加速康复外科理念在脊柱外科的应用

The application of enhanced recovery after surgery idea in spine surgery

加速康复外科(enhanced recovery after surgery,ERAS)是由丹麦外科医师Kehlet于1997年首次提出的概念,又被称作为快速康复外科。ERAS理念指的是以循证医学证据为基础,采取系统的围手术期特殊的优化处理措施,以减少患者围手术期的生理及心理创伤应激为基本原则,从而加快患者术后的康复。发展至今,ERAS理念已经在普通外科、泌尿外科、胸外科、妇产科、骨科关节置换手术等多学科迅速开展并得到广泛应用。目前,ERAS理念在脊柱外科的研究及应用尚且有限,但现有的研究均表明ERAS理念可有效加速脊柱外科患者术后康复,因此如何将ERAS理念成熟的应用到脊柱外科,让更多的脊柱外科患者受益是脊柱外科目前所面临的机遇和挑战。

The enhanced recovery after surgery(ERAS)was first introduced in 1997 by Danish surgeon Kehlet.ERAS,which is based on the evidence-based medical evidence,adopting a systematic perioperative special optimization treatment to reduce the perioperative physiological and psychological trauma stress as the basic principle,so as to accelerate the postoperative recovery of patients.Up to now,ERAS has been rapidly developed and widely used in many surgical fields,including general surgery,urology,thoracic surgery,obstetrics,gynecology and orthopedic joint replacement surgery.At present,the research and application of ERAS in spine surgery is still limited.The existing research shows that the ERAS can effectively accelerate the postoperative recovery of patients after spinal surgery.Therefor how to apply the mature concept of ERAS to spine surgery,benefiting more spine surgery patients is an opportunity and challenge for spine surgery.