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妇科肿瘤学中的术后加速康复(ERAS)

Enhanced recovery after surgery (ERAS) in gynecology oncology.

作者信息

Bogani Giorgio, Sarpietro Giuseppe, Ferrandina Gabriella, Gallotta Valerio, DI Donato Violante, Ditto Antonino, Pinelli Ciro, Casarin Jvan, Ghezzi Fabio, Scambia Giovanni, Raspagliesi Francesco

机构信息

Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.

Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.

出版信息

Eur J Surg Oncol. 2021 May;47(5):952-959. doi: 10.1016/j.ejso.2020.10.030. Epub 2020 Oct 28.

Abstract

The Enhanced Recovery After Surgery (ERAS) is a pathway designed to achieve early recovery for patients undergoing major surgery. The ERAS pathway included three important components preoperative, intraoperative, postoperative program. Pre-habilitation and re-habilitation are of paramount importance to improve patients' care. The ERAS is based on evidence-based medicine. Accumulating evidence highlighted that adopting ERAS resulted in lower complication rate, and shorter length of hospital stay in comparison to standard protocols of care. The adoption of the ERAS resulted in a significant improvement of patients' outcomes and a reduction of the overall cost of care. In the present review, we summarized current evidence on ERAS, focusing on the steps useful for its adoption into clinical practice.

摘要

术后加速康复(ERAS)是一种旨在使接受大手术的患者实现早期康复的路径。ERAS路径包括术前、术中和术后计划这三个重要组成部分。术前康复和术后康复对于改善患者护理至关重要。ERAS基于循证医学。越来越多的证据表明,与标准护理方案相比,采用ERAS可降低并发症发生率,并缩短住院时间。采用ERAS显著改善了患者的治疗效果,并降低了总体护理成本。在本综述中,我们总结了关于ERAS的当前证据,重点关注有助于将其应用于临床实践的步骤。

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