CAJ | 학술논문

老年髋部骨折的卧床时间长，具有较高的合并症发生率及病死率。应用术后快速康复（ERAS）这一理念，针对影响患者术中死亡及术后康复的因素，在术前、术中及术后采取相应的治疗措施，利于患者的快速康复，大大降低并发症的发生及病死率。ERAS包括术前禁食、预防性镇痛，术中体温控制、麻醉、手术径路的选择及术后限制静脉补液量、营养支持、无痛下进行早期活动等多个方面，本文就其理念应用的安全性、可靠性及临床疗效进行综述。
노년관부골절적와상시간장，구유교고적합병증발생솔급병사솔。응용술후쾌속강복（ERAS）저일이념，침대영향환자술중사망급술후강복적인소，재술전、술중급술후채취상응적치료조시，리우환자적쾌속강복，대대강저병발증적발생급병사솔。ERAS포괄술전금식、예방성진통，술중체온공제、마취、수술경로적선택급술후한제정맥보액량、영양지지、무통하진행조기활동등다개방면，본문취기이념응용적안전성、가고성급림상료효진행종술。
In the elderly, patient who suffered from hip fracture need to stay in bed for a long time and has a higher prevalence of complications and mortality. Considering the factors of patients in the intraoperative death and postoperative re?habilitation, we take appropriate treatment measures during preoperative, intraoperative and postoperative period respective?ly based on the concept of Enhanced Recovery. Patient will benefit from rapid rehabilitation and reduction of incidence of complications and mortality. ERAS includes preoperative fasting, preventive anagelsia, intraoperative temperature control, anesthesia and surgical approach, postoperative intravenous restriction, nutritional support and painless early motion. This ar?ticle intends to review the security , reliability and clinic efficacy of ERAS.