ERAS优化镇痛-王强.pdf

ERAS

stands

for

Enhanced

Recovery

After

Surgery

采用有循证医学证据的围手术期处理的一系列优化措施：

营养镇痛

力手术

能下床活动

为

行

能

功

禁食、卧床休息

……

天周

其本人被誉为“快速康复外科”之父

KehletH.BrJAnaesth1997;78606-17.

OlleLjungqvist.JParenterEnteralNutr.XXXX;XX:xx-xx

VaradhanKK,etal.ClinicalNutrition29(2010)434–440

GustafssonUO,etal.ArchSurg.2011;146(5):571-577

13,800例

7,200例

2000年2009年

10-11天

The

number

of

performed

primary

unilateral

THA

and

TKA

has

increased

from

around

7,200

in

2000

to

13,800

in

2009

with

a

concomitant

reduction

in

LOS

from

median

10-11

days

in

2000

to

4

days

in

2009.

ArchOrthop.TraumaSurg.2012;132(1):101-4.

CarliF,etal.MinervaAnestesiol.2011Feb;77(2):227-30.

OderdaG.Pharmacotherapy.2012;32(9Suppl):6S-11S.

ScottMJ,etal.ActaAnaesthesiolScand.2015;59(10):1212-31.

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J.B.Stamboughetal.TheJournalofArthroplasty.2015;30:521-526

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Surgery.2011;149:830-40.

Anesthesiology2003;98:151–5

CurrentOpinioninAnaesthesiology2006,

–

Kissin,I.Anesthesiology.93(4):1138-1143.

截肢

髋关节置换

膝关节置换

10

8)

6痛觉超敏

(对正常情况下的无痛

4刺激感到疼痛)

2

0

ZemmelMH.AANAJ.2006;74(1):49-60.