、控制性置入管道等术中管理优化措施,以及多模式镇痛、术后早期活动及胃肠功能恢复及血糖控制等术后管理优化措施,有效降低了手术部位感染等并发症的发生率、减轻了患者疼痛、缩短了住院时间,其中围手术期疼痛管理、术后早期活动及恢复胃肠功能等ERAS要素是腹壁疝修补术中缩短住院时间、改善预后的关键。ERAS能安全、有效地应用于腹壁疝修补术。
Enhanced recovery after surgery(ERAS)is a systematic approach to care that optimizes perioperative management,improves clinical outcomes,and reduces healthcare costs.ERAS has been introduced into abdominal hernia repair in recent years.Preoperative management was optimized through health education,smoking cessation,weight control,blood glucose and pain management,infection and thrombosis prophylaxis.And prevention of hypothermia,standardized anesthesia management,fluid replacement control,minimally invasive operation,controlled catheter placement and other intraoperative management optimization measures.And multimode analgesia,early postoperative activity,recovery of gastrointestinal function and control of blood glucose and other postoperative management optimization measures effectively reduced the incidence of complications such as surgical site infection,alleviated the pain of patients,and shortened the hospital stay.ERAS factors such as perioperative pain management,early postoperative activity,and recovery of gastrointestinal function are the key to shorten hospital stay and improve prognosis during abdominal wall hernia repair.ERAS can be used safely and effectively for abdominal hernia repair.
作者
李云锋
俞永江
孙斌杰
蒋维荣
余坤
Li Yunfeng;Yu Yongjiang;Sun Binjie;Jiang Weirong;Yu Kun(The First Clinical Medical College of Lanzhou University,Lanzhou 730000,China;Department of Gastrointestinal Hernia and Abdominal Wall Surgery,the First Hospital of Lanzhou University,Lanzhou 730000,China)
出处
《国际外科学杂志》
2021年第10期695-699,共5页
International Journal of Surgery
关键词
疝
腹部
围手术期医护
加速康复外科
疗效比较研究
Hernia,abdominal
Perioperative care
Enhanced recovery after surgery
Comparative effectiveness research
