[1]吴 巷,李 勤,张 晋.加速康复外科理念在腰椎退变性疾病围手术期中的应用[J].医学信息,2020,33(10):48-50,54.[doi:10.3969/j.issn.1006-1959.2020.10.014]
 WU Xiang,LI Qin,ZHANG Jin.Application of the Concept of Accelerated Rehabilitation Surgery in the Perioperative Period of Lumbar Degenerative Disease[J].Medical Information,2020,33(10):48-50,54.[doi:10.3969/j.issn.1006-1959.2020.10.014]
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加速康复外科理念在腰椎退变性疾病围手术期中的应用()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年10期
页码:
48-50,54
栏目:
综述
出版日期:
2020-05-15

文章信息/Info

Title:
Application of the Concept of Accelerated Rehabilitation Surgery in the Perioperative Period of Lumbar Degenerative Disease
文章编号:
1006-1959(2020)10-0048-04
作者:
吴 巷李 勤张 晋
(昆明医科大学第五附属医院骨一科,云南 个旧 661000)
Author(s):
WU XiangLI QinZHANG Jin
(Department of Orthopedics,Subject One,the Fifth Affiliated Hospital of Kunming Medical University,Gejiu 661000,Yunnan,China)
关键词:
加速康复外科腰椎退变性疾病围手术期
Keywords:
Accelerated rehabilitation surgeryLumbar degenerative diseasePerioperative period
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2020.10.014
文献标志码:
A
摘要:
腰椎退变性疾病(LDD)主要表现为下腰痛、下肢放射性麻痛、间歇性跛行、大小便功能障碍,严重影响患者生活质量和身心健康。近年来随着加速康复外科(ERAS)理念的提出,其以最大程度减少术后并发症发生几率、改善术后手术效果和促进术后功能康复为核心,在临床应用中取得了良好的效果。本文就ERAS理念的提出与发展、主要内容及其在LDD围手术期中的应用作一综述,以期为LDD患者围手术期的诊疗提供参考依据。
Abstract:
Lumbar degenerative disease(LDD)are mainly manifested as low back pain, radioactive numbness of the lower extremities, intermittent claudication, and dysfunction of stool and stool, which seriously affect the quality of life and physical and mental health of patients. In recent years, with the introduction of the concept of accelerated rehabilitation surgery (ERAS), it has achieved good results in clinical application with the core of minimizing the probability of postoperative complications, improving postoperative surgery results, and promoting postoperative functional rehabilitation. This article summarizes the proposal and development of ERAS, the main content and its application in the perioperative period of LDD, in order to provide a reference for the diagnosis and treatment of LDD patients in the perioperative period.

参考文献/References:

[1]Rohrmoser RG,Brasil AV,Gago G,et al.Impact of surgery on pain,disay,and quality of life of patients with degenerative lumbar disease:Brazilian data[J].Arquivos de Neuro-Psiquiatria,2019,77(8):536-541.[2]Elsarrag M,Brasil AV,Gago G.Enhanced recovery after surgery(ERAS)and its applicability for major spine surgery[J].Best Practice&Research Clinical Anaesthesiology,2016,30(1):91-102.[3]Wang MY,Chang PY,Grossman J,et al.Development of an Enhanced Recovery After Surgery(ERAS)approach for lumbar spinal fusion[J].Journal of Neurosurgery Spine,2017,26(4):411-418. [4]Kehlet H.Multimodal approach to control postoperative pathophysiology and rehabilitation[J].British Journal of Anaesthesia,1997,78(5):606-617.[5]Fearon KC,Ljungqvist O,Meyenfeldt MV,et al.Enhanced recovery after surgery:A consensus review of clinical care for patients undergoing colonic resection[J].Clinical Nutrition,2005,24(3):466-477.[6]Wind J,Maessen J,Polle SW,et al.Elective colon surgery according to a "fast-track"programme[J].Nederlands Tijdschrift Voor Geneeskunde,2006,150(6):299-304.[7]朱维铭,李宁,黎介寿.加速康复外科治疗[J].中国实用外科杂志,2007,27(1):24-27.[8]黎介寿.加速康复外科的理念与意义[C]//全国临床肿瘤学大会暨csco学术年会,2007.[9]中华医学会肠外肠内营养学分会加速康复外科协作组.结直肠手术应用加速康复外科中国专家共识(2015版)[J].中国实用外科杂志,2015,35(8):841-843.[10]Imbelloni LE,Pombo IA,Filho GB.Reduced fasting time improves comfort and satisfaction of elderly patients undergoing anesthesia for hip fracture[J].Rev Bras Anestesiol,2015,65(2):117-123. [11]Ljungqvist O.Modulating postoperative insulin resistance by preoperative carbohydrate loading[J].Best Practice&Research Clinical Anaesthesiology,2009,23(4):401-409.[12]Tan M,Law LS,Gan TJ.Optimizing pain management to facilitate Enhanced Recovery After Surgery pathways[J].Canadian Journal of Anaesthesia,2015,62(2):203-218.[13]Kitayama M.Role of regional anesthesia in the enhanced recovery after surgery program[J].J Anesth,2014,28(1):152-155.[14]Van Rooijen SJ,Huisman D,Stuijvenberg M,et al.Intraoperative modifiable risk factors of colorectal anastomotic leakage:Why surgeons and anesthesiologists should act together[J].International Journal of Surgery,2016,36(Pt A):183-200.[15]Torossian A,Brauer A,Hocker J,et al.Preventing inadvertent perioperative hypothermia[J].Deutsches Arzteblatt International,2015,112(10):166-172.[16]赵玉沛,杨尹默,楼文晖,等.外科病人围手术期液体治疗专家共识(2015)[J].中国实用外科杂志,2015(9):960-966.[17]中华医学会外科学分会, 中华医学会麻醉学分会. 加速康复外科中国专家共识及路径管理指南(2018版)[J]. 中国实用外科杂志,2018,38(1):1-20.[18]孙浩林,越雷,王诗军,等.腰椎后路长节段手术加速康复外科实施流程专家共识[J].中华骨与关节外科杂志,2019,12(8):572-583.[19]Yang C,Wang J,Zheng Z,et al.Experience of Intraoperative Cell Salvage in Surgical Correction of Spinal Deformity:A Retrospective Review of 124 Patients[J].Medicine,2016,95(21):e3339.[20]Licina A,Silvers A,Laughlin H,et al.Proposed pathway for patients undergoing enhanced recovery after spinal surgery:protocol for a systematic review[J].Syst Rev,2020,9(1):39.[21]Slim K.Is postoperative ambulation a component or a marker of enhanced recovery after surgery[J].J Gastrointest Oncol,2019,10(3):572.[22]Ibitoye MO,Hamzaid NA,Hasnan N,et al.Strategies for Rapid Muscle Fatigue Reduction during FES Exercise in Individuals with Spinal Cord Injury:A Systematic Review[J].PLoS One,2016,11(2):e0149024.[23]Greenwood J,McGregor A,Jones F,et al.Rehabilitation Following Lumbar Fusion Surgery:A Systematic Review and Meta-Analysis[J].Spine,2016,41(1):E28-E36.[24]孙天胜.中国脊柱手术加速康复-围术期管理策略专家共识[J].中华骨与关节外科杂志,2017,10(4):271-279.[25]Debono B,Corniola MV,Pietton R,et al.Benefits of Enhanced Recovery After Surgery for fusion in degenerative spine surgery:impact on outcome,length of stay,and patient satisfaction[J].Neurosurg Focus,2019,46(4):E6.[26]Heo DH,Park CK.Clinical results of percutaneous biportal endoscopic lumbar interbody fusion with application of enhanced recovery after surgery[J].Neurosurg Focus,2019,46(4):E18.[27]Smith J,Soldozy S,Patel P,et al.Enhanced recovery after surgery(ERAS)program for lumbar spine fusion[J].Perioper Med(Lond),2019(8):4.[28]Feng CF,Zhang Y,Chong F,et al.Establishment and Implementation of an Enhanced Recovery After Surgery(ERAS)Pathway Tailored for Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery[J].World Neurosurgery,2019,129(undefined):e317-e323.[29]Victor E,Brasil AV,Gago G,et al.Improving recovery after elective degenerative spine surgery:5-year experience with an enhanced recovery after surgery(ERAS)protocol[J].Neurosurgical Focus,2019,46(4):E7.[30]Zhang CH,Yan BS,Xu BS,et al.Study on feasibility of enhanced recovery after surgery combined with mobile microendoscopic discectomy-transforaminal lumbar interbody fusion in the treatment of lumbar spondylolisthesis[J].National Medical Journal of China,2017,97(23):1790-1795.[31]Angus M,Jackson K,Smurthwaite G,et al.The implementation of enhanced recovery after surgery(ERAS)in complex spinal surgery[J].J Spine Surg,2019,5(1):116-123.[32]Elsarrag M,Soldozy S,Patel P,et al.Enhanced recovery after spine surgery:a systematic review[J].Neurosurg Focus,2019,46(4):E3.[33]Dietz N,Sharma M,Adams S,et al.Enhanced Recovery After Surgery (ERAS) for Spine Surgery:A Systematic Review[J].World Neurosurg,2019(130):415-426.

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更新日期/Last Update: 2020-05-15