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加速康复理念在胰腺外科中的应用 被引量：3

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摘要 快通道外科（fast track surgery,FTS）也称加速康复外科（enhanced recovery after surgery,ERAS）,是指采用循证医学证据的一系列围手术期优化措施,以阻断或减轻机体的应激反应,促进病人术后尽快康复[1]. 通过对围手术期医疗和护理工作规范化统筹, 以最小的生理干扰完成外科手术治疗,加速病人术后康复.
作者 施源 沈柏用
机构地区 上海交通大学医学院附属瑞金医院外科
出处 《外科理论与实践》 2015年第6期460-463,共4页 Journal of Surgery Concepts & Practice
关键词 加速康复外科 胰腺外科 胰十二指肠切除术 加速康复
分类号 R657.5 [医药卫生—外科学]
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参考文献16

  • 1Kehlet H, Wilmore DW. Fast-track surgery[J]. Br J Surg, 2005,92(1):3-4.
  • 2Wilmore DW, Kehlet H. Management of patients in fast track surgery[J]. BMJ,2001,322(7284):473-476.
  • 3Krohn BG, Kay JH, Mendez MA, et al. Rapid sustained recovery after cardiac operations[J]. J Thorac Cardiovasc Surg, 1990,100(2): 194-197.
  • 4Engelman RM, Rousou JA, Flack JE, et al. Fast-track re- covery of the coronary bypass patient[J]. Ann Thorac Surg, 1994,58(6): 1742-1746.
  • 5Moiniehe S, Bialow S, Hesselfeldt P, et al. Convalescence and hospital stay after colonic surgery with balanced analgesia, early oral feeding, and enforced mobilization [J]. Eur J Surg,1995,161(4):283-288.
  • 6Basse L, Hjort Jakobsen D, Billesblle P, et al. A clinical pathway to accelerate recovery after colonic resection[J]. Ann Surg,2000,232(1):51-57.
  • 7Jakobsen DH, Sonne E, Andreasen J, et al. Convales- cence after colonic surgery with fast-track vs conventio- nal care[J]. Colorectal Disease,2006,8(8):683-687.
  • 8Slim K, Vicaut E, Panis Y, et al. Meta-analysis of rando- mized clinical trials of colorectal surgery with or without mechanical bowel preparation[J]. Br J Surg,2004,91 (9): 1125-1130.
  • 9Smith I, Kranke P, Murat I, et al. Perioperative fasting in adults and children: guidelines from the European So- ciety of Anaesthesiology[J]. Eur J Anaesthesiol,2011,28(8): 556-569.
  • 10Cheatham ML, Chapman WC, Key SP, et al. A meta analysis of selective versus routine nasogastric decompres- sion after elective laparotomy[J]. Ann Surg,1995,221(5): 469-476.

二级参考文献14

  • 1江志伟,李宁,黎介寿.快速康复外科的概念及临床意义[J].中国实用外科杂志,2007,27(2):131-133. 被引量：1353
  • 2黎介寿.营养与加速康复外科[J].肠外与肠内营养,2007,14(2):65-67. 被引量：210
  • 3姜洪池,孙备,王刚.快速康复外科的新理念值得重视[J].中华外科杂志,2007,45(9):577-579. 被引量：127
  • 4Kehlet H.Future perspectives and research initiatives in fast-track surgery.Langenbecks Arch Surg,2006,391:495-498.
  • 5Suttner S,Lang K,Piper SN,et al.Continuous intra-and postoperative thoracic epidural analgesia attenuates brain natriuretic peptide release after major abdominal surgery[J].Anesth Analg,2005,101(3):896.
  • 6Freise H,Meissner A,Lauer S,et al.Thoracic epidural analgesia with low concentration of bupivacaine induces thoracic and lumbar sympathetic block:a randomized,double-blind clinical trial[J].Anesthesiology,2008,109(6):1107.
  • 7Mayer J,Boldt J,Schellhaass A,et al.Bispectral index-guided general anesthesia in combination with thoracic epidural analgesia reduces recovery time in fast-track colon surgery[J].Anesth Analg,2007,104(5):1145.
  • 8Taqi A,Hong X,Mistraletti G,et al.Thoracic epidural analgesia facilitates the restoration of bowel function and dietary intake in patients undergoing laparoscopic colon resection using a traditional,nonaccelerated,perioperative care program[J].Surg Endosc,2007,21(2):247.
  • 9Kuo CP,Jao SW,Chen KM,et al.Comparison of the effects of thoracic epidural analgesia and i.v.infusion with lidocaine on cytokine response,postoperative pain and bowel function in patients undergoing colonic surgery[J].Br J Anaesth,2006,97(5):640.
  • 10李元新,李幼生,黎介寿.胃肠外科围手术期处理中的加速康复外科的新理念[J].实用临床医药杂志,2007,11(5):12-14. 被引量：27

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外科理论与实践
2015年 第6期

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