加速康复外科对胃肠手术后胃肠功能的影响

A review of the effects of enhanced recovery after surgery on gastrointestinal functions after gastrointestinal surgery

加速康复外科(enhanced recovery after surgery,ERAS)的核心是减少围术期创伤应激,促进各脏器功能快速恢复。围术期创伤应激反应对胃肠功能影响最早,但持续时间最长。围术期各项处理措施对术后胃肠功能恢复均有不同程度的影响,处理不当将导致术后胃肠功能恢复延迟,直接影响到ERAS的实施。本文针对ERAS的各项措施对术后胃肠功能影响进行论述。

The core purpose of enhanced recovery after surgery （ERAS） is to reduce perioperative stress and promote rapid recovery of multiple organ function. Perioperative stress response has the earliest effect on gastrointestinal function, but also with longest duration. Perioperative treatment measures have different effects on the recovery of gastrointestinal function after operation. Improper treatment will lead to delay recovery of post-operative gastrointestinal function, and directly aft^ct the implementation of ERAS. Therefore, this article discussed the influence of various measures of ERAS on postoperative gastrointestinal function.