快速康复外科理念ERAS护理流程——围手术期的人文关怀(精华汇报版)
绛旓細鍦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ERAS鐨鍚勪釜鐜妭涓壆婕旂潃鑷冲叧閲嶈鐨勮鑹层傛湳鍓嶅噯澶: 鎶ゅ＋鍦ㄦ湳鍓嶄笉浠呰杩涜缁嗚嚧鐨勮瘎浼帮紝杩...
绛旓細7. 鍚勭绠￠亾鐨勭暀缃笌澶勭悊锛氶蓟鑳冪鐨勫畨缃彲澧炲姞鍙戠儹銆佽偤涓嶅紶浠ュ強鑲虹値鐨勫彂鐢熺巼銆ERAS涓嶆彁鍊″畨缃儍绠★紝濡傛灉瀹夌疆浜嗚儍绠★紝搴旇鍦ㄩ夯閱夋竻閱掑墠鎷旈櫎銆侲RAS鎻愬℃棭鏈熸嫈闄ゅ灏跨锛岀壒鍒槸缁撹偁鎵嬫湳涓嶅簲璇ヨ秴杩24灏忔椂銆備絾瀵逛簬浣庝綅鐩磋偁鎵嬫湳锛屼粛搴旇淇濈暀3~4澶┿8. 鏈悗鎶ょ悊鍙婅惀鍏绘敮鎸侊細鏈悗鎶ょ悊寮鸿皟榧撳姳鎮ｈ呮棭鏈熶笅搴婃椿鍔紝褰...
绛旓細ERAS鐞嗗康涓嬬殑鏈墠绂侀绂侀ギ绛栫暐 澶嶆棪澶у闄勫睘涓北鍖婚櫌鑳嗛亾澶栫 鍦ㄦ繁鍏ユ帰璁ㄥ洿鎵嬫湳鏈鎶ょ悊鐨勬梾绋嬩腑锛屾垜浠仛鐒︿簬鍔犻熷悍澶嶅绉锛圗RAS锛夌殑鏈墠鐜妭锛屾帰璁ㄥ浣曠瀛︽墽琛岀椋熺楗帾鏂斤紝浠ョ‘淇濇偅鑰呭畨鍏ㄥ苟鍔犻熷悍澶嶈繃绋嬨侲RAS锛岃繖涓鍒涙柊鐨勫尰鐤楁ā寮忥紝浠ユ偅鑰呬负涓績锛屽洿缁曟墜鏈墠銆佷腑銆佸悗鐨勫叏绋嬩紭鍖栵紝鏃ㄥ湪鍑忚交鍒涗激搴旀縺锛屽揩閫熸仮...
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1. 鏈悗鍔犻熷悍澶嶏紙ERAS锛変笌蹇熷悍澶嶅绉锛團TS锛夋槸鍚屼竴绉鐞嗗康銆2. 杩欎竴鐞嗗康鐨勬牳蹇冪洰鏍囨槸鍑忓皯鏈悗骞跺彂鐥囩殑鍙戠敓锛屽苟淇冭繘鎮ｈ呰繀閫熸仮澶嶃3. 瀹冮氳繃鎺у埗鐐庣棁鍜屽噺灏戝簲婵鍙嶅簲锛岄噰鍙栦簡涓绯诲垪寰瘉鍖诲鏀寔鐨勪紭鍖栨帾鏂姐4. 杩欎簺鎺柦娑夊強澶氫釜瀛︾鐨勫悎浣滐紝骞跺湪鍥存湳鏈熻繘琛屽疄鏂姐
绛旓細蹇熷悍澶嶅绉慐RASERAS鈥斺斾竴涓喘鏂扮殑鐞嗗康ERASstandsforEnhancedRecoveryAfterSurgery鏈悗蹇熷悍澶嶄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嶈惀鍏婚晣鐥涢噰鐢ㄦ湁寰瘉鍖诲璇佹嵁鐨勫洿鎵嬫湳鏈熷鐞嗙殑涓绯诲垪浼樺寲鎺柦锛屽姛鑳界姸鎬佹墜鏈繍鍔ㄧ椋熴佸崸搴婁紤鎭腹楹Kehlet鏁欐巿浜1997骞存彁鍑篍RAS姒傚康涓归害鍝ユ湰鍝堟牴澶уHenrikKehlet鏁欐巿涓...
绛旓細浼樺寲娴佺▼鍑嗙‘鎵ц鈥斺斾复搴鎶ょ悊鍦ERAS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www.1ppt.cn201X2018.51浣曡皳浜烘枃鍏虫ERAS鎶ょ悊娴佺▼鐩綍23鎬荤粨灞曟湜01THEPART浣曡皳浜烘枃鍏虫WhatistheHumanisticConcern鍗椾竵鏍煎皵鐨勪汉鏂囧叧鎬1855骞5鏈堬紝鍗椾竵鏍煎皵鍦ㄦ棩璁颁腑鍐欓亾锛氣滄垬浜夋槸澶氫箞鍙曪紝绠鐩翠护浜烘棤娉曟兂璞°傛垬浜夊氨鏄激鍙ｃ佹枒鐤逛激瀵掋佸氨鏄ユу拰鎱㈡х棦鐤俱佸氨鏄瘨鐑梾銆佸氨鏄ゥ楗库︹︹濓紝鈥...
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ERAS1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ERAS鏄竴绉嶅洿鎵嬫湳鏈熺殑缁煎悎娌荤枟妯″紡锛屾棬鍦ㄩ氳繃涓绯诲垪寰瘉鍖诲璇佹嵁鏀寔鐨勪紭鍖栧鐞嗘帾鏂斤紝鍑忚交鎮ｈ呭績鐞嗗拰鐢熺悊鐨勫垱浼ゅ簲婵鍙嶅簲锛屼粠鑰屽噺灏戝苟鍙戠棁锛岀缉鐭綇闄㈡椂闂达紝闄嶄綆鍐嶅叆闄㈤闄╁強姝讳骸椋庨櫓锛屽悓鏃堕檷浣庡尰鐤楄垂鐢ㄣ侶enrikKehlet鏁欐巿鐨勮繖涓鐞嗗康瀵澶栫鎵嬫湳鐨搴峰娴佺▼浜х敓浜嗘繁杩滅殑褰卞搷锛屾帹鍔ㄤ簡鎮ｈ呮湳鍚庢仮澶嶇殑蹇鍖栧拰鑸掗傚寲銆
