加速康复外科理念下普外科围手术期护理路径的优化与实践
Optimization and Practice of Perioperative Nursing Pathway in General Surgery under the Concept of Enhanced Recovery after Surgery (ERAS)
摘要: 加速康复外科(Enhanced Recovery After Surgery, ERAS)理念在普外科急诊与特殊患者群体中的应用现状与证据，深入剖析基于该理念的围手术期护理核心要素的优化策略，识别实施过程中的关键障碍，并探讨通过个性化、数字化及多学科整合等策略推动ERAS可持续发展的未来方向。
Abstract: The Enhanced Recovery After Surgery (ERAS) concept in emergency and special patient populations within general surgery, analyze in-depth the optimization strategies for core perioperative nursing pathway elements based on this concept, identify key barriers during implementation, and explore future directions for promoting sustainable ERAS development through personalized, digital, and multidisciplinary integration strategies.
文章引用：胡春兰, 高燕, 戚蕊, 李凡, 苑春枝. 加速康复外科理念下普外科围手术期护理路径的优化与实践[J]. 临床个性化医学, 2026, 5(2): 248-255. https://doi.org/10.12677/jcpm.2026.52123

参考文献

[1] Mithany, R.H., Daniel, N., Shahid, M.H., Aslam, S., Abdelmaseeh, M., Gerges, F., et al. (2023) Revolutionizing Surgical Care: The Power of Enhanced Recovery after Surgery (ERAS). Cureus, 15, e48795. [Google Scholar] [CrossRef] [PubMed]
[2] Pawar, S., Kumar, N., Pankaj, D., Vishwendu, V., Bhushan, V., Varma, Y., et al. (2025) Comparison between Conventional and Enhanced Recovery after Surgery (ERAS) Protocol in Cases of Emergency Laparotomy. Maedica—A Journal of Clinical Medicine, 20, 491-499. [Google Scholar] [CrossRef] 
[3] Oremus, K., et al. (2007) Fast Track Surgery-Enhanced Multimodal Rehabilitation after Surgery. Lijecnicki Vjesnik, 129, 269-275.
[4] Schäfer, S.T. and Andres, C. (2022) Update zu “Fast-Track”-Konzepten in der operativen Medizin: Verbessertes Outcome und höhere Patientenzufriedenheit durch interdisziplinäre, multimodale Behandlungskonzepte. Die Anaesthesiologie, 72, 81-88. [Google Scholar] [CrossRef] [PubMed]
[5] Nelson, G., Kalogera, E. and Dowdy, S.C. (2014) Enhanced Recovery Pathways in Gynecologic Oncology. Gynecologic Oncology, 135, 586-594. [Google Scholar] [CrossRef] [PubMed]
[6] García-Sánchez, F.J., Roque-Rojas, F. and Mudarra-García, N. (2025) From Emergency Department to Operating Room: The Role of Early Prehabilitation and Perioperative Care in Emergency Laparotomy: A Scoping Review and Practical Proposal. Journal of Clinical Medicine, 14, Article No. 6922. [Google Scholar] [CrossRef] 
[7] Ceresoli, M., Fumagalli, C., Biloslavo, A., La Greca, A., D’addiego, A., Zago, M., et al. (2025) Adherence to Enhanced Recovery Protocol in Emergency General Surgery: A Prospective Observational Study. Updates in Surgery, 77, 2561-2570. [Google Scholar] [CrossRef] [PubMed]
[8] Han, Y., Fu, C., Li, Y., Yang, T., Fan, Y., Chen, J., et al. (2025) Enhanced Recovery after Bariatric Surgery in Super-Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Retrospective Study of Feasibility, Safety, and Short-Term Outcomes. Medicine, 104, e45903. [Google Scholar] [CrossRef] 
[9] Ceresoli, M., Biloslavo, A., Bisagni, P., Ciuffa, C., Fortuna, L., La Greca, A., et al. (2023) Implementing Enhanced Perioperative Care in Emergency General Surgery: A Prospective Multicenter Observational Study. World Journal of Surgery, 47, 1339-1347. [Google Scholar] [CrossRef] [PubMed]
[10] Abosheisha, M., Nasr, E., Abdellatif, M., Swealem, A., Ammar, A., Hasan, M.A.S., et al. (2025) The Future of Enhanced Recovery after Surgery in General Surgery: Integrating Artificial Intelligence, Personalized Care, and Technological Advances. Cureus, 17, e91528. [Google Scholar] [CrossRef] 
[11] Iqbal, A., Rehman, H.U., Ahmad, I., et al. (2024) Optimizing Postoperative Outcomes: Assessing the Effect of Enhanced Recovery after Surgery (eras) Protocols in General Surgical Patients. Journal of Ayub Medical College Abbottabad, 36, 359-363. [Google Scholar] [CrossRef] [PubMed]
[12] Peden, C.J., Aggarwal, G., Aitken, R.J., Anderson, I.D., Bang Foss, N., Cooper, Z., et al. (2021) Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery after Surgery (ERAS) Society Recommendations: Part 1—Preoperative: Diagnosis, Rapid Assessment and Optimization. World Journal of Surgery, 45, 1272-1290. [Google Scholar] [CrossRef] [PubMed]
[13] Messiha, K.S.F., Sehsah, T.M., Abd‐Raboh, O.H., Mohamed, H.A. and Aboul‐Enein, M.S. (2025) Enhanced Recovery after Surgery versus Conventional Care in Patients after Urgent Laparotomy: A Prospective Cohort Study. World Journal of Surgery, 49, 2699-2705. [Google Scholar] [CrossRef] [PubMed]
[14] Scott, M.J., Aggarwal, G., Aitken, R.J., Anderson, I.D., Balfour, A., Foss, N.B., et al. (2023) Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery after Surgery (eras®) Society Recommendations Part 2—Emergency Laparotomy: Intra‐ and Postoperative Care. World Journal of Surgery, 47, 1850-1880. [Google Scholar] [CrossRef] [PubMed]
[15] Pędziwiatr, M., Pisarska, M., Wierdak, M., Major, P., Rubinkiewicz, M., Kisielewski, M., et al. (2015) The Use of the Enhanced Recovery after Surgery (ERAS) Protocol in Patients Undergoing Laparoscopic Surgery for Colorectal Cancer—A Comparative Analysis of Patients Aged above 80 and below 55. Polish Journal of Surgery, 87, 565-572. [Google Scholar] [CrossRef] [PubMed]
[16] Kisielewski, M., Rubinkiewicz, M., Pędziwiatr, M., Pisarska, M., Migaczewski, M., Dembiński, M., et al. (2017) Are We Ready for the ERAS Protocol in Colorectal Surgery? Videosurgery and Other Miniinvasive Techniques, 12, 7-12. [Google Scholar] [CrossRef] [PubMed]
[17] Kavoosi, T., Pillai, A., Rajasekaran, A. and Obayemi, A. (2024) Enhanced Recovery after Surgery Protocols in Craniofacial Surgery. Facial Plastic Surgery Clinics of North America, 32, 181-187. [Google Scholar] [CrossRef] [PubMed]
[18] Lyu, Z., Wu, D., Cai, G., et al. (2018) Use of C Response Protein in Predicting Postoperative Anastomotic Leakage in Patients with Rectal Cancer. Chinese Journal of Gastrointestinal Surgery, 21, 442-447.
[19] Akhtar, M.S., Khan, N., Qayyum, A. and Khan, S.Z. (2020) Cost Difference of Enhanced Recovery after Surgery Pathway vs. Conventional Care in Elective Laparoscopic Cholecystectomy. Journal of Ayub Medical College Abbottabad: JAMC, 32, 470-475.
[20] Yoon, S. and Lee, H. (2024) Challenging Issues of Implementing Enhanced Recovery after Surgery Programs in South Korea. Anesthesia and Pain Medicine, 19, 24-34. [Google Scholar] [CrossRef] [PubMed]
[21] Rockley, M., Chu, K. and Bayne, J. (2015) Current Perioperative Practice in Canadian Vascular Surgery. Canadian Journal of Surgery, 58, 374-377. [Google Scholar] [CrossRef] [PubMed]
[22] Stenberg, E., dos Reis Falcão, L.F., O’Kane, M., Liem, R., Pournaras, D.J., Salminen, P., et al. (2022) Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery after Surgery (ERAS) Society Recommendations: A 2021 Update. World Journal of Surgery, 46, 729-751. [Google Scholar] [CrossRef] [PubMed]
[23] Bertocchi, E., Barugola, G., Gentile, I., Zuppini, T., Zamperini, M., Guerriero, M., et al. (2021) Icolon, a Patient-Focused Mobile Application for Perioperative Care in Colorectal Surgery: An Observational, Real-World Study Protocol. BMJ Open, 11, e045526. [Google Scholar] [CrossRef] [PubMed]
[24] Hübner, M., Kusamura, S., Villeneuve, L., Al-Niaimi, A., Alyami, M., Balonov, K., et al. (2020) Guidelines for Perioperative Care in Cytoreductive Surgery (CRS) with or without Hyperthermic Intraperitoneal Chemotherapy (HIPEC): Enhanced Recovery after Surgery (ERAS®) Society Recommendations—Part I: Preoperative and Intraoperative Management. European Journal of Surgical Oncology, 46, 2292-2310. [Google Scholar] [CrossRef] [PubMed]
[25] Mac Curtain, B.M., O’Mahony, A., Temperley, H.C. and Ng, Z.Q. (2023) Enhanced Recovery after Surgery Protocols and Emergency Surgery: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials. ANZ Journal of Surgery, 93, 1780-1786. [Google Scholar] [CrossRef] [PubMed]