加速康复外科理念在肺移植围手术期管理中的应用进展

Advances in the application of enhanced recovery after surgery in perioperative management of lung transplantation

  • 摘要: 加速康复外科(ERAS)是基于循证医学依据的、以达到快速康复效果的一系列围手术期优化处理措施。现有研究已表明,ERAS可有效降低手术应激,减少并发症发生,缩短住院时间,节省医疗费用,并提高患者满意度。目前,肺移植手术技术发展已日趋成熟,但肺移植受者围手术期仍存在较高的并发症发生率。为进一步提高肺移植受者围手术期生存率,将ERAS理念引入肺移植围手术期管理策略,对降低围手术期并发症发生率及促进肺移植受者快速康复、长期生存具有重要意义。本文就ERAS理念在肺移植围手术期管理中的应用进展作一论述,旨在为优化肺移植受者围手术期管理、减少围手术期并发症提供参考。

     

    Abstract: Enhanced recovery after surgery (ERAS) is a series of perioperative optimization measures based on evidence-based medicine aimed at achieving rapid recovery. Existing studies have shown that ERAS can effectively reduce surgical stress, decrease the incidence of complications, shorten hospital stays, save medical costs, and improve patient satisfaction. Although lung transplantation techniques have become increasingly mature, lung transplant recipients still have a high incidence of complications during perioperative period. To further improve the perioperative survival rate of lung transplant recipients, introducing ERAS concept into the perioperative management strategy of lung transplantation is of great significance for reducing incidence of perioperative complications, promoting rapid recovery and long-term survival of lung transplant recipients. This article discusses the advances in application of ERAS concept in the perioperative management of lung transplantation, aiming to provide references for optimizing the perioperative management of lung transplant recipients and reducing perioperative complications.

     

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