Che Guowei, Liu Lunxu, Zhou Qinghua
Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Lung Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, China.
Zhongguo Fei Ai Za Zhi. 2017 Apr 20;20(4):219-225. doi: 10.3779/j.issn.1009-3419.2017.04.01.
Enhanced recovery after surgery (ERAS) is a paradigm shift in perioperative care, resulting in substantial improvements in clinical outcomes, shorter length of hospital stay and cost savings. But the current ERAS either by application of breadth or depth is not enough, why? The main reason is the lack of "operability, evaluation, repetition" ERAS protocol and suitable for clinical extensive application protocol. How to form the clinical available protocol? Operational mainly refers to the clinical scheme is simple and feasible, and protocol compliance is good; Evaluate refers to the methods used before, during and after are the objective evaluation criteria and plan; Repeatable is clinical scheme repeatability in the process of single or multiple center.
术后加速康复(ERAS)是围手术期护理的一种范式转变,可带来临床结局的显著改善、缩短住院时间并节省成本。但目前的ERAS无论是在应用广度还是深度上都不够,原因何在?主要原因是缺乏“可操作性、可评估性、可重复性”的ERAS方案以及适合临床广泛应用的方案。如何形成临床可用方案?可操作性主要是指临床方案简单可行,且方案依从性良好;可评估性是指术前、术中和术后所采用的方法均为客观评估标准和计划;可重复性是指临床方案在单中心或多中心过程中的可重复性。