加速康复外科与手术相关差异的研究进展

加速康复外科(enhanced recovery after surgery,ERAS)是指使用标准化、多模式的围手术期策略来减少手术引起的生理应激和器官功能障碍.自ERAS理念提出以来,其在外科领域广受推崇.它在外科领域对于绝大部分患者,医务人员和医疗保健系统的益处是显而易见的.然而,对于某些特定的接受手术的人群来说,其益处则并不确定,这就是所谓的手术相关差异.本文将近年来不同外科领域有关不同种族人群出现手术相关差异的研究进行分析,综述了大量有关ERAS的实施对手术相关差异的正面影响,并阐述了其可能的发生机制.最终得出结论,ERAS一种解决手术相关差异的标准化模式,应该成为外科围手术期管理的金标准.

Progress in research of enhanced recovery after surgery and surgery related differences

Enhanced recovery after surgery(ERAS) refers to the use of standardized, multimodal perioperative strategies to reduce physiological stress and organ dysfunction caused by surgery. Since the ERAS concept was put forward, it has been widely respected in the surgical field. Its benefits in the surgical field for the vast majority of patients, medical staff and healthcare systems are obvious. However, for some specific people undergoing surgery, the benefits are not certain, which is the so-called surgery-related differences. This article analyzes recent studies of different surgical fields related to surgicalrelated differences in different ethnic groups, reviews a large number of positive effects of the implementation of ERAS on surgical-related differences, and elaborates its possible mechanism. It is finally concluded that ERAS, a standardized model for resolving surgical-related differences, should become the gold standard for surgical perioperative management.