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当前位置：临床护理进展 > 2026年 5卷 (4)期

Open Access Article

Journal of Advances in Clinical Nursing. 2026; 5: (4) ; 58-62 ; DOI: 10.12208/j.jacn.20260186.

Application progress of ERAS in perioperative management of general surgery patients
ERAS在普外科患者围术期管理中的应用进展

作者： 任秋菊¹, 冉俊霞² *

1新疆维吾尔自治区第六人民医院(自治区传染病医院)综合内科新疆乌鲁木齐

2新疆维吾尔自治区第六人民医院(自治区传染病医院)综合内外妇二科新疆乌鲁木齐

*通讯作者：冉俊霞,单位：新疆维吾尔自治区第六人民医院(自治区传染病医院)综合内科新疆乌鲁木齐；

发布时间: 2026-04-20 总浏览量: 210

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摘要

加速康复外科（ERAS）理念以循证医学为基础，通过多学科协作优化普外科患者围术期管理，降低并发症并促进康复。本文综述了ERAS在普外科患者围术期应用的最新进展，涵盖术前、术中和术后三个阶段的关键措施。研究表明，ERAS可有效降低普外科患者术后并发症发生率、缩短住院时间并提高患者满意度。然而，我国ERAS的推广仍面临基层医院资源不足、多学科协作机制不完善及患者依从性差异等挑战。未来需进一步标准化路径、强化基层培训并优化患者教育，以全面提升ERAS的应用效果。

关键词： ERAS；普外科；围术期；护理

Abstract

Enhanced Recovery After Surgery (ERAS), based on evidence-based medicine, optimizes perioperative management of general surgery patients through multidisciplinary collaboration, reducing complications and promoting recovery. This article reviews the latest advances in the application of ERAS in the perioperative period of general surgery patients, covering key measures in the preoperative, intraoperative, and postoperative stages. Studies have shown that ERAS can effectively reduce the incidence of postoperative complications, shorten hospital stays, and improve patient satisfaction in general surgery patients. However, the promotion of ERAS in my country still faces challenges such as insufficient resources in primary hospitals, imperfect multidisciplinary collaboration mechanisms, and differences in patient compliance. Future efforts should focus on further standardizing pathways, strengthening primary care training, and optimizing patient education to comprehensively improve the application effectiveness of ERAS.

Key words： ERAS; General surgery; Perioperative; Nursing

参考文献 References

[1] Kehlet H, Wilmore D W.Multimodal strategies to improve surgical outcome[J].Am J Surg,2002, 183 (6):630-41.

[2] Mortensen, K., Nilsson, M., Slim, K., et al. (2014) Consensus guidelines for Enhanced Recovery after Gastrectomy: Enhanced Recovery after Surgery (ERAS) So-ciety Recommendations. British Journal of Surgery, 101, 1209-1229.

[3] Gonfiotti, A., Viggiano, D., Bongiolatti, S., et al. (2018) En-hanced Recovery after Surgery (ERASR) in Thoracic Surgical Oncology. Future Oncology, 14, 33-40.

[4] Miralpeix, E., Nick, A.M., Meyer, L.A., et al. (2016) A Call for New Standard of Care in Perioperative Gynecologic Oncology Practice: Impact of Enhanced Recovery after Surgery (ERAS) Programs. Gynecologic Oncology, 141, 371-378.

[5] Zhou, T., et al. (2006) Early Re-moving Gastrointestinal Decompression and Early Oral Feeding Improve Patients’ Rehabilitation after Colorectostomy. World Journal of Gastroenterology, 12, 2459-2463.

[6] 中国医师协会麻醉学医师分会. 促进术后康复的麻醉管理专家共识[J]. 中华麻醉学杂志, 2015, 35(2): 141-148.

[7] 曹晖, 陈亚进, 顾小萍, 闵苏, 彭书崚, 王东信, 姚宏伟. 中国加速康复外科临床实践指南(2021版) [J]. 中国实用外科杂志, 2021, 41(9): 961-992.

[8] 秦凡懿, 唐慧娟, 许峰. 心理护理干预改善女性肺癌患者胸腔镜手术前焦虑的临床效果观察[J]. 中国社区医师, 2020, 36(5): 155-156.

[9] Batchelor, T.J.P., Rasburn, N.J., Abdelnour-Ber-Chtold, E., et al. (2019) Guidelines for Enhanced Recovery after Lung Surgery: Recom-mendations of the Enhanced Recovery after Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS). European Journal of Cardio-Thoracic Surgery, 55, 91-115.

[10] 王宁, 于冠宇, 张卫. 结直肠术前的肠道准备[J]. 中华胃肠外科杂志, 2024, 27(6): 642-645.

[11] 张锐, 叶向红, 王慧君, 等. 术前肠内营养对结直肠癌病人术后康复影响的 Meta 分析[J]. 肠外与肠内营养, 2021, 28(3): 171-177.

[12] 王刚, 陆峰, 周井荣, 等. 加速康复外科在结直肠癌患者中的应用价值[J]. 中国基层医药, 2020, 27(13): 1559- 1563.

[13] Anifalaje, O.K., Ojo, C., Balogun, O.T., et al. (2024) The Determinants of Long-Term Outcomes After Colorectal Cancer Surgery: A Literature Review. Cureus, 16, e74985.

[14] 兰文玉. 快速康复外科护理干预在结直肠癌围术期中的应用及对睡眠质量的影响[J]. 世界睡眠医学杂志, 2022, 9(12): 2417-2420.

[15] 许晶晶, 张晓平. 基于快速康复外科理念的早期康复护理干预对中老年结直肠癌术后恢复的影响[J]. 护理实践与研究, 2020, 17(2): 91-93.

[16] Lai, Y., Wang, X., Li, P., et al. (2018) Preoperative Peak Expiratory Flow (PEF) for Predicting Postoperative Pulmonary Complications after Lung Cancer Lobectomy: A Pro-spective Study with 725 Cases. Journal of Thoracic Disease, 10, 4293-4301.

[17] 林梅琼. ERAS 理念下手术室护理加复合保温策略干预在腹腔镜下直肠癌手术患者中的应用效果观察[J]. 哈尔滨医药, 2025, 45(2): 142-144.

[18] 刘庆荣, 贾晋莉, 何小东. 基于 ERAS 理念的手术室护理在 4K 腹腔镜结肠癌根治术中的应用[J]. 护理实践与研究, 2023, 20(4): 613-616.

[19] Sato, H., Ota, H., Munakata, K., Matsuura, Y., Fujii, M., Wada, N., et al. (2022) Perioperative Fluid Management Influences Complication Rates and Length of Hospital Stay in the Enhanced Recovery after Surgery (ERAS) Protocol for Patients with Colorectal Cancer. Surgery Today, 53, 242-251.

[20] Mehdiratta, L., Mishra, S.K., Vinayagam, S. and Nair, A. (2021) Enhanced Recovery after Surgery (ERAS). Still a Distant Speck on the Horizon! Indian Journal of Anaesthesia, 65, 93-96.

[21] Mancel, L., Van Loon, K. and Lopez, A.M. (2021) Role of Regional Anesthesia in Enhanced Recovery after Surgery (ERAS) Protocols. Current Opinion in Anaesthesiology, 34, 616-625.

[22] 李士红. 加速康复外科理念在普外科围术期护理中的应用现状与展望[J]. 齐鲁护理杂志,2019,25(4):1-4.

[23] Batchelor, T.J.P., Rasburn, N.J., Abdelnour-Berchtold, E., et al. (2018) Guidelines for Enhanced Recovery after Lung Surgery: Recommendations of the Enhanced Recovery after Surgery (ERAS1) Society and the European Society of Thoracic Surgeons (ESTS). European Journal of Cardio-Thoracic Surgery, 55, 91-115.

[24] 张敏, 张亚宁, 刘圆圆. 腹腔镜结直肠癌根治术患者围术期实施快速康复护理的效果分析[J]. 贵州医药, 2021, 45(8): 1311-1312.

[25] 林燕惠, 林艺如. 分析结直肠癌围术期快速康复护理对患者康复效果及睡眠质量影响[J]. 世界睡眠医学杂志, 2023, 10(10): 2415-2418.

[26] 赵伟伟, 杨路路, 石亚然, 等. 医护一体化快速康复外科护理在结直肠癌手术病人中的应用[J]. 护理研究, 2023, 37(24): 4531-4534.

[27] 贺婷, 左莹, 钟玉超. 时机理论下医护一体化延续性护理对结直肠癌术后造口患者康复效果的影响[J]. 检验医学与临床, 2023, 20(18): 2767-2772.

[28] Brunelli, A. (2012) Deep Vein Thrombosis/Pulmonary Embolism: Prophylaxis, Diagnosis, and Management. Thoracic Surgery Clinics, 22, 25-28.

引用本文

任秋菊, 冉俊霞, ERAS在普外科患者围术期管理中的应用进展[J]. 临床护理进展, 2026; 5: (4) : 58-62.

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