加速康复外科在临床多学科实践中的瓶颈与突破策略思考

Bottlenecks of Enhanced Recovery After Surgery in Clinical Multidisciplinary Practice and Thoughts on Breakthrough Strategies

加速康复外科自引入我国以来不断快速发展,因其涵盖多个实践要素并涉及诊治全流程、多阶段及多环节,在实施过程中受到组织系统、医务人员和患者层面各种因素的制约和影响,并影响着实施措施的落地和效果呈现。本文在分析目前国内加速康复外科在临床多学科实施现状的基础上,剖析实践中存在的障碍因素和瓶颈,并提出对突破策略的思考,旨在为加速康复外科的未来发展提供借鉴。

The concept of enhanced recovery after surgery(ERAS)has been developing rapidly since its introduction to China.As it covers multiple practice elements and involves the whole process,multiple stages and multiple links of diagnosis and treatment,the implementation of the concept is restricted and influenced by various factors at the organization,healthcare provider and patient levels,further affecting the implementation and effects of specific measures.This article will analyze the status quo of ERAS implementation in clinical multidisciplinary practice in China,then on this basis,will analyze the obstacles and bottlenecks in practice,and put forward thoughts on breakthrough strategies,aiming to provide a reference for the future development of ERAS.