结直肠手术中实施加速康复外科（ERAS）方案是否能改善患者预后？
Does Implementation of Enhanced Recovery after Surgery (ERAS) Protocols in Colorectal Surgery Improve Patient Outcomes?
作者信息
Ban Kristen A, Berian Julia R, Ko Clifford Y
机构信息
Department of Surgery, Loyola University Medical Center, Maywood, Illinois.
Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois.
出版信息
Clin Colon Rectal Surg. 2019 Mar;32(2):109-113. doi: 10.1055/s-0038-1676475. Epub 2019 Feb 28.
Abstract
Enhanced Recovery after Surgery (ERAS) protocols are multimodal perioperative care pathways designed to accelerate recovery by minimizing the physiologic stress of a surgical procedure. Benefits of ERAS implementation in colorectal surgery include reduced length of stay and decreased complications without an increase in readmissions. Though there is evidence associating individual ERAS protocol elements (e.g., preoperative carbohydrate loading, judicious perioperative fluid administration, and early initiation of postoperative nutrition) with improved outcomes, ensuring high compliance with all elements of an ERAS protocol will maximize benefits to the patient. After ERAS implementation, data collection on protocol process measures can help providers target education and interventions to improve protocol compliance and patient outcomes.
摘要
术后加速康复（ERAS）方案是多模式围手术期护理路径，旨在通过最大限度减少手术过程中的生理应激来加速康复。在结直肠手术中实施ERAS的益处包括缩短住院时间、减少并发症且不增加再入院率。尽管有证据表明，ERAS方案的各个要素（如术前碳水化合物负荷、围手术期液体的合理管理以及术后营养的早期启动）与改善预后相关，但确保高度遵守ERAS方案的所有要素将使患者受益最大化。实施ERAS后，收集方案过程指标的数据有助于医护人员确定教育和干预目标，以提高方案依从性和患者预后。
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