大隐静脉曲张术后快速康复策略的临床综述
A Clinical Review of Enhanced Recovery Strategies after Great Saphenous Varicose Vein Surgery
DOI: 10.12677/acrem.2026.142020, PDF,    科研立项经费支持
作者: 余 涛*, 李佳乐, 沈 睿#：成县人民医院普外科，甘肃 陇南
关键词: 大隐静脉曲张；手术治疗；快速康复；策略；Great Saphenous Varicose Veins； Surgical Treatment； Enhanced Recovery； Strategies
摘要: 快速康复外科(Enhanced Recovery After Surgery, ERAS)理念已逐步融入大隐静脉曲张的围手术期管理，通过多学科、多模式的循证医学干预，旨在减轻手术应激、加速功能恢复并改善患者体验。本综述系统阐述大隐静脉曲张ERAS方案的核心要素，包括全面的术前教育及优化、微创手术技术的精准应用、标准化的术中管理、以早期活动为核心的术后护理以及结构化随访体系。现有证据表明，整合ERAS路径可显著缩短住院时间至日间或门诊模式、降低疼痛评分超过50%、提升患者满意度至90%，同时不增加并发症风险。尽管在方案标准化、技术选择及长期结果方面仍存在争议，但ERAS代表了大隐静脉曲张治疗模式的重要演进方向，其成功实施依赖于外科医生、护理团队及患者的协同合作。未来需进一步通过高质量研究优化方案细节，并探索数字化工具在康复支持中的应用潜力。
Abstract: The Enhanced Recovery After Surgery (ERAS) concept has been progressively integrated into the perioperative management of great saphenous varicose veins. Employing multimodal evidence-based interventions, it aims to mitigate surgical stress and accelerate recovery. This review systematically elaborates the core components of the ERAS protocol for this condition, including preoperative optimization, precise application of minimally invasive techniques, standardized intraoperative management, care centered on early ambulation, and structured follow-up. Current evidence indicates that ERAS pathways significantly reduce hospital stay to a day-case model, lower pain scores by over 50%, enhance patient satisfaction to above 90%, and do not increase complication risks. Despite ongoing debates regarding standardization and technique selection, ERAS represents a significant advancement in treatment, relying on collaborative efforts. Future research should focus on protocol refinement through high-quality studies and the integration of digital tools.
文章引用：余涛, 李佳乐, 沈睿. 大隐静脉曲张术后快速康复策略的临床综述[J]. 亚洲急诊医学病例研究, 2026, 14(2): 156-161. https://doi.org/10.12677/acrem.2026.142020

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