加速康复外科的临床应用进展

随着外科技术和多种辅助治疗手段的不断进步,患者外科手术后的康复取得了一定成绩,但仍然存在诸多问题.而加速康复外科采用已证实有效的各种方法,如术前思想准备、术前肠管准备新观点、术中麻醉管理、微创外科的应用、液体管理及体温维持以及术后早期活动、早期进食对症治疗及镇痛的应用等,可以减少手术应激及常见并发症发生率,减少患者痛苦,加速患者术后康复,从而达到缩短住院日期的目的 .加速康复外科追求"以患者为中心",使患者在住院期间最大获益是加速康复外科治疗技术的最终目的 .

Clinical progress on the fast-track surgery

Owing to the continuous improvement of surgical techniques and multiple adjunctive therapy,postoperative convalescence of patients has reached great achievements.There are,nevertheless,many problems left for us to discuss.Fast-track surgery employs a variety of methods,such as neodoxy of oral bowel preparation,intraoperative anaesthesia and fluid management,maintenance of body temperature,early ambulation,pain relief etc,to reduce the morbidity of operative stress,complications,and suffering of patients,as well as accelerating the postoperative convalescence so as to shorten the time patient spend in hospital.Fast-track surgery develops a"patient-centered"attitude,and establishes an ultimate goal as giving full benefit to patients when they are in hospital.