肺癌加速康复外科临床实践单中心经验

摘要/Abstract

摘要： 近年来,加速康复外科（Enhanced Recovery After Surgery,ERAS）在国内外临床日益受到重视,但ERAS目前在胸外科尤其是肺恶性肿瘤方面的应用仍缺少长期的循证研究,仍需要继续探究各方面的可行性并进行优化。本文从ERAS在肺癌手术中的应用进行探究总结,以进一步完善ERAS为目的,使其更好的服务患者,提高治疗效果。

关键词: 肺癌, 加速康复外科, 临床实践

Abstract: In recent years, Enhanced Recovery After Surgery(ERAS) is increasingly valued in clinical application at home and abroad, but there is still no long-term evidence-based research on the application of ERAS in thoracic surgery, especially in lung malignant tumors, and the feasibility of all aspects still needs to be explored and optimized. This paper explores and summarizes the application of ERAS in lung cancer surgery, in order to further improve and promote ERAS, so that it can better serve patients and effectively improve the treatment effect.

Key words: lung cancer, accelerated rehabilitation surgery, clinical practice

中图分类号:

R734.2

曹万乐, 李反念, 刘扬, 杨璞, 朱梓铭, 王建勋, 高计林, 李玉坤, 牛国景, 刘世伟. 肺癌加速康复外科临床实践单中心经验[J]. 中华养生保健, 2024, 42(16): 172-175.

CAO Wan-le, LI Fan-nian, LIU Yang, YANG Pu, ZHU Zi-ming, WANG Jian-xun, GAO Ji-lin, LI Yu-ku, NIU Guo-jing, LIU Shi-wei. Single Center Experience in Clinical Practice of Accelerated Lung Cancer Rehabilitation Surgery[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(16): 172-175.

参考文献

[1] KEHLET H.Multimodal appnroach to control postoperative pathophysiology and rehabilitation[J]. Br J Anaesth,1997,78(5):606-617.
[2] STEENHAGEN E.Enhanced recovery after surgery:It＇s time to change practice[J]. Nutr Clin pract,2016,31(1):18-29.
[3] LAI Y, HUANG J, YANG M, et al.Seven-day intensive preoperative rehabilitation for elderly patients with lung cancer a randomized controlled trial[J]. J Surg Res,2017,(209):30-36.
[4] 蒋雪薇,鲍鹰,徐菊玲,等.加速康复外科在肺癌切除术围手术期护理中的应用进展[J].护士进修杂志,2018,33(3):225-228.
[5] 黄颖,石泽亚,秦莉花,等.加速康复外科护理的研究进展[J].现代临床护理,2015,14(10):73-77.
[6] 吴金玲,于建平,苏琳,等.加速康复外科与传统外科护理在腹腔镜下胃癌根治术围手术期的效果对比[J].中国医药导报,2014,(21):110-112.
[7] 王镇,陈鹏,王枫,等.食管癌加速康复外科实践单中心经验[J].临床外科杂志,2018,26(9):647-650.
[8] 车国卫. 加速肺康复外科临床实践及证据[J].中国肺癌杂志,2017,20(6):371-375.
[9] BRATZLER D W, DELLINGER E P, OLSEN K M, et al.Clinical practice guidelines for antimicrobial prophylaxis in surgery[J]. Surg Infect
(Larchmt),2013,14(1):73-156 .
[10] 栗家平,杨小龙,丁伯应,等.快速康复外科在肺癌根治中的价值[J].中国现代医学杂志,2016,26(22):108-111.
[11] 车国卫. 肺癌加速康复外科体系的建立及优化[J].中国肺癌杂志,2017,20(12):795-799.
[12] 邱舫,杨梅,车卫国,等.胸腔镜肺叶切除术患者围手术期无尿管留置导致尿潴留的危险因素分析[J].中国胸心血管外科杂志,2016,23(4):328-333.
[13] 车国卫. 加速康复外科:肺癌手术日间化现状与策略[J].中国肺癌杂志,2020,23(1):1-4.
[14] WILMORE D W.From Cuthberson to fast-track surgery:70 years of progress in reducing stressin surgical patients[J]. Annals of surgery,2002,236(5):643-8.
[15] 乔坤,彭彬,黄代强,等.加速康复外科联合全胸腔镜在肺癌病人根治术中的应用研究[J].肠外与肠内营养,2016,23(2):99-102.
[16] SIDO P B, GRENACHER L, FRIESS H, et al.Das Abdominaltrauma[J]. Der Orthopade,2005,34(9):880-888.
[17] BRANDSTRUP B.Fluid therapy for the surgical patient[J]. Best practice ﹠Research ClinicalAnaesthesiology,2006,20(2):265-282.
[18] 夏燕,常淑文,叶敬霆,等.快速康复外科在肺癌手术患者中应用效果的Meta分析[J].中国肺癌杂志,2016,19(12):827-836.
[19] 张婷颋. 胸腔镜联合加速康复外科护理流程在非小细胞肺癌开胸手术中的应用[J].中国医学工程,2016,24(4):7-9.
[20] 韩兆杰,宋志芳,苏建华,等.单胸腔引流管在肺癌术后快速康复中的应用[J].中国胸心血管外科临床杂志,2014,21(1):7-10.
[21] 夏燕,常淑文,叶敬霆,等.快速康复外科在肺癌手术患者中应用效果的 meta 分析[J].中国肺癌杂志,2016,19(12):827-836.
[22] APFELHAUM J L, CHEN C, MEHTA S S, et al.postoperative pain experience:rasults from a national suvey suggest postoperative pain continues to be undermanaged[J]. Anesth Analg,2003,97(2):534-540.
[23] KEHLET H.Enhanced recovery after surgery(ERAS):good for now,but what about the future[J]. Can J Anaesth,2015,62(2):99-104.
[24] 芮祖琴,李雷,龚菊霞.术后早期下床活动在开胸手术患者中的应用[J].齐鲁护理杂志,2016,22(2):9-11.
[25] KABAT G C, WYNDER E L.Body mass index and lung cancer risk[J].American Journal of Epidemiology,1992,18(7):607-612.
[26] 蔡秋霞,张立君,朱伟伟.肺癌胸腔镜手术患者的多学科加速康复外科护理[J].护理学杂志,2018,33(19):26-29.
[27] 夏洪刚,叶剑飞,白宏宇,等.加速康复外科对非小细胞肺癌患者术后营养状况的影响[J].河北医科大学学报,2014,35(3):327-329.
[28] 胡坚,马洪海.肺癌加速康复外科的发展现状及展望[J].中华胸部外科电子杂志,2017,4(3):136-139.
[29] 张金,徐宝宁,张磊,等.加速康复外科联合单孔胸腔镜在肺癌手术中的应用价值[J].现代肿瘤医学,2019,27(2):355-358.
[30] 任占良,张泳,任小朋,等.加速康复理念在单孔胸腔镜肺癌根治术的应用[J].中华腔镜外科杂志:电子版,2017,10(6):376-380.