骨科加速康复外科新视角

The new perspective of enhanced recovery after surgery in orthopedics

加速康复外科(enhanced recovery after surgery,ERAS)因其规范的围手术期管理流程从而减少手术应激和手术并发症,已在骨科、乳腺外科、心胸外科、胃肠外科、妇科等多个外科领域开展。其通过10余年发展,已初见成效。然而,我国骨科ERAS的发展仍处于初级阶段,研究大多关注的是围手术期各项目的多学科管理路径,如何突破现有瓶颈成为促进加速康复进一步发展的关键。因此,该文介绍了ERAS的起源与发展,分析了骨科ERAS在临床推进中的挑战与机遇,重点提出了推进骨科加速发展的重要举措,为推动骨科加速康复的纵深发展提供了新的思路。

Enhanced recovery after surgery（ERAS） has been carried out in many surgical fields such as orthopedics, galactophore, cardiothoracic surgery, gastrointestinal surgery, and obstetrics due to its standardized perioperative management process to reduce surgical stress and reduce surgical complications. After more than a decade of development, ERAS has achieved initial results. However, in China, the development of ERAS in orthopedic is still in its infancy. Most of the researches focus on the multidisciplinary management path of perioperative period. How to break through the existing bottlenecks is the key to accelerate the further development of rehabilitation. Therefore, this paper introduces the origin and development of ERAS, analyzes the challenges and opportunities of orthopedic ERAS in clinical advancement, proposes the important measures to promote the accelerated development of orthopedics, and provides new ideas for promoting the in-depth development of orthopedics accelerated rehabilitation.