加速康复外科(enhanced recovery after surgery,ERAS)理念已在欧美等发达国家普遍应用,近年国内发展迅速,在妇科、儿科、肝胆外科、泌尿外科及肿瘤科等科室得到广泛推广,临床效果满意.ERAS旨在根据患者病情进行术前准备,采用循证医学方法优化手术流程,倡导多学科合作,从而达到减少患者围手术期应激反应、降低并发症发生率、缩短住院时长、促进身体机能及心理状况恢复.骨折以急症为主,多数患者需要手术治疗,医疗费用支出较多;多发骨折或高龄患者病情重且复杂,住院时间较长且易出现并发症;术后肢体功能恢复缓慢,康复需求强烈,因此,在骨折患者中推行ERAS理念十分重要.论文总结了ERAS在骨折康复中应用进展,为今后ERAS的临床应用提供参考借鉴.
Research progress of enhanced recovery after surgery for fracture treatment
As a novel medical concept,the concept of enhanced recovery after surgery(ERAS)has been widely applied in developed countries,such as Europe and the United States.Important developments in recent years have been observed in various clinical fields,including gynecology,pediatrics,hepatobiliary surgery,urology and oncology,with satisfactory clinical effects.ERAS is a multimodal and multidisciplinary evidence-based surgical method,which aims to optimize perioperative management and prognosis,so as to achieve the goals of reducing perioperative stress response and the incidence of complications,shortening the length of hospitalization,and promoting the recovery of physical and psychological conditions.Fracture is usually an emergency and surgical treatment is required,resulting in high medical expenses.Patients with high-risk factors,such as advanced age and multiple comorbidities,exhibited longer hospital stays and a high risk of complications.Postoperative rehabilitation exercises are crucial for limb function recovery.Therefore,implementation of ERAS principles in fracture patients is necessary.This article summarizes the current sta-tus of ERAS in fracture treatment to provide a reference for future clinical applications.
Enhanced recovery after surgeryFracture treatmentPerioperative periodResearch progress
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