Mao Wei, Jiang Xinhua, Zeng Xilin, Ye Deqiang
Department of General Surgery, Nanchang University Infectious Disease Hospital, Nanchang, Jiangxi 330002, P.R. China.
Department of Anesthesiology, Nanchang University Infectious Disease Hospital, Nanchang, Jiangxi 330002, P.R. China.
Med Int (Lond). 2024 Jul 9;4(5):50. doi: 10.3892/mi.2024.174. eCollection 2024 Sep-Oct.
Enhanced recovery after surgery (ERAS), which is based on evidence-based medicine, focuses on patients and aims to reduce the psychological and physiological trauma stress reactions and complications of patients, thus shortening the duration of hospitalization, promoting rapid recovery and reducing medical expenses, readmission rate and mortality rates. Acquired immunodeficiency syndrome (AIDS) is caused by human immunodeficiency virus (HIV) infection. Patients with HIV/AIDS, as with other patient populations, can suffer from several surgical-related diseases. Therefore, the need for surgery in this group of patients exists and the surgical services required by patients with AIDS has gradually become an urgent matter of concern. According to relevant literature and the authors' clinical experience, the present review summarizes the current surgical approaches for patients infected with HIV based on ERAS. In the present review, the related issues observed at different stages of surgery, including pre-operative, intra-operative, post-operative and follow-up stages, are discussed.
基于循证医学的加速康复外科（ERAS）以患者为中心，旨在减轻患者的心理和生理创伤应激反应及并发症，从而缩短住院时间，促进快速康复，并降低医疗费用、再入院率和死亡率。获得性免疫缺陷综合征（AIDS）由人类免疫缺陷病毒（HIV）感染引起。与其他患者群体一样，HIV/AIDS患者可能患有多种与手术相关的疾病。因此，这组患者存在手术需求，AIDS患者所需的外科服务已逐渐成为一个迫切需要关注的问题。根据相关文献和作者的临床经验，本综述基于ERAS总结了目前HIV感染患者的手术方法。在本综述中，讨论了在手术不同阶段（包括术前、术中、术后和随访阶段）观察到的相关问题。
