婦科手術後快速復原的效果

The Clinical Effect of Enhanced Recovery After Gynecologic Surgery

李耀泰(Yiu-Tai Li) ； 陳福民(Fu-Min Chen) ； 郭宗正(Tsung-Cheng Kuo)

《南臺灣醫學雜誌》 16卷1期 (2020/06) Pp. 44-50

https://doi.org/10.6726/MJST.202006_16(1).0007

摘要

手術後快速復原（enhanced recovery after surgery, ERAS）途徑目的是盡快恢復術後正常生理，但不會增加術後併發症和再住院率。這些步驟包括手術前諮詢、不灌腸、縮短空腹時間、適當的止痛、噁心和嘔吐的預防、不放引流管、早進食和早下床等。成功的手術快速復原，能有效改善婦產科患者的照護和健康。

關鍵字

手術後快速復原 ； 婦科手術 ； 住院時間

並列摘要

Surgery can induce a catabolic state and leads to increase cardiac demand, tissue hypoxia, increased insulin resistance, impaired coagulation profiles, altered pulmonary and gastrointestinal function. Enhanced Recovery After Surgery(ERAS) pathways were developed with the goal of early return to normal physiology without increasing postoperative complications or readmissions. The multimodal interventions include preoperative conselling, avoidance of bowel preparation, shorting of fasting, optimal analgesia, prevention of nausea and vomiting, avoidance of drains, early postoperative feeding and mobilization. Successful ERAS pathway implementation of gynecologic care has the potential to improve patient care and health care delivery systems.

並列關鍵字

cenhanced recovery after surgery ； gynecologic surgery ； length of stay