术后肠麻痹防治的研究进展

Advances in the prevention and treatment of postoperative ileus

围手术期管理理念和技术的发展和进步,特别是最新临床试验结果的出现,使术后肠麻痹的防治前景充满希望。合理的营养支持治疗、优化的手术和麻醉处理、个体化的液体管理、及时的精神心理干预,以及积极的抗炎和中医药治疗等手段能有效减少术后肠麻痹的发生。如何优化并组合围手术期管理措施来综合防治术后肠麻痹,尚需进一步研究。

With the development and progress in the concepts and techniques of perioperative management,especially the latest reports of clinical trials,the prospect of prevention and treatment of postoperative ileus(POI)is promising.Proper nutritional support therapy,optimized surgical and anesthetic treatment,individualized fluid management,timely psychosocial intervention,and active anti-inflammation and traditional Chinese medicine treatment can effectively reduce occurrence of POI.Nevertheless,how to optimize and combine perioperative treatments to comprehensively prevent and treat POI still needs further study.