中国骨科加速康复十年发展历程

The ten-year development of enhanced recover after surgery in orthopaedics in China

加速康复外科(ERAS)始于20世纪90年代,其核心是应用循证医学证据优化围手术期管理措施与路径,降低患者的心理、生理应激,减少并发症发生,加速功能康复。ERAS理念在经历第一个十年的初级阶段后被成功应用于骨科领域,在骨科加速康复发展的第二个十年黄金期中,自上而下的领导与推广体系得以建立、对ERAS理念的认识逐步深化、对骨科加速康复关键技术的研究持续优化,一系列基于多学科交叉融合与循证医学证据、以临床问题为导向的共识和指南陆续发表。ERAS理念的发展正成为推动现代医疗服务模式转变、医学人文精神演进、多学科协作共管平台建立的原动力,也必将助力健康中国建设。

Enhanced recovery after surgery(ERAS)began in the 1990s,the core of which is to apply evidence-based medical evidence to optimize perioperative management measures and paths,so as to reduce patients’psychological and physiological stress,reduce complications and accelerate functional rehabilitation.The concept of ERAS was successfully applied to the orthopaedic surgery after the initial stage of its first 10 years.In the second golden 10 years of ERAS in orthopaedics,the top-down leadership and promotion system were established,the understanding of the concept of ERAS was gradually deepened,and the research on key techniques of ERAS in orthopaedics was continuously optimized;a series of expert consensus and guidelines oriented to clinical issues were gradually published based on interdisciplinary integration and evidence-based medical evidences.These achievements are becoming the drive to promote the transformation of modern medical service mode,the evolution of medical humanistic spirit,and the establishment of a multidisciplinary cooperation platform,and will certainly be helpful to the Healthy China Program.