Tao Jiasheng, Yan Zijian, Bai Guowen, Zhang Hua, Li Jie
The First Clinical Medical College, Guangzhou University of Chinese Medicine, Number12, Jichang Road, Baiyun District, Guangzhou 510405, China.
Hospital for First Affiliated Hospital of Guangzhou University of Chinese Medicine, 16th Jichang Road, Baiyun District, Guangzhou 510405, China.
J Pers Med. 2023 Feb 26;13(3):421. doi: 10.3390/jpm13030421.
Enhanced recovery after surgery (ERAS) is a surgical rehabilitation protocol of increasing interest to clinicians in recent years, with the aim of faster and better recovery of patients after surgery. Our main focus in this review is to analyze the effectiveness of ERAS rehabilitation protocols in orthopedic surgery. By comparing the post-operative recovery of patients receiving the ERAS rehabilitation program with that of patients receiving the conventional rehabilitation program, we observed whether the patients who have received the ERAS rehabilitation program could recover better and faster, thereby achieving the aim of a shorter hospital stay and reducing the incidence of complications.
We conducted the literature searches in PubMed, MEDLINE, Web of Science, Cochrane Reviews, EMBASE and other databases on clinical studies related to orthopedic surgery regarding the effectiveness of rehabilitation using ERAS rehabilitation protocols compared with conventional rehabilitation protocols. A systematic review was performed in accordance with the Preferred Reporting Items of Systematic Reviews and Meta-analysis (PRISMA) statement. If there was variability in the rehabilitation data of the patients between the two subgroups, it was considered that there was a difference in the rehabilitation effect of the ERAS rehabilitation protocol and the conventional rehabilitation protocol on the patients.
The application of ERAS rehabilitation protocols can shorten patients' hospital stay and reduce their expenses. In addition, patients with ERAS rehabilitation protocols will have fewer postoperative complications, while patients will have less postoperative pain than those with conventional rehabilitation, facilitating better postoperative recovery.
加速康复外科（ERAS）是近年来临床医生越来越感兴趣的一种外科康复方案，旨在使患者术后更快、更好地康复。本综述的主要重点是分析ERAS康复方案在骨科手术中的有效性。通过比较接受ERAS康复计划的患者与接受传统康复计划的患者的术后恢复情况，我们观察接受ERAS康复计划的患者是否能恢复得更好、更快，从而达到缩短住院时间和降低并发症发生率的目的。
我们在PubMed、MEDLINE、科学网、考克兰系统评价、EMBASE和其他数据库中检索了与骨科手术相关的临床研究，这些研究涉及使用ERAS康复方案与传统康复方案进行康复的有效性。根据系统评价和Meta分析的首选报告项目（PRISMA）声明进行系统评价。如果两个亚组之间患者的康复数据存在差异，则认为ERAS康复方案和传统康复方案对患者的康复效果存在差异。
应用ERAS康复方案可以缩短患者的住院时间并降低费用。此外，采用ERAS康复方案的患者术后并发症更少，且与采用传统康复的患者相比，术后疼痛更轻，有利于术后更好地恢复。
