ERAS方案：对脊柱手术结果的影响

Q4 Medicine

Seminars in Spine Surgery Pub Date : 2025-07-11 DOI:10.1016/j.semss.2025.101188

Mehul Mittal , Nicholas D’ambrose , Rishi Jain , Bibek Samal , Sepehr Khavari , Dillan Prasad , Sharbel Romanos , Alok Sharan

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引用次数: 0

摘要

增强术后恢复（ERAS）是一种多学科的方法，主要目的是改善术后患者的预后和满意度。在过去的十年中，为了减少阿片类药物的持久性、慢性疼痛和所包含手术的高成本，出现了新的脊柱外科ERAS方案。尽管取得了可喜的成果，但ERAS协议在全球标准化使用方面面临许多障碍，并且改进其应用的努力有限。在这篇叙述性综述中，讨论了脊柱外科ERAS协议的组成部分和益处，实施的障碍，以及克服脊柱外科领域这些障碍所需的策略。

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ERAS protocols: Impact on outcomes in spine surgery

Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach primarily aimed to improve postoperative patient outcomes and satisfaction. Over the past decade, new ERAS protocols for spine surgery have emerged in efforts to reduce opioid persistence, chronic pain, and high costs that are specific to the encompassed procedures. Despite promising results, ERAS protocols face many barriers to standardized usage globally and limited efforts to improve their application. In this narrative review, the components and benefits of spine surgery ERAS protocols, their barriers to implementation, and the strategies needed to overcome these barriers in the realm of spine surgery are discussed.

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来源期刊

Seminars in Spine Surgery Medicine-Surgery

CiteScore

0.50

自引率

0.00%

发文量

审稿时长

2 days

期刊介绍： Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.