作者：陈创奇

单位：中山大学附属第一医院 胃肠外科中心结直肠外科，广东 广州510080

Authors:  Chen Chuangqi

Unit:  Department of Colorectal Surgery, Gastrointestinal Surgery Center, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, Guangdong, China

摘要：

随着加速康复外科(enhanced recovery after surgery, ERAS)理念在外科临床实践的推广和普及,外科、麻醉科医师及护士等ERAS相关领域的医务人员逐渐接受和认可ERAS理念。ERAS理念是继微创外科之后另外一个学术热点和临床关注点。无痛病房建设、ERAS病房建设等也在尝试当中,这些都极大地推动着ERAS理念的发展和手术学科的进步,但尚欠缺相应的标准或参考模式。本文将就ERAS病房建设需要具备的标准或管理制度进行探讨,包括需要建立一支ERAS多学科协作团队,建立多层次、多种手段的ERAS宣教及心理辅导制度,建立围术期ERAS全程管理制度,制定严格的ERAS出院标准,完善的ERAS随访制度以及建立完善的ERAS稽查制度。

关键词：加速康复外科; 病房; 建设; 管理

Abstract：

With the promotion and popularization of enhanced recovery after surgery (ERAS) concept in surgical clinical practice, the concepts of enhanced recovery has gained acceptance by surgeons, anesthesiologists, nurses and specialists in others related fields. ERAS concept is another academic hot spot and clinical focus after minimally invasive surgery. The development of ERAS was promoted by the construction of painless ward and ERAS ward. However, there is no corresponding standard or reference model which is widely accepted. This study will discuss the standard or management system of ERAS ward construction, including the establishment of ERAS multidisciplinary team (ERAS-MDT), setting up multi-level and various means of ERAS education and psychological guidance system, the construction of perioperative ERAS management system, developing ERAS discharge standard, consummating the system of the ERAS follow-up, and the improvement of ERAS of auditing system.

Key Words:  Enhanced recovery after surgery; Ward; Construction; Management