围手术期处理进展——ERAS、围手术期外科之家与围手术期医学

Advance in the perioperative management:Enhanced recovery after surgery,perioperative surgical home and perioperative medicine

手术在外科疾病的治疗中具有举足轻重的作用,也由此推动了以手术为核心的加速康复外科(ERAS)的兴起与发展。但是随着理念的更新与技术的进步,临床医生逐渐认识到疾病治疗的重点不仅在于手术本身,术前、术后的处理也同样重要,以病人为主体的围手术期处理与疾病的预后息息相关。因此,"围手术期医学"、"围手术期外科之家"等强调术前、术中、术后3个阶段整体治疗,涵盖整个疾病治疗过程的新兴治疗理念受到越来越多地关注。

Surgery plays a pivotal role in the treatment of certain diseases,which in turn promotes the development of enhanced recovery after surgery (ERAS). However,with the renewal of concept and technology,it is gradually realized that the key to a successful treatment is not only surgery itself but also preoperative and postoperative management. Patientbased perioperative management is closely related to the prognosis of the disease. Therefore,'perioperative medicine'and'perioperative surgical home (PSH)'are gaining more and more attention from all over the world. These novel concepts aim to cover the whole disease treatment process and improve the prognosis.