护理与加速康复外科ppt课件
绛旓細涓昏鍐呭鍖呮嫭锛氭棭鏈熸湳鍚庝笅搴婃椿鍔ㄦ椿鍔ㄩ晣鐥涜繍鐢ㄥ妯″紡闀囩棝鍏呭垎鐨勬湳鍚庨晣鐥涘噺灏戞垨灏介噺涓嶄娇鐢ㄩ蓟鑳冪鍑忓帇榧昏儍绠＄姘寸缉鐭湳鍓嶇姘存椂闂撮伩鍏嶆湳涓繃搴﹁ˉ娑叉垨琛ユ恫涓嶈冻琛ユ恫寰垱榧撳姳浣跨敤寰垱鎵嬫湳鍔犻熷悍澶嶅绉鏈夊摢浜涚壒鍒箣澶勶紵ERAS闇瑕佸姞寮哄鏈氦娴佷笌瀹ｄ紶锛屾敼鍙樺尰鎶や汉鍛樸佹偅鑰呭強瀹跺睘鐨勪紶缁熺悊蹇碉紱灏嗗厖鍒嗘鐥涖佹湳鍚庢棭鏈 ...
绛旓細鍔犻熷悍澶嶅绉 (enhanced recovery after surgery, ERAS),涔熻绉颁负蹇氶亾澶栫 ( fast track surgery, FTS)鎴蹇熷悍澶嶅绉,2001骞寸敱涓归害澶栫鍖荤敓Kehlet绛夌郴缁熸彁鍑哄苟瀹炴柦銆侲RAS瀵归暱鏈熶互鏉ユ垜浠範浠ヤ负甯哥殑鍥存墜鏈湡澶勭悊鍘熷垯鎻愬嚭浜嗛潻鍛芥х殑鏀瑰彉,涔熷彲浠ヨ鏄笌浼犵粺鐨勫洿鎵嬫湳鏈熷尰鐤鎶ょ悊甯歌鐩歌繚鑳岀殑,浣嗚繖涓鐞嗗康宸茬粡寰楀埌寰瘉鍖诲...
绛旓細浼樺寲娴佺▼鍑嗙‘鎵ц鈥斺斾复搴鎶ょ悊鍦‥RAS涓殑浣滅敤鈥斺斿涓夌梾鍖虹帇娑﹀姏1鍔犻熷悍澶嶅绉锛圗RAS锛夋杩板強涓村簥鑾风泭ERAS姒傝堪ERAS(EnhancedRecoveryAfterSurgery)锛屽嵆鍔犻熷悍澶嶅绉戯紝鍙堢ОFTS(fast-tracksurgery),鏄寚閲囩敤鏈夊惊璇佸尰瀛﹁瘉鎹殑鍥存墜鏈湡澶勭悊鐨勪竴绯诲垪浼樺寲鎺柦锛屼互鍑忓皯鎵嬫湳鐥呬汉鐨勭敓鐞嗗強蹇冪悊鐨勫垱浼ゅ簲婵锛岃揪鍒板揩閫熷悍澶嶃&...
绛旓細鍔犻熷悍澶嶅绉锛坋nhanced recovery after surgery, ERAS锛夌殑姒傚康锛岀敱涓归害澶栫鍖荤敓Kehlet绛夊湪2001骞存彁鍑哄苟瀹炴柦锛屾槸瀵逛紶缁熷洿鎵嬫湳鏈熷鐞嗗師鍒欑殑闈╁懡鎬ф敼鍙樸侲RAS杩呴熷湪鍖楃編鏅強锛屽苟鍦ㄨ繃鍘诲崄骞翠腑锛屽叾淇冭繘鏈悗搴峰鐨勬樉钁楁晥鏋滃緱鍒颁簡涓绯诲垪鏉冨▉鏂囩尞鐨勮偗瀹氥傜爺绌跺彂鐜帮紝鍥存墜鏈湡鐨勫簲婵鍙嶅簲锛屽鏈墠鐒﹁檻銆佹墜鏈埡婵銆佹湳涓綆...
绛旓細淇冧娇鎵嬫湳鐥呬汉鍔犻熷悍澶嶇殑浼樺寲鍥存墜鏈湡澶勭悊銆鍔犻熷悍澶嶅绉锛氶泦鎴愬垱鏂癊RAS1銆佺簿鍑嗗绉戞墜鏈2銆佺幇浠ｉ夯閱変笌姝㈢棝3銆佷紭鑹殑鎶ょ悊4銆佽惀鍏诲強鍣ㄥ畼鏀寔5銆佽吂鑵旈暅鏈哄櫒浜哄姞閫熷悍澶嶅绉戝厛椹辫匟enrikkehlet60渚嬮珮榫勭粨鑲犵檶鐥呬汉纭啘澶栭樆婊為夯閱夊钩鍧囦綇闄㈡椂闂2澶57渚嬪湪涓ゅぉ鍐呮仮澶嶈偁锠曞姩锛屾棤鏈悗鑲犻夯鐥硅呮湳鍚24h鈥48h鍐呬复搴婃椿鍔5-6h...
绛旓細绠楀垱鏂般傛牴鎹煡璇㈣タ瀹夊競绗簲鍖婚櫌瀹樼綉鏄剧ず锛2022骞12鏈堣タ瀹夊競绗簲鍖婚櫌鍒涙柊涓尰鎶ょ悊鎶鏈姪鍔涙墜鏈娆″姪鎮ｈ呭悍澶嶏紝鍔犻熷悍澶嶅绉鐞嗗康涓庣壒鑹蹭腑鍖绘姢鐞嗘妧鏈粨鍚堬紝鍏呭垎鍙戞尌涓タ鍖绘姢鐞嗕紭鍔匡紝鍥犳涓尰鎶ょ悊鎶鏈瀺鍏ュ姞閫熷悍澶嶅绉戠畻鍒涙柊銆備腑鍖绘姢鐞嗘妧鏈槸涓闂ㄤ互涓尰鍩虹鐞嗚涓烘寚瀵硷紝鐮旂┒鍚勭鐤剧梾鐨勬姢鐞嗙悊璁哄拰鎶鏈殑绉戝銆
绛旓細璧拌繘ERAS鍋ュ悍搴峰鏂扮悊蹇碉細鎶ゅ＋鐨勮鑹蹭笌鍏抽敭浣滅敤 鍦ㄥ尰鐤楅鍩燂紝涓椤归潻鏂版х殑鐞嗗康姝ｅ湪蹇熸敼鍙澶栫鎶ょ悊鐨勯潰璨屸斺蹇熷悍澶嶅绉锛圗RAS锛夈備富绠℃姢甯堟潕娲佺孩浠ュ叾涓板瘜鐨勭粡楠岋紝鎻ず浜咵RAS濡備綍閫氳繃澶氬绉戝崗浣滐紝浼樺寲鎮ｈ呮湳鍚庡悍澶嶈矾寰勩傚湪杩欎釜杩囩▼涓紝鎶ゅ＋鐨勮础鐚笉鍙垨缂猴紝濂逛滑鍦‥RAS鐨勫悇涓幆鑺備腑鎵紨鐫鑷冲叧閲嶈鐨勮鑹层...
绛旓細鍔犻熷悍澶嶅绉锛坋nhanced recovery after surgery锛孍RAS锛夋槸鍩轰簬寰瘉鍖诲渚濇嵁鐨勪竴绯诲垪鍥存湳鏈熶紭鍖栧鐞嗘帾鏂斤紝鍏剁洰鐨勪负蹇熷悍澶嶃侲RAS 閫氳繃鍑忚交鏈悗搴斿弽搴斻佸悎鐞嗙鐞嗙柤鐥涖佹棭鏈熸仮澶嶉ギ椋鍜鏃╂湡娲诲姩绛夋帾鏂芥潵鍑忓皯鏈悗骞跺彂鐥囷紝缂╃煭鏈悗浣忛櫌鏃堕棿锛屽噺灏戝尰鐤楄垂鐢ㄣ備腑鍗庢秷鍖栧绉戞潅蹇 2016 骞 1 鏈堢 15 鍗风 1 鏈熷彂琛...
绛旓細蹇熷悍澶嶅绉鐨勪富瑕佹帾鏂藉垎涓烘湳鍓嶃佹湳涓鍜鏈悗涓変釜闃舵銆1銆佹湳鍓嶏細鍦ㄦ湳鍓嶉樁娈靛寘鎷壇濂界殑楹婚唹绠＄悊銆佹湳鍓嶈瘎浼颁笌鍑嗗銆佷紭鍖栨偅鑰呭叏韬儏鍐电瓑銆2銆佹湳涓細蹇熷悍澶嶅绉戦噰鍙栧井鍒涙墜鏈佹帶鍒舵ц緭娑层侀傚綋淇濇俯銆侀闃叉劅鏌撶瓑鎺柦銆傚井鍒涙墜鏈彲浠ュ噺灏戞墜鏈垱浼わ紝闄嶄綆鏈悗鐤肩棝鍜屽苟鍙戠棁鐨勯闄┿3銆佹湳鍚庯細鍦ㄨ繖涓樁娈电殑涓昏...
