加速康复外科的临床意义不仅仅是缩短住院日

Clinical significance of enhanced recovery after surgery is not only to shorten the duration of hospital stay

加速康复外科（ERAS）已在我国开展近10年，其包含的围术期镇痛方案和目标导向性液体治疗等干预措施不断得到优化。ERAS理念在外科领域得到了广泛应用和推广，它不仅缩短患者的住院时间、还能减少患者术后并发症、提高器官功能、减轻手术应激反应、改善肿瘤患者预后及延长患者的生存时问。ERAS是一门方兴未艾的学科，推动ERAS的多学科培训及教育计划，补充高质量的研究证据，以及进一步转化临床实践应用将是其未来发展的方向。因此，加深对ERAS本质的研究及理解具有重要意义。

Enhanced recovery after surgery （ERAS） has developed continuously in China for 10 years, including optimizing step by step the perioperative analgesia regimens and goal-oriented fluid therapy. The ERAS principle has been accepted and expanded extensively in the surgery field, mean- while, ERAS for perioperative care have been proved valueble in shortening hospital stay, reducing complications, improving organ function, reducing surgical stress reaction, accelerating recovery and increasing survival rate. ERAS is in the ascendant, and promotes development of multidisciplinary training and edu- cation program, supples of high-quality research evidences and translational clinical applications seem to be the direction of ERAS. And therefore, the content that this paper talks about is of great significance to deepen the research and understanding of ERAS.