Department of Neurosurgery, Cleveland Clinic, S40, Cleveland, OH 44195, USA.
Case Western Reserve University School of Medicine, S40, Cleveland, OH, USA.
Neurosurg Clin N Am. 2020 Jan;31(1):81-91. doi: 10.1016/j.nec.2019.08.010.
Enhanced recovery after surgery is an interdisciplinary, multimodal approach to improve postoperative outcomes by applying multiple evidenced-based interventions. It has been adapted at multiple institutions for patients undergoing spine surgery to combat the rising rate of opioid consumption. Various preoperative, intraoperative, and postoperative pharmacologic and nonpharmacologic interventions have been introduced to augment patient care with the goal to decrease hospital length of stay and improve postoperative outcomes. Future studies will focus on health care-related quality of life outcomes to evaluate the effectiveness of enhanced recovery after surgery across various benchmarks.
术后加速康复是一种多学科、多模式的方法，通过应用多种循证干预措施来改善术后结果。它已经在多个机构中针对接受脊柱手术的患者进行了调整，以应对阿片类药物消耗率的上升。已经引入了各种术前、术中和术后的药物和非药物干预措施来加强患者的护理，以减少住院时间并改善术后结果。未来的研究将集中在与医疗保健相关的生活质量结果上，以评估术后加速康复在各种基准下的有效性。
