营养支持在加速康复外科（ERAS）计划中的作用。

Role of the nutritional support in the ERAS programme.

作者信息

Mariette C

机构信息

Department of Gastrointestinal and General Surgery, Lille Regional University Hospital.

出版信息

J Visc Surg. 2015 Aug;152 Suppl 1:S18-20. doi: 10.1016/S1878-7886(15)30006-0.

DOI:10.1016/S1878-7886(15)30006-0

PMID:26315575

Abstract

ERAS programs are based on a combination of perioperative measures with a proven efficacy, that combined with each other lead to an enhanced recovery after surgery through a synergistic pathway. Such programs help to decrease postoperative morbidity and to reduce length of hospital stay. Beside immunonutrition, carbohydrate loading until 2 hours before surgery and early postoperative oral feeding are safe and allows enhanced recovery after surgery.

摘要

加速康复外科（ERAS）方案基于一系列已证实具有疗效的围手术期措施，这些措施相互结合，通过协同途径促进术后恢复。此类方案有助于降低术后发病率并缩短住院时间。除免疫营养外，术前2小时内进行碳水化合物负荷补充以及术后早期经口进食是安全的，且能促进术后恢复。