加速康复外科理念在小儿心脏外科中的转化与应用

The translation and application of enhanced recovery after surgery in pediatric cardiac surgery

加速康复外科(enhanced recovery after surgery,ERAS)指为加快患者术后康复,在围手术期采用的一系列经循证医学证据证实有效的优化处理措施。前期临床研究证实,规范的ERAS有助于减轻或缓解患者的创伤应激反应,减少患者术后不良事件的发生,促进患者术后的快速康复,改善预后。作者从ERAS理念的国内外现状、小儿心脏外科的发展现状、小儿心脏外科开展ERAS的重要性和必要性以及小儿心脏外科开展ERAS的特异性举措等方面进行概述,认为ERAS在小儿心脏外科中的转化与应用具有重要的临床价值。

Enhanced recovery after surgery （ERAS） refers to a series of evidence-based medical evidence that has been used to confirm the effective treatment measures in perioperative pe-riod ,which contributes to speed up the recovery of patients. Early clinical studies confirmed that standard ERAS helped to reduce or relieve traumatic stress reaction, to reduce postoperative adverse events,and to promote the rapid recovery of patients with improved prognosis. On the basis of the current status of concept of ERAS both at home and abroad,the development status of pediatric car-diac surgery,the importance and necessity of developing ERAS in pediatric cardiac surgery,and the specificity of developing ERAS in pediatric cardiac surgery,the authors make a point that the trans-lation and application of ERAS in pediatric cardiac surgery have important clinical value.