中国加速康复外科临床实践指南(2021版)

2021-09-01 中华医学会外科学分会 中国实用外科杂志

本指南包括总论及各论两部分,前者述评ERAS的一般性原则,后者分别针对肝胆、胰腺、胃、结直肠等手术ERAS相关的具体问题展开讨论。对于总论部分已涉及的共性问题,各分论部分从简。

中文标题:

中国加速康复外科临床实践指南(2021版)

发布日期:

2021-09-01

简要介绍:

近年来,加速康复外科的理念及路径在我国得迅速普及和广泛应用。临床实践表明,ERAS理念及相关路径的实施必须以循证医学及多合作为基础,既要体现以快速康复为主要目的的核心理念,也要兼顾病人基础疾病、手术类别、围手术期并发症等具体情况,更需要开展深入的临床研究以论证ERAS相关路径的可行性及必要性。在上述背景下,中华医学会外科学分会和麻醉学分会于2018年共同组织制定了《加速康复外科中国专家共识及路径管理指南(2018版)》(下称2018版指南),规范了胃手术、结直肠手术、肝胆外科手术、胰十二指肠切除术等领域的ERAS管理路径[1]。2018版指南发表3年以来,对于普及ERAS理念、指导临床实践起到了很好的促进作用。为体现近年来ERAS领域知识更新与学科进步,中华医学会外科学分会和麻醉学分会联合对2018版指南进行修订,以问题为导向,以循证为基础,通过对近年文献的复习总结并结合临床经验,对ERAS领域的若干热点问题逐一评述并提出推荐意见,在与国际相关指南接轨的同时,兼顾我国国情及临床实际,以更好地为ERAS路径的规范实施提供参考及指导。本指南依据GRADE系统进行证据质量评估及推荐强度分级,证据等级分为高、中、低三级,推荐强度包括强烈推荐和一般性推荐两级[2]。本指南包括总论及各论两部分,前者述评ERAS的一般性原则,后者分别针对肝胆、胰腺、胃、结直肠等手术ERAS相关的具体问题展开讨论。对于总论部分已涉及的共性问题,各分论部分从简。

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评论区 (12)
#插入话题
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    2022-03-21 ms5000000970601304

    学习

    0

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    2022-03-09 124b7227m12暂无昵称

    学习中

    0

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    2022-01-20 ms5089051206679132

    更新好快

    0

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    2022-01-10 liuyan8586

    系统学习中,感谢分享

    0

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    2022-01-09 黎莫愁

    全面

    0

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