\u4e2d\u534e\u533b\u5b66\u4f1a\u5916\u79d1\u5b66\u5206\u4f1a \u4e2d\u534e\u533b\u5b66\u4f1a\u9ebb\u9189\u5b66\u5206\u4f1a<\/p>\n
\u6267\u7b14\u603b\u7edf\u7b79\uff1a\u6768\u5c39\u9ed8 \u738b\u5929\u9f99<\/p>\n
\u901a\u4fe1\u4f5c\u8005\uff1a\u8d75\u7389\u6c9b \u9ec4\u5b87\u5149<\/p>\n
\u6587\u7ae0\u6765\u6e90\uff1a\u534f\u548c\u533b\u5b66\u6742\u5fd72021,12(5):624-665.<\/p>\n
\u8be5\u6307\u5357\u4e8e\u300a\u534f\u548c\u533b\u5b66\u6742\u5fd7\u300b\u300a\u4e2d\u56fd\u5b9e\u7528\u5916\u79d1\u6742\u5fd7\u300b\u300a\u4e2d\u534e\u9ebb\u9189\u5b66\u6742\u5fd7\u300b\u540c\u671f\u53d1\u5e03<\/p>\n
\u7f16\u8005\u6309<\/p>\n
\u8fd1\u5e74\u6765\u52a0\u901f\u5eb7\u590d\u5916\u79d1\uff08ERAS\uff09\u7684\u7406\u5ff5\u53ca\u8def\u5f84\u5728\u6211\u56fd\u5f97\u5230\u8fc5\u901f\u666e\u53ca\u548c\u5e7f\u6cdb\u5e94\u7528\u3002\u4e34\u5e8a\u5b9e\u8df5\u8868\u660e\uff0cERAS\u7406\u5ff5\u53ca\u76f8\u5173\u8def\u5f84\u7684\u5b9e\u65bd\u5fc5\u987b\u4ee5\u5faa\u8bc1\u533b\u5b66\u53ca\u591a\u5b66\u79d1\u534f\u4f5c\u4e3a\u57fa\u7840\uff0c\u65e2\u8981\u4f53\u73b0\u4ee5\u5feb\u901f\u5eb7\u590d\u4e3a\u4e3b\u8981\u76ee\u7684\u7684\u6838\u5fc3\u7406\u5ff5\uff0c\u4e5f\u8981\u517c\u987e\u60a3\u8005\u57fa\u7840\u75be\u75c5\u3001\u624b\u672f\u7c7b\u522b\u3001\u56f4\u672f\u671f\u5e76\u53d1\u75c7\u7b49\u5177\u4f53\u60c5\u51b5\uff0c\u66f4\u9700\u8981\u5f00\u5c55\u6df1\u5165\u7684\u4e34\u5e8a\u7814\u7a76\u4ee5\u8bba\u8bc1ERAS\u76f8\u5173\u8def\u5f84\u7684\u53ef\u884c\u6027\u53ca\u5fc5\u8981\u6027\u3002<\/p>\n
\u5728\u4e0a\u8ff0\u80cc\u666f\u4e0b\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u5916\u79d1\u5b66\u5206\u4f1a\u548c\u9ebb\u9189\u5b66\u5206\u4f1a\u4e8e2018\u5e74\u5171\u540c\u53d1\u8868\u4e86\u300a\u52a0\u901f\u5eb7\u590d\u5916\u79d1\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\u66a8\u8def\u5f84\u7ba1\u7406\u6307\u5357\uff082018\uff09\u300b\uff0c\u5206\u522b\u5236\u5b9a\u4e86\u809d\u80c6\u624b\u672f\u3001\u80f0\u5341\u4e8c\u6307\u80a0\u5207\u9664\u672f\u3001\u80c3\u624b\u672f\u3001\u7ed3\u76f4\u80a0\u624b\u672f\u7b49\u9886\u57df\u7684ERAS\u7ba1\u7406\u8def\u5f84[1]<\/sup>\u3002\u6307\u5357\u53d1\u8868\u4e09\u5e74\u4ee5\u6765\uff0c\u5bf9\u4e8e\u666e\u53caERAS\u7406\u5ff5\u3001\u6307\u5bfc\u4e34\u5e8a\u5b9e\u8df5\u8d77\u5230\u4e86\u826f\u597d\u7684\u4fc3\u8fdb\u4f5c\u7528\u3002<\/p>\n \u4e3a\u4f53\u73b0\u8fd1\u5e74\u6765ERAS\u9886\u57df\u77e5\u8bc6\u66f4\u65b0\u4e0e\u5b66\u79d1\u8fdb\u6b65\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u5916\u79d1\u5b66\u5206\u4f1a\u548c\u9ebb\u9189\u5b66\u5206\u4f1a\u8054\u5408\u5bf92018\u7248\u6307\u5357\u8fdb\u884c\u4fee\u8ba2\uff0c\u4ee5\u95ee\u9898\u4e3a\u5bfc\u5411\uff0c\u4ee5\u5faa\u8bc1\u4e3a\u57fa\u7840\uff0c\u901a\u8fc7\u5bf9\u8fd1\u5e74\u6587\u732e\u7684\u590d\u4e60\u603b\u7ed3\u5e76\u7ed3\u5408\u4e34\u5e8a\u7ecf\u9a8c\u5bf9ERAS\u9886\u57df\u7684\u82e5\u5e72\u70ed\u70b9\u9010\u4e00\u8bc4\u8ff0\u5e76\u63d0\u51fa\u63a8\u8350\u610f\u89c1\uff0c\u5728\u4e0e\u56fd\u9645\u76f8\u5173\u6307\u5357\u63a5\u8f68\u7684\u540c\u65f6\u517c\u987e\u6211\u56fd\u56fd\u60c5\u53ca\u4e34\u5e8a\u5b9e\u9645\uff0c\u8fd9\u5bf9\u66f4\u597d\u5730\u89c4\u8303\u5b9e\u65bdERAS\u8def\u5f84\uff0c\u5fc5\u5c06\u8d77\u5230\u91cd\u8981\u7684\u6307\u5bfc\u4f5c\u7528\u3002<\/p>\n \u672c\u6307\u5357\u4f9d\u636eGRADE\u7cfb\u7edf\u8fdb\u884c\u8bc1\u636e\u8d28\u91cf\u8bc4\u4f30\u53ca\u63a8\u8350\u5f3a\u5ea6\u5206\u7ea7\uff0c\u8bc1\u636e\u7b49\u7ea7\u5206\u4e3a\u9ad8\u3001\u4e2d\u3001\u4f4e\u4e09\u7ea7\uff0c\u63a8\u8350\u5f3a\u5ea6\u5305\u62ec\u5f3a\u70c8\u63a8\u8350\u548c\u4e00\u822c\u6027\u63a8\u8350\u4e24\u7ea7[2]<\/sup>\u3002\u672c\u6307\u5357\u5305\u62ec\u603b\u8bba\u53ca\u5404\u8bba\u4e24\u90e8\u5206\uff0c\u524d\u8005\u8ff0\u8bc4ERAS\u7684\u4e00\u822c\u6027\u539f\u5219\uff0c\u540e\u8005\u5206\u522b\u9488\u5bf9\u809d\u80c6\u624b\u672f\u3001\u80f0\u817a\u624b\u672f\u3001\u80c3\u548c\u51cf\u91cd\u624b\u672f\u53ca\u7ed3\u76f4\u80a0\u624b\u672fERAS\u76f8\u5173\u7684\u5177\u4f53\u95ee\u9898\u5c55\u5f00\u8ba8\u8bba\u3002\u603b\u8bba\u90e8\u5206\u5df2\u6d89\u53ca\u7684\u5171\u6027\u95ee\u9898\uff0c\u5404\u8bba\u90e8\u5206\u4ece\u7b80\u3002<\/p>\n \u300a\u534f\u548c\u533b\u5b66\u6742\u5fd7\u300b\u5b98\u5fae\u8bbf\u8c08\u2014\u2014\u4e13\u5bb6\u89c6\u89d2 \u6df1\u5ea6\u89e3\u8bfb <\/p>\n \u603b\u8bba<\/p>\n 1. \u52a0\u901f\u5eb7\u590d\u5916\u79d1(ERAS)\u5b9a\u4e49<\/p>\n ERAS\u4ee5\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\u4e3a\u57fa\u7840\uff0c\u901a\u8fc7\u5916\u79d1\u3001\u9ebb\u9189\u3001\u62a4\u7406\u3001\u8425\u517b\u7b49\u591a\u5b66\u79d1\u534f\u4f5c\uff0c\u5bf9\u6d89\u53ca\u56f4\u672f\u671f\u5904\u7406\u7684\u4e34\u5e8a\u8def\u5f84\u4e88\u4ee5\u4f18\u5316\uff0c\u901a\u8fc7\u7f13\u89e3\u60a3\u8005\u56f4\u672f\u671f\u5404\u79cd\u5e94\u6fc0\u53cd\u5e94\uff0c\u8fbe\u5230\u51cf\u5c11\u672f\u540e\u5e76\u53d1\u75c7\u3001\u7f29\u77ed\u4f4f\u9662\u65f6\u95f4\u53ca\u4fc3\u8fdb\u5eb7\u590d\u7684\u76ee\u7684\u3002\u8fd9\u4e00\u4f18\u5316\u7684\u4e34\u5e8a\u8def\u5f84\u8d2f\u7a7f\u4e8e\u4f4f\u9662\u524d\u3001\u624b\u672f\u524d\u3001\u624b\u672f\u4e2d\u3001\u624b\u672f\u540e\u3001\u51fa\u9662\u540e\u7684\u5b8c\u6574\u8bca\u7597\u8fc7\u7a0b\uff0c\u5176\u6838\u5fc3\u662f\u5f3a\u8c03\u4ee5\u60a3\u8005\u4e3a\u4e2d\u5fc3\u7684\u8bca\u7597\u7406\u5ff5\u3002\u7814\u7a76\u663e\u793a\uff0cERAS\u76f8\u5173\u8def\u5f84\u7684\u5b9e\u65bd\u6709\u52a9\u4e8e\u63d0\u9ad8\u5916\u79d1\u60a3\u8005\u56f4\u672f\u671f\u7684\u5b89\u5168\u6027\u53ca\u6ee1\u610f\u5ea6\uff0c\u7f29\u77ed\u672f\u540e\u4f4f\u9662\u65f6\u95f4\uff0c\u6709\u52a9\u4e8e\u51cf\u5c11\u672f\u540e\u5e76\u53d1\u75c7\u7684\u53d1\u751f\u7387[3]<\/sup>\u3002<\/p>\n 2. ERAS\u7684\u6838\u5fc3\u9879\u76ee\u53ca\u63aa\u65bd\uff1a\u672f\u524d\u90e8\u5206<\/p>\n 2.1 \u672f\u524d\u5ba3\u6559<\/p>\n \u672f\u524d\u5e94\u9488\u5bf9\u4e0d\u540c\u60a3\u8005\uff0c\u91c7\u7528\u5361\u7247\u3001\u624b\u518c\u3001\u591a\u5a92\u4f53\u3001\u5c55\u677f\u7b49\u5f62\u5f0f\u91cd\u70b9\u4ecb\u7ecd\u9ebb\u9189\u3001\u624b\u672f\u53ca\u56f4\u672f\u671f\u5904\u7406\u7b49\u8bca\u7597\u4e8b\u9879\uff0c\u4ee5\u7f13\u89e3\u60a3\u8005\u7126\u8651\u3001\u6050\u60e7\u60c5\u7eea\uff0c\u4f7f\u60a3\u8005\u53ca\u5176\u5bb6\u5c5e\u5145\u5206\u4e86\u89e3\u81ea\u5df1\u5728ERAS\u8def\u5f84\u4e2d\u7684\u91cd\u8981\u4f5c\u7528\uff0c\u4ee5\u66f4\u597d\u5730\u914d\u5408\u9879\u76ee\u5b9e\u65bd\uff0c\u5305\u62ec\u672f\u540e\u65e9\u671f\u8fdb\u98df\u3001\u65e9\u671f\u4e0b\u5e8a\u6d3b\u52a8\u7b49\u3002<\/p>\n 2.2 \u672f\u524d\u6212\u70df\u3001\u6212\u9152<\/p>\n \u5438\u70df\u53ef\u4f7f\u7ec4\u7ec7\u6c27\u5408\u964d\u4f4e\uff0c\u589e\u52a0\u4f24\u53e3\u611f\u67d3\u3001\u8840\u6813\u6813\u585e\u4ee5\u53ca\u80ba\u90e8\u611f\u67d3\u7b49\u5e76\u53d1\u75c7\u98ce\u9669\uff0c\u4e0e\u672f\u540e\u4f4f\u9662\u65f6\u95f4\u548c\u6b7b\u4ea1\u7387\u663e\u8457\u76f8\u5173\u3002\u6709\u7814\u7a76\u663e\u793a\uff0c\u672f\u524d\u6212\u70df\u8d85\u8fc74\u5468\u53ef\u663e\u8457\u7f29\u77ed\u672f\u540e\u4f4f\u9662\u65f6\u95f4\u3001\u964d\u4f4e\u4f24\u53e3\u611f\u67d3\u7387\u53ca\u603b\u5e76\u53d1\u75c7\u53d1\u751f\u7387[4]<\/sup>\u3002<\/p>\n \u6212\u9152\u53ef\u663e\u8457\u964d\u4f4e\u672f\u540e\u5e76\u53d1\u75c7\u53d1\u751f\u7387\u3002\u6212\u91522\u5468\u5373\u53ef\u660e\u663e\u6539\u5584\u8840\u5c0f\u677f\u529f\u80fd\uff0c\u7f29\u77ed\u51fa\u8840\u65f6\u95f4\uff0c\u4e00\u822c\u63a8\u8350\u672f\u524d\u6212\u91524\u5468[5]<\/sup>\u3002<\/p>\n 2.3 \u672f\u524d\u8bbf\u89c6\u4e0e\u8bc4\u4f30<\/p>\n \u672f\u524d\u5e94\u5168\u9762\u7b5b\u67e5\u60a3\u8005\u8425\u517b\u72b6\u6001\u3001\u5fc3\u80ba\u529f\u80fd\u53ca\u57fa\u7840\u75be\u75c5\uff0c\u5e76\u7ecf\u76f8\u5173\u79d1\u5ba4\u4f1a\u8bca\u4e88\u4ee5\u9488\u5bf9\u6027\u5904\u7406\uff1b\u5ba1\u614e\u8bc4\u4f30\u624b\u672f\u6307\u5f81\u3001\u9ebb\u9189\u4e0e\u624b\u672f\u7684\u98ce\u9669\u53ca\u60a3\u8005\u8010\u53d7\u6027\u7b49\uff0c\u9488\u5bf9\u4f34\u968f\u75be\u75c5\u53ca\u53ef\u80fd\u7684\u5e76\u53d1\u75c7\u5236\u5b9a\u76f8\u5e94\u9884\u6848\uff0c\u521d\u6b65\u786e\u5b9a\u60a3\u8005\u662f\u5426\u5177\u5907\u8fdb\u5165ERAS\u76f8\u5173\u8def\u5f84\u7684\u6761\u4ef6\u3002<\/p>\n \u672f\u524d\u9ebb\u9189\u8bbf\u89c6\u5305\u62ec\u75c5\u53f2\u91c7\u96c6\uff0c\u7f8e\u56fd\u9ebb\u9189\u533b\u5e08\u534f\u4f1a\uff08ASA\uff09\u5206\u7ea7\u3001\u6c14\u9053\u53ca\u810a\u67f1\u89e3\u5256\u5b66\u7684\u57fa\u672c\u8bc4\u4f30\uff0c\u4ee5\u6539\u826f\u5fc3\u810f\u98ce\u9669\u6307\u6570\uff08RCRI\uff09\u8bc4\u4ef7\u56f4\u672f\u671f\u4e25\u91cd\u5fc3\u810f\u5e76\u53d1\u75c7\u7684\u98ce\u9669[6]<\/sup>\uff0c\u4e5f\u53ef\u91c7\u7528\u4ee3\u8c22\u5f53\u91cf\u8bc4\u7ea7\uff08MET\uff09\u9884\u6d4b\u672f\u540e\u5fc3\u8840\u7ba1\u4e8b\u4ef6\u53d1\u751f\u7387\u3002\u8001\u5e74\u60a3\u8005\u8fd8\u5e94\u8fdb\u884c\u672f\u524d\u8870\u5f31\u8bc4\u4f30\u3001\u7cbe\u795e\u795e\u7ecf\u53ca\u547c\u5438\u7cfb\u7edf\u529f\u80fd\u8bc4\u4f30\u3002<\/p>\n \u5bf9\u4e8e\u5408\u5e76\u809d\u810f\u75be\u75c5\u4ee5\u53ca\u9ec4\u75b8\u60a3\u8005\uff0c\u5e94\u7279\u522b\u5173\u6ce8\u51dd\u8840\u529f\u80fd\u3001\u6709\u65e0\u5408\u5e76\u4f4e\u86cb\u767d\u8840\u75c7\u4ee5\u53ca\u8840\u80c6\u7ea2\u7d20\u6c34\u5e73\u7b49\u60c5\u51b5\u3002<\/p>\n 2.4 \u672f\u524d\u9884\u5eb7\u590d<\/p>\n \u672f\u524d\u9884\u5eb7\u590d\u6307\u62df\u884c\u62e9\u671f\u624b\u672f\u7684\u60a3\u8005\uff0c\u901a\u8fc7\u672f\u524d\u4e00\u7cfb\u5217\u5e72\u9884\u63aa\u65bd\u6539\u5584\u673a\u4f53\u751f\u7406\u53ca\u5fc3\u7406\u72b6\u6001\uff0c\u4ee5\u63d0\u9ad8\u5bf9\u624b\u672f\u5e94\u6fc0\u7684\u53cd\u5e94\u80fd\u529b\u3002<\/p>\n \u5176\u4e3b\u8981\u5185\u5bb9\u5305\u62ec\uff1a<\/p>\n \uff081\uff09\u672f\u524d\u8d2b\u8840\u7684\u7ea0\u6b63\uff1a\u8d2b\u8840\u53ef\u81f4\u4f4f\u9662\u65f6\u95f4\u5ef6\u957f\uff0c\u663e\u8457\u589e\u52a0\u6025\u6027\u80be\u635f\u4f24\u53d1\u751f\u7387\u3001\u75c5\u6b7b\u7387\u53ca\u518d\u5165\u9662\u7387[7]<\/sup>\u3002\u5efa\u8bae\u5e38\u89c4\u8fdb\u884c\u8d2b\u8840\u76f8\u5173\u68c0\u67e5\u3001\u8bc4\u4f30\u53ca\u5e72\u9884\u3002<\/p>\n \uff082\uff09\u9884\u9632\u6027\u9547\u75db\uff1a\u672f\u524d\u6839\u636e\u624b\u672f\u7c7b\u578b\u8fdb\u884c\u9884\u9632\u6027\u9547\u75db\u53ef\u7f13\u89e3\u672f\u540e\u75bc\u75db\uff0c\u964d\u4f4e\u672f\u540e\u8c35\u5984\u98ce\u9669\u4ee5\u53ca\u51cf\u5c11\u672f\u540e\u9547\u75db\u836f\u7269\u5242\u91cf\u3002\u672f\u524d\u7528\u836f\u5305\u62ec\u975e\u753e\u4f53\u6297\u708e\u836f\uff08NSAIDs\uff09\u548c\u9009\u62e9\u6027COX-2\u6291\u5236\u5242\u7b49[8]<\/sup>\u3002<\/p>\n \uff083\uff09\u672f\u524d\u8870\u5f31\u8bc4\u4f30\uff1a\u8870\u5f31\u662f\u56e0\u751f\u7406\u50a8\u5907\u4e0b\u964d\u6240\u81f4\u7684\u6297\u5e94\u6fc0\u80fd\u529b\u51cf\u9000\u7684\u975e\u7279\u5f02\u6027\u72b6\u6001\uff0c\u672f\u524d\u8870\u5f31\u8bc4\u4f30\u53ca\u6709\u6548\u5e72\u9884\u53ef\u964d\u4f4e\u672f\u540e\u6b7b\u4ea1\u7387[9]<\/sup>\uff0c\u5efa\u8bae\u4ee5\u4e34\u5e8a\u8870\u5f31\u91cf\u8868\uff08CFS\uff09\u8fdb\u884c\u8870\u5f31\u8bc4\u4f30\u53ca\u672f\u524d\u5e72\u9884\u3002<\/p>\n \uff084\uff09\u672f\u524d\u953b\u70bc\uff1a\u56f4\u672f\u671f\u4f53\u529b\u6d3b\u52a8\u51cf\u5c11\u662f\u5bfc\u81f4\u672f\u540e\u4e0d\u826f\u9884\u540e\u7684\u72ec\u7acb\u5371\u9669\u56e0\u7d20[10]<\/sup>\u3002\u5efa\u8bae\u8fdb\u884c\u672f\u524d\u6d3b\u52a8\u8010\u91cf\u8bc4\u4f30\uff0c\u5236\u5b9a\u953b\u70bc\u8ba1\u5212\uff0c\u63d0\u9ad8\u529f\u80fd\u50a8\u5907\u3002<\/p>\n \uff085\uff09\u672f\u524d\u8ba4\u77e5\u529f\u80fd\u8bc4\u4f30\uff1a\u56f4\u672f\u671f\u60a3\u8005\u7279\u522b\u662f\u8001\u5e74\u60a3\u8005\u7684\u8ba4\u77e5\u529f\u80fd\u53d7\u635f\u53ef\u589e\u52a0\u672f\u540e\u5e76\u53d1\u75c7\u548c\u6b7b\u4ea1\u7387\u7684\u98ce\u9669[11]<\/sup>\uff0c\u8c35\u5984\u3001\u75f4\u5446\u548c\u6291\u90c1\u662f\u8ba4\u77e5\u529f\u80fd\u8bc4\u4f30\u7684\u5173\u952e\u56e0\u7d20\uff0c\u5efa\u8bae\u672f\u524d\u5e94\u7528\u7b80\u6613\u667a\u529b\u72b6\u6001\u8bc4\u4f30\u91cf\u8868\uff08MMSE\uff09\u548c\u8499\u7279\u5229\u5c14\u8ba4\u77e5\u8bc4\u4f30\u91cf\u8868\uff08MoCA\uff09\u8fdb\u884c\u8ba4\u77e5\u529f\u80fd\u8bc4\u4f30\uff0c\u5e76\u53ef\u4f5c\u4e3a\u672f\u540e\u8bc4\u4f30\u7684\u57fa\u7ebf\u53c2\u8003\u503c\u3002\u5fc5\u8981\u65f6\u8bf7\u4e13\u79d1\u533b\u751f\u5e72\u9884\u3002<\/p>\n \uff086\uff09\u672f\u524d\u708e\u75c7\u63a7\u5236\uff1a\u8fd1\u671f\u7814\u7a76\u663e\u793a\uff0c\u672f\u524d\u5e94\u7528\u7c7b\u56fa\u9187\u7c7b\u836f\u7269\u53ef\u7f13\u89e3\u672f\u540e\u75bc\u75db\uff0c\u51cf\u8f7b\u708e\u75c7\u53cd\u5e94\u548c\u65e9\u671f\u75b2\u52b3[12]<\/sup>\u3002\u5728\u4fdd\u969c\u5b89\u5168\u7684\u524d\u63d0\u4e0b\uff0c\u53ef\u884c\u6fc0\u7d20\u9884\u9632\u6027\u6297\u708e\u6cbb\u7597\u3002<\/p>\n \uff087\uff09\u672f\u524d\u5fc3\u7406\u5e72\u9884\uff1a\u6076\u6027\u80bf\u7624\u6216\u6162\u6027\u75c5\u60a3\u8005\u672f\u524d\u5e38\u5b58\u5728\u7126\u8651\u6216\u6291\u90c1\uff0c\u91c7\u7528\u533b\u9662\u7126\u8651\u6291\u90c1\u91cf\u8868\uff08HADS\uff09\u8bc4\u4f30\u60a3\u8005\u5fc3\u7406\u72b6\u51b5\uff0c\u8fdb\u884c\u6709\u6548\u5e72\u9884[13]<\/sup>\u3002<\/p>\n 2.5 \u672f\u524d\u8425\u517b\u652f\u6301<\/p>\n \u672f\u524d\u5e94\u91c7\u7528\u8425\u517b\u98ce\u9669\u7b5b\u67e52002\uff08NRS 2002\uff09\u8fdb\u884c\u8425\u517b\u98ce\u9669\u7b5b\u67e5\u3002\u5bf9\u5408\u5e76\u8425\u517b\u98ce\u9669\u7684\u60a3\u8005\uff08NRS 2002\u8bc4\u5206\u22653\u5206\uff09\u5236\u8ba2\u8425\u517b\u8bca\u7597\u8ba1\u5212\uff0c\u5305\u62ec\u8425\u517b\u8bc4\u5b9a\u3001\u8425\u517b\u5e72\u9884\u4e0e\u76d1\u6d4b\u3002<\/p>\n \u5f53\u5b58\u5728\u4e0b\u8ff0\u4efb\u4e00\u60c5\u51b5\u65f6\u5e94\u4e88\u672f\u524d\u8425\u517b\u652f\u6301\uff1a<\/p>\n \uff081\uff09 6\u4e2a\u6708\u5185\u4f53\u8d28\u91cf\u4e0b\u964d\uff1e10%\uff1b<\/p>\n \uff082\uff09NRS 2002\u8bc4\u5206\u22655\u5206\uff1b<\/p>\n \uff083\uff09BMI\uff1c18.5 kg\/m2<\/sup>\u4e14\u4e00\u822c\u72b6\u6001\u5dee\uff1b<\/p>\n \uff084\uff09\u8840\u6e05\u767d\u86cb\u767d\u6d53\u5ea6\uff1c30 g\/L\u3002<\/p>\n \u9996\u9009\u7ecf\u6d88\u5316\u9053\u9014\u5f84\u5982\u53e3\u670d\u53ca\u80a0\u5185\u8425\u517b\u652f\u6301\u3002\u5f53\u7ecf\u6d88\u5316\u9053\u4e0d\u80fd\u6ee1\u8db3\u9700\u8981\u6216\u65e0\u6cd5\u7ecf\u6d88\u5316\u9053\u63d0\u4f9b\u8425\u517b\u65f6\u53ef\u884c\u9759\u8109\u8425\u517b\u3002\u672f\u524d\u8425\u517b\u652f\u6301\u65f6\u95f4\u4e00\u822c\u4e3a7~10 d\uff0c\u5b58\u5728\u4e25\u91cd\u8425\u517b\u95ee\u9898\u7684\u60a3\u8005\u53ef\u80fd\u9700\u8981\u66f4\u957f\u65f6\u95f4\uff0c\u4ee5\u6539\u5584\u8425\u517b\u72b6\u51b5\uff0c\u964d\u4f4e\u672f\u540e\u5e76\u53d1\u75c7\u53d1\u751f\u7387[14]<\/sup>\u3002<\/p>\n 2.6 \u9884\u9632\u6027\u6297\u8840\u6813\u6cbb\u7597<\/p>\n \u6076\u6027\u80bf\u7624\u3001\u5316\u7597\u3001\u590d\u6742\u624b\u672f\uff08\u624b\u672f\u65f6\u95f4\u22653 h\uff09\u548c\u957f\u65f6\u95f4\u5367\u5e8a\u60a3\u8005\u662f\u9759\u8109\u8840\u6813\u6813\u585e\u75c7\uff08VTE\uff09\u7684\u9ad8\u5371\u4eba\u7fa4\u3002\u8840\u6813\u5f39\u529b\u56fe\u3001D-\u4e8c\u805a\u4f53\u3001\u4e0b\u80a2\u8840\u7ba1\u8d85\u58f0\u68c0\u67e5\u3001\u9759\u8109\u8840\u7ba1\u9020\u5f71\u7b49\u65b9\u6cd5\uff0c\u6709\u52a9\u4e8e\u8bc4\u4f30VTE\u98ce\u9669\u548c\u8bca\u65ad\u3002<\/p>\n \u5728\u6cbb\u7597\u65b9\u9762\u5efa\u8bae\uff1a<\/p>\n \uff081\uff09\u9664\u5916\u6d3b\u52a8\u6027\u51fa\u8840\u3001\u9ad8\u51fa\u8840\u98ce\u9669\u7b49\u7981\u5fcc\u8bc1\u540e\uff0c\u6240\u6709\u56e0\u6076\u6027\u80bf\u7624\u884c\u590d\u6742\u624b\u672f\u7684\u60a3\u8005\u5747\u5e94\u4e88\u666e\u901a\u809d\u7d20\u6216\u4f4e\u5206\u5b50\u809d\u7d20\u9884\u9632\u6027\u6297\u8840\u6813\u6cbb\u7597\uff1b<\/p>\n \uff082\uff09\u9884\u9632\u63aa\u65bd\u5efa\u8bae\u4ece\u672f\u524d\u5f00\u59cb\uff1b<\/p>\n \uff083\uff09\u673a\u68b0\u6027\u9884\u9632\u63aa\u65bd\u5982\u80a2\u4f53\u953b\u70bc\u3001\u95f4\u6b47\u6027\u538b\u529b\u68af\u5ea6\u4eea\u7b49\uff0c\u53ef\u4f5c\u4e3a\u836f\u7269\u6027\u9884\u9632\u7684\u8f85\u52a9\u63aa\u65bd\uff0c\u4f46\u4e0d\u80fd\u4f5c\u4e3a\u552f\u4e00\u63aa\u65bd\uff1b<\/p>\n \uff084\uff09\u836f\u7269\u548c\u673a\u68b0\u6027\u9884\u9632\u7684\u8054\u5408\u5e94\u7528\u6709\u52a9\u4e8e\u9ad8\u5371\u60a3\u8005\u7684\u8840\u6813\u9884\u9632\uff1b<\/p>\n \uff085\uff09\u5bf9\u63a5\u53d7\u590d\u6742\u624b\u672f\u7684\u80bf\u7624\u60a3\u8005\u5efa\u8bae\u884c7\uff5e10 d\u7684\u836f\u7269\u6027\u9884\u9632\uff1b\u5bf9\u4e8e\u5408\u5e76VTE\u9ad8\u98ce\u9669\u56e0\u7d20\u5982\u8fd0\u52a8\u53d7\u9650\u3001\u80a5\u80d6\u3001VTE\u75c5\u53f2\u884c\u5f00\u8179\u6216\u8179\u8154\u955c\u4e0b\u8179\u76c6\u8154\u590d\u6742\u624b\u672f\u7684\u80bf\u7624\u60a3\u8005\uff0c\u672f\u540e\u5efa\u8bae\u5e94\u7528\u4f4e\u5206\u5b50\u809d\u7d20\u6301\u7eed4\u5468\u3002\u5bf9\u4f4e\u5371\u60a3\u8005\u53ef\u89c6\u5177\u4f53\u60c5\u51b5\u914c\u5b9a[15]<\/sup>\u3002<\/p>\n 2.7 \u672f\u524d\u7981\u98df\u7981\u996e<\/p>\n \u7f29\u77ed\u672f\u524d\u7981\u98df\u65f6\u95f4\uff0c\u6709\u5229\u4e8e\u51cf\u5c11\u672f\u524d\u60a3\u8005\u7684\u9965\u997f\u3001\u53e3\u6e34\u3001\u70e6\u8e81\u3001\u7d27\u5f20\u7b49\u4e0d\u826f\u53cd\u5e94\uff0c\u51cf\u5c11\u672f\u540e\u80f0\u5c9b\u7d20\u62b5\u6297\uff0c\u7f13\u89e3\u5206\u89e3\u4ee3\u8c22\uff0c\u7f29\u77ed\u672f\u540e\u7684\u4f4f\u9662\u65f6\u95f4\u3002<\/p>\n \u9664\u5408\u5e76\u80c3\u6392\u7a7a\u5ef6\u8fdf\u3001\u80c3\u80a0\u8815\u52a8\u5f02\u5e38\u3001\u7cd6\u5c3f\u75c5\u3001\u6025\u8bca\u624b\u672f\u7b49\u60a3\u8005\u5916\uff0c\u76ee\u524d\u63d0\u5021\u7981\u996e\u65f6\u95f4\u5ef6\u540e\u81f3\u672f\u524d2 h\uff0c\u4e4b\u524d\u53ef\u53e3\u670d\u6e05\u6d41\u8d28\u996e\u6599\u5305\u62ec\u6e05\u6c34\u3001\u7cd6\u6c34\u3001\u65e0\u6e23\u679c\u6c41\u3001\u78b3\u9178\u7c7b\u996e\u6599\u3001\u6e05\u8336\u53ca\u9ed1\u5496\u5561\uff08\u4e0d\u542b\u5976\uff09\u7b49\uff0c\u4e0d\u5305\u62ec\u542b\u9152\u7cbe\u7c7b\u996e\u54c1\uff1b\u7981\u98df\u65f6\u95f4\u5ef6\u540e\u81f3\u672f\u524d6 h\uff0c\u4e4b\u524d\u53ef\u8fdb\u98df\u6dc0\u7c89\u7c7b\u56fa\u4f53\u98df\u7269\uff08\u725b\u5976\u7b49\u4e73\u5236\u54c1\u7684\u80c3\u6392\u7a7a\u65f6\u95f4\u4e0e\u56fa\u4f53\u98df\u7269\u76f8\u5f53\uff09\u3002<\/p>\n \u672f\u524d\u63a8\u8350\u53e3\u670d\u542b\u78b3\u6c34\u5316\u5408\u7269\u7684\u996e\u54c1\uff0c\u901a\u5e38\u5728\u672f\u524d10 h\u996e\u752812.5\uff05\u78b3\u6c34\u5316\u5408\u7269\u996e\u54c1800 mL\uff0c\u672f\u524d2 h\u996e\u7528\u2264400 mL[16]<\/sup>\u3002<\/p>\n 2.8 \u672f\u524d\u80a0\u9053\u51c6\u5907<\/p>\n \u672f\u524d\u673a\u68b0\u6027\u80a0\u9053\u51c6\u5907\u5bf9\u4e8e\u60a3\u8005\u662f\u5e94\u6fc0\u56e0\u7d20\uff0c\u7279\u522b\u662f\u8001\u5e74\u60a3\u8005\uff0c\u53ef\u81f4\u8131\u6c34\u53ca\u7535\u89e3\u8d28\u5931\u8861\u3002\u672f\u524d\u4e0d\u4e88\u673a\u68b0\u6027\u80a0\u9053\u51c6\u5907\u5e76\u672a\u589e\u52a0\u543b\u5408\u53e3\u7618\u53ca\u611f\u67d3\u7684\u53d1\u751f\u7387[17]<\/sup>\u3002\u56e0\u6b64\u4e0d\u63a8\u8350\u5bf9\u5305\u62ec\u7ed3\u76f4\u80a0\u624b\u672f\u5728\u5185\u7684\u8179\u90e8\u624b\u672f\u60a3\u8005\u5e38\u89c4\u8fdb\u884c\u673a\u68b0\u6027\u80a0\u9053\u51c6\u5907\u3002\u673a\u68b0\u6027\u80a0\u9053\u51c6\u5907\u4ec5\u9002\u7528\u4e8e\u9700\u8981\u672f\u4e2d\u7ed3\u80a0\u955c\u68c0\u67e5\u6216\u6709\u4e25\u91cd\u4fbf\u79d8\u7684\u60a3\u8005\u3002\u9488\u5bf9\u5de6\u534a\u7ed3\u80a0\u53ca\u76f4\u80a0\u624b\u672f\uff0c\u6839\u636e\u60c5\u51b5\u53ef\u9009\u62e9\u6027\u8fdb\u884c\u77ed\u7a0b\u7684\u80a0\u9053\u51c6\u5907\u3002<\/p>\n 2.9 \u672f\u524d\u9ebb\u9189\u7528\u836f<\/p>\n \u672f\u524d\u4e0d\u5e94\u5e38\u89c4\u7ed9\u4e88\u957f\u6548\u9547\u9759\u548c\u963f\u7247\u7c7b\u836f\u7269\uff0c\u4f1a\u5ef6\u8fdf\u672f\u540e\u82cf\u9192\u3002\u5982\u679c\u5fc5\u987b\uff0c\u53ef\u8c28\u614e\u7ed9\u4e88\u77ed\u6548\u9547\u9759\u836f\u7269\uff0c\u4ee5\u964d\u4f4e\u786c\u819c\u5916\u6216\u86db\u7f51\u819c\u4e0b\u8154\u9ebb\u9189\u64cd\u4f5c\u65f6\u60a3\u8005\u7684\u7126\u8651\u3002\u8001\u5e74\u60a3\u8005\u672f\u524d\u5e94\u614e\u7528\u6297\u80c6\u78b1\u836f\u7269\u53ca\u82ef\u4e8c\u6c2e\u44ec\u7c7b\u836f\u7269\uff0c\u4ee5\u964d\u4f4e\u672f\u540e\u8c35\u5984\u7684\u98ce\u9669\u3002<\/p>\n 3. ERAS\u7684\u6838\u5fc3\u9879\u76ee\u53ca\u63aa\u65bd\uff1a\u672f\u4e2d\u90e8\u5206<\/p>\n 3.1 \u9884\u9632\u6027\u5e94\u7528\u6297\u751f\u7d20\u4e0e\u76ae\u80a4\u51c6\u5907<\/p>\n \u9884\u9632\u6027\u5e94\u7528\u6297\u751f\u7d20\u6709\u52a9\u4e8e\u964d\u4f4e\u62e9\u671f\u8179\u90e8\u624b\u672f\u540e\u611f\u67d3\u7684\u53d1\u751f\u7387\u3002<\/p>\n \u4f7f\u7528\u539f\u5219\uff1a<\/p>\n \uff081\uff09\u9884\u9632\u7528\u836f\u5e94\u9488\u5bf9\u53ef\u80fd\u7684\u6c61\u67d3\u7ec6\u83cc\u79cd\u7c7b\uff1b<\/p>\n \uff082\uff09\u5e94\u5728\u5207\u76ae\u524d30~60 min\u8f93\u6ce8\u5b8c\u6bd5\uff1b<\/p>\n \uff083\uff09\u5c3d\u91cf\u9009\u62e9\u5355\u4e00\u6297\u83cc\u836f\u7269\u9884\u9632\u7528\u836f\uff1b<\/p>\n \uff084\uff09\u5982\u679c\u624b\u672f\u65f6\u95f4\uff1e3 h\u6216\u8d85\u8fc7\u6240\u7528\u836f\u7269\u534a\u8870\u671f\u76842\u500d\u4ee5\u4e0a\uff0c\u6216\u6210\u5e74\u60a3\u8005\u672f\u4e2d\u51fa\u8840\u91cf\u8d85\u8fc71500 mL\u65f6\uff0c\u53ef\u5728\u672f\u4e2d\u91cd\u590d\u4f7f\u75281\u6b21[18]<\/sup>\u3002<\/p>\n \u63a8\u8350\u8461\u8404\u7cd6\u9178\u6c2f\u5df1\u5b9a\u4e59\u9187\u76ae\u80a4\u6d88\u6bd2\u6db2\u4f5c\u4e3a\u76ae\u80a4\u6d88\u6bd2\u7684\u9996\u9009\u3002\u5728\u6e05\u6d01-\u6c61\u67d3\u53ca\u4ee5\u4e0a\u624b\u672f\u4e2d\uff0c\u4f7f\u7528\u5207\u53e3\u4fdd\u62a4\u5668\u53ef\u80fd\u6709\u52a9\u4e8e\u51cf\u5c11\u624b\u672f\u90e8\u4f4d\u611f\u67d3\uff08SSI\uff09\uff0c\u4f46\u5176\u4f7f\u7528\u4e0d\u5e94\u4f18\u5148\u4e8e\u5176\u4ed6\u9884\u9632SSI\u7684\u5e72\u9884\u63aa\u65bd[19]<\/sup>\u3002<\/p>\n 3.2 \u9ebb\u9189\u65b9\u6cd5\u3001\u9ebb\u9189\u836f\u7269\u9009\u62e9\u4e0e\u6297\u5e94\u6fc0\u7ba1\u7406<\/p>\n \u9009\u62e9\u5168\u8eab\u9ebb\u9189\u8054\u5408\u786c\u819c\u5916\u6216\u690e\u65c1\u795e\u7ecf\u963b\u6ede\u3001\u5207\u53e3\u5c40\u90e8\u6d78\u6da6\u9547\u75db\u7b49\u53ef\u6ee1\u8db3\u624b\u672f\u65e0\u75db\u7684\u9700\u6c42\u5e76\u6291\u5236\u521b\u4f24\u6240\u81f4\u7684\u5e94\u6fc0\u53cd\u5e94\u3002\u9ebb\u9189\u836f\u7269\u7684\u9009\u62e9\u5e94\u4ee5\u624b\u672f\u7ed3\u675f\u540e\u60a3\u8005\u80fd\u591f\u5feb\u901f\u82cf\u9192\u3001\u65e0\u836f\u7269\u6b8b\u7559\u6548\u5e94\u548c\u5feb\u901f\u6c14\u7ba1\u62d4\u7ba1\u4e3a\u539f\u5219\u3002\u56e0\u6b64\uff0c\u77ed\u6548\u9547\u9759\u836f\u3001\u77ed\u6548\u963f\u7247\u7c7b\u9547\u75db\u836f\u53ca\u808c\u677e\u836f\u4e3a\u5168\u8eab\u9ebb\u9189\u7528\u836f\u7684\u9996\u9009\uff0c\u5982\u4e19\u6cca\u915a\u3001\u745e\u82ac\u592a\u5c3c\u3001\u8212\u82ac\u592a\u5c3c\u7b49\uff0c\u808c\u677e\u836f\u5982\u7f57\u5e93\u6eb4\u94f5\u3001\u987a\u5f0f\u963f\u66f2\u5e93\u94f5\u7b49\u3002<\/p>\n \u808c\u677e\u76d1\u6d4b\u6709\u52a9\u4e8e\u7cbe\u786e\u7684\u808c\u677e\u7ba1\u7406\uff0c\u6df1\u5ea6\u808c\u677e\u53ef\u5728\u4f4e\u6c14\u8179\u538b\uff3b8~10 mmHg\uff081 mmHg=0.133 kPa\uff09\uff3d\u4e0b\u6ee1\u8db3\u5916\u79d1\u8154\u955c\u64cd\u4f5c\u7684\u7a7a\u95f4\u9700\u6c42\uff0c\u540c\u65f6\u964d\u4f4e\u5185\u810f\u7f3a\u8840\u98ce\u9669\u548c\u5bf9\u5fc3\u80ba\u529f\u80fd\u7684\u5f71\u54cd\uff0c\u672f\u6bd5\u91c7\u7528\u8212\u66f4\u8461\u7cd6\u94a0\u53ef\u5feb\u901f\u62ee\u6297\u7f57\u5e93\u6eb4\u80fa\u7684\u6b8b\u4f59\u808c\u677e\u6548\u5e94\uff0c\u5e76\u964d\u4f4e\u672f\u540e\u80ba\u90e8\u5e76\u53d1\u75c7\u3002<\/p>\n \u5168\u8eab\u9ebb\u9189\u8054\u5408\u786c\u819c\u5916\u963b\u6ede\u3001\u5916\u5468\u795e\u7ecf\u963b\u6ede\u4ee5\u53ca\u5207\u53e3\u5c40\u90e8\u6d78\u6da6\u9547\u75db\u4e0d\u4ec5\u662f\u6709\u6548\u7684\u6297\u5e94\u6fc0\u63aa\u65bd\uff0c\u8fd8\u6709\u52a9\u4e8e\u964d\u4f4e\u963f\u7247\u7c7b\u836f\u7269\u7528\u91cf\uff0c\u51cf\u7f13\u963f\u7247\u7c7b\u836f\u7269\u5bf9\u9ebb\u9189\u82cf\u9192\u4ee5\u53ca\u672f\u540e\u80a0\u529f\u80fd\u7684\u4e0d\u826f\u5f71\u54cd\u3002<\/p>\n \u63a8\u8350\u5e38\u7528\u7684\u5c40\u9ebb\u836f\u7269\u4e3a0.5%~1.0%\u5229\u591a\u5361\u56e0\u590d\u54080.25%~0.50%\u7f57\u54cc\u5361\u56e0\uff0c\u5728\u6b64\u57fa\u7840\u4e0a\u6839\u636e\u672f\u4e2d\u8111\u7535\u53cc\u9891\u8c31\u6307\u6570\uff08BIS\uff09\u503c\uff0840~60\uff09\u8c03\u6574\u4e19\u6cca\u915a\u9776\u63a7\u8f93\u6ce8\u6d53\u5ea6\u6216\u8fde\u7eed\u9759\u8109\u8f93\u6ce8\u901f\u7387\uff0c\u8fde\u7eed\u9759\u8109\u8f93\u6ce8\u745e\u82ac\u592a\u5c3c0.2~0.4 \u03bcg\/(kg\u00b7min)\u6216\u8005\u9776\u63a7\u8f93\u6ce8\u745e\u82ac\u592a\u5c3c6~8 \u03bcg\/L\u3002\u5bf9\u4e8e\u624b\u672f\u65f6\u95f4\u22653 h\u7684\u60a3\u8005\uff0c\u8fde\u7eed\u9759\u8109\u8f93\u6ce8\u8212\u82ac\u592a\u5c3c\u53ef\u5bfc\u81f4\u672f\u540e\u82cf\u9192\u5ef6\u8fdf\u5e76\u5f71\u54cd\u80a0\u529f\u80fd\u6062\u590d\u3002\u53f3\u7f8e\u6258\u54aa\u5b9a\u5177\u6709\u6297\u5e94\u6fc0\u3001\u9547\u9759\u3001\u6297\u708e\u3001\u514d\u75ab\u4fdd\u62a4\u4ee5\u53ca\u6539\u5584\u80a0\u9053\u5fae\u5faa\u73af\u7b49\u6548\u5e94\uff0c\u5bf9\u4e8e\u521b\u4f24\u5927\u3001\u65f6\u95f4\u957f\u4ee5\u53ca\u5408\u5e76\u7f3a\u8840\u518d\u704c\u6ce8\u635f\u4f24\u7684\u8179\u90e8\u624b\u672f\uff0c\u53ef\u590d\u5408\u8fde\u7eed\u9759\u8109\u8f93\u6ce8\u53f3\u7f8e\u6258\u54aa\u5b9a[20]<\/sup>\u3002<\/p>\n 3.3 \u672f\u4e2d\u4f4e\u963f\u7247\u591a\u6a21\u5f0f\u9547\u75db\u7b56\u7565<\/p>\n \u4f4e\u963f\u7247\u591a\u6a21\u5f0f\u9547\u75db\u7b56\u7565\u6709\u5229\u4e8e\u672f\u540e\u80a0\u529f\u80fd\u7684\u5feb\u901f\u6062\u590d\uff0c\u5305\u62ec\uff1a<\/p>\n \uff081\uff09\u5728\u5207\u76ae\u524d30 min\u7ed9\u4e88NSAIDs\u9884\u9632\u708e\u6027\u75db[21]<\/sup>\uff1b<\/p>\n \uff082\uff09\u9ebb\u9189\u6216\u624b\u672f\u5f00\u59cb\u524d\u5b9e\u65bd\u690e\u7ba1\u5185\u963b\u6ede\u6216\u5916\u5468\u795e\u7ecf\u963b\u6ede\u6216\u5207\u53e3\u5c40\u90e8\u6d78\u6da6\u9547\u75db\uff0c\u4ee5\u63a7\u5236\u5207\u53e3\u75db\uff1b<\/p>\n \uff083\uff09\u8179\u90e8\u624b\u672f\u5408\u5e76\u5185\u810f\u75db\u7684\u5f3a\u5ea6\u8d85\u8fc7\u5207\u53e3\u75db\uff0c\u5207\u76ae\u524d\u9884\u9632\u6027\u7ed9\u4e88\u03ba\u53d7\u4f53\u6fc0\u52a8\u5242\u6709\u52a9\u4e8e\u589e\u5f3a\u672f\u4e2d\u53ca\u672f\u540e\u5185\u810f\u75db\u7684\u9547\u75db\u6548\u679c\u3002<\/p>\n 3.4 \u708e\u75c7\u7ba1\u7406<\/p>\n \u56f4\u672f\u671f\u591a\u79cd\u539f\u56e0\u53ef\u81f4\u8fc7\u91cd\u7684\u708e\u75c7\u53cd\u5e94\uff0c\u5305\u62ec\u521b\u4f24\u3001\u672f\u4e2d\u7f3a\u8840\u518d\u704c\u6ce8\u635f\u4f24\u3001\u9ebb\u9189\u7ba1\u7406\u4e0d\u5f53\u76f8\u5173\u7684\u810f\u5668\u7f3a\u8840\u7f3a\u6c27\u3001\u5faa\u73af\u4e0d\u7a33\u5b9a\u5bfc\u81f4\u5168\u8eab\u6c27\u4f9b\u9700\u5931\u8861\u4ee5\u53ca\u5916\u79d1\u611f\u67d3\u76f8\u5173\u7684\u708e\u75c7\u53cd\u5e94\u7b49\u56e0\u7d20\u3002\u7814\u7a76\u8868\u660e\uff0c\u56f4\u672f\u671f\u8fc7\u91cd\u7684\u708e\u75c7\u53cd\u5e94\u4e25\u91cd\u5f71\u54cd\u60a3\u8005\u7684\u672f\u540e\u8f6c\u5f52\u548c\u957f\u671f\u751f\u5b58[22]<\/sup>\u3002<\/p>\n \u56f4\u672f\u671f\u708e\u75c7\u7ba1\u7406\u63aa\u65bd\u5305\u62ec\uff1a<\/p>\n \uff081\uff09\u6709\u6548\u7684\u6297\u5e94\u6fc0\u63aa\u65bd\uff0c\u5305\u62ec\u5168\u8eab\u9ebb\u9189\u8054\u5408\u533a\u57df\u795e\u7ecf\u963b\u6ede\u6216\u5207\u53e3\u5c40\u90e8\u6d78\u6da6\u9547\u75db\uff0c\u5e76\u53ef\u590d\u5408\u53f3\u7f8e\u6258\u54aa\u5b9a\u3001\u6c2f\u80fa\u916e\u548c\u5229\u591a\u5361\u56e0\u7b49\u3002<\/p>\n \uff082\uff09\u63d0\u5021\u7cbe\u51c6\u3001\u5fae\u521b\u53ca\u635f\u4f24\u63a7\u5236\u7406\u5ff5\uff0c\u5982\u91c7\u7528\u8154\u955c\u624b\u672f\u3001\u5c3d\u91cf\u7f29\u77ed\u624b\u672f\u65f6\u95f4\u3001\u63a7\u5236\u51fa\u8840\u91cf\u7b49\u3002<\/p>\n \uff083\uff09\u4f18\u5316\u5faa\u73af\u3001\u5bb9\u91cf\u3001\u5168\u8eab\u53ca\u5668\u5b98\u6c27\u4f9b\u9700\u5e73\u8861\u5e76\u5b9e\u65bd\u4f4e\u6c14\u8179\u538b\uff0c\u907f\u514d\u810f\u5668\u7f3a\u8840\u7f3a\u6c27\u3002<\/p>\n \uff084\uff09\u5bf9\u672f\u4e2d\u5916\u79d1\u5fc5\u987b\u64cd\u4f5c\u5f15\u8d77\u7684\u7f3a\u8840\u518d\u704c\u6ce8\u635f\u4f24\u8fc7\u7a0b\uff0c\u5e94\u9884\u9632\u6027\u7ed9\u4e88\u76f8\u5e94\u7684\u708e\u75c7\u7ba1\u63a7\u63aa\u65bd\u3002<\/p>\n \uff085\uff09\u5bf9\u5927\u578b\u6216\u7279\u5927\u578b\u624b\u672f\uff0c\u9884\u9632\u6027\u7ed9\u4e88\u6297\u708e\u63aa\u65bd\uff0c\u5982\u7cd6\u5c3f\u76ae\u8d28\u6fc0\u7d20\u6216\u80f0\u86cb\u767d\u9176\u6291\u5236\u5242\uff08\u4e4c\u53f8\u4ed6\u4e01\uff09\u7b49\u836f\u7269\uff0c\u5fc5\u8981\u65f6\u53ef\u6301\u7eed\u81f3\u672f\u540e\u3002<\/p>\n 3.5 \u6c14\u9053\u7ba1\u7406\u4e0e\u80ba\u4fdd\u62a4\u7b56\u7565<\/p>\n \u63a8\u8350\u5728\u5168\u9ebb\u6c14\u7ba1\u63d2\u7ba1\u524d\uff0c\u7ecf\u9759\u8109\u7ed9\u4e88\u7cd6\u76ae\u8d28\u6fc0\u7d20\uff0c\u5982\u7532\u6cfc\u5c3c\u9f99\uff0820~40 mg\uff09\u6216\u6c22\u5316\u53ef\u7684\u677e\uff08100 mg\uff09\uff0c\u4ee5\u9884\u9632\u672f\u4e2d\u652f\u6c14\u7ba1\u75c9\u631b\u3001\u54bd\u5589\u90e8\u5e76\u53d1\u75c7\u548c\u6f5c\u5728\u7684\u8fc7\u654f\u53cd\u5e94\u3002\u63a8\u8350\u5b9e\u65bd\u6c14\u7ba1\u5185\u63d2\u7ba1\uff0c\u9884\u9632\u56e0\u4e8c\u6c27\u5316\u78b3\u6c14\u8179\u3001\u7279\u6b8a\u4f53\u4f4d\u5bfc\u81f4\u7684\u53cd\u6d41\u8bef\u5438\u548c\u901a\u6c14\u6548\u80fd\u964d\u4f4e\u3002<\/p>\n \u80ba\u4fdd\u62a4\u7b56\u7565\u5305\u62ec\uff1a<\/p>\n \uff081\uff09\u80ba\u4fdd\u62a4\u6027\u901a\u6c14\u7b56\u7565\uff1a\u5305\u62ec\u4f4e\u6f6e\u6c14\u91cf\uff086~8 mL\/kg\uff09\uff0c\u4e2d\u5ea6\u547c\u6c14\u672b\u6b63\u538b\uff3b5~8 cmH2<\/sub>O\uff081 cmH2<\/sub>O=0.098 kPa\uff09\uff3d\uff0cFiO2<\/sub>\uff1c60%\uff0c\u5438\u547c\u6bd41.0:\uff082.0~2.5\uff09\uff0c\u5176\u4e2d\u6162\u6027\u963b\u585e\u6027\u80ba\u90e8\u75be\u75c5\u60a3\u8005\u53ef\u4ee5\u8c03\u6574\u5438\u547c\u6bd4\u4e3a1:\uff083~4\uff09\u3002\u95f4\u65ad\u6027\u80ba\u590d\u5f20\u6027\u901a\u6c14\u4e3a\u9632\u6b62\u80ba\u4e0d\u5f20\u7684\u6709\u6548\u65b9\u6cd5\uff0c\u5e94\u8be5\u81f3\u5c11\u5728\u624b\u672f\u7ed3\u675f\u548c\u6c14\u7ba1\u62d4\u7ba1\u524d\u5b9e\u65bd1\u6b21\u3002\u672f\u4e2d\u8c03\u6574\u901a\u6c14\u9891\u7387\u7ef4\u6301PaCO2<\/sub> 35~45 mmHg\u3002\u8154\u955c\u624b\u672f\u4e8c\u6c27\u5316\u78b3\u6c14\u8179\u4ee5\u53ca\u7279\u6b8a\u4f53\u4f4d\uff0c\u53ef\u80fd\u5f71\u54cdPET<\/sub><\/sub>CO2<\/sub>\u8bc4\u4f30PaCO2<\/sub>\u7684\u51c6\u786e\u6027\uff0c\u5728\u6c14\u8179\u540e\u5e94\u6d4b\u5b9a\u52a8\u8109\u8840\u6c14\u4ee5\u6307\u5bfc\u901a\u6c14\u53c2\u6570\u7684\u8c03\u6574\uff0c\u907f\u514d\u6f5c\u5728\u4e25\u91cd\u9ad8\u78b3\u9178\u8840\u75c7\uff1b<\/p>\n \uff082\uff09\u80ba\u95f4\u8d28\u5c42\u4fdd\u62a4\uff1a\u5305\u62ec\u80ba\u4fdd\u62a4\u6027\u901a\u6c14\u7b56\u7565\u3001\u76ee\u6807\u5bfc\u5411\u6db2\u4f53\u7ba1\u7406\u8054\u5408\u9884\u9632\u6027\u7f29\u8840\u7ba1\u836f\u7269\u4ee5\u53ca\u6297\u708e\u7ba1\u7406\u7b49\uff1b<\/p>\n \uff083\uff09\u5fc3\u80ba\u534f\u540c\u6027\u7ba1\u7406\uff1a\u8001\u5e74\u53ca\u5408\u5e76\u5fc3\u80ba\u8111\u57fa\u7840\u75be\u75c5\u7684\u60a3\u8005\uff0c\u56f4\u672f\u671f\u5efa\u8bae\u5fc3\u7387\u6ce2\u52a8\u5e45\u5ea6\u7ef4\u6301\u57fa\u7ebf\u5fc3\u7387\u7684\u00b120%\uff0c\u8840\u538b\u6ce2\u52a8\u5e45\u5ea6\u7ef4\u6301\u57fa\u7ebf\u8840\u538b\u7684\u00b110%[23]<\/sup>\u3002<\/p>\n 3.6 \u8111\u4fdd\u62a4\u7b56\u7565<\/p>\n \u5173\u952e\u8981\u7d20\u5305\u62ec\uff1a<\/p>\n \uff081\uff09\u9ebb\u9189\u9547\u9759\u6df1\u5ea6\u76d1\u6d4b\uff1aBIS\u503c40~60\u6307\u5bfc\u9ebb\u9189\u9547\u9759\u6df1\u5ea6\u7ef4\u6301\uff0c\u907f\u514d\u9ebb\u9189\u8fc7\u6df1\u6216\u8fc7\u6d45\u5bfc\u81f4\u7684\u672f\u4e2d\u77e5\u6653\uff1b\u5bf9\u4e8e\u8001\u5e74\u60a3\u8005\uff0cBIS\u503c\u5e94\u7ef4\u6301\u5728\u8f83\u9ad8\u6c34\u5e73\u4e00\u4fa7\uff0850~60\uff09\uff1b<\/p>\n \uff082\uff09\u8111\u6c27\u4f9b\u9700\u5e73\u8861\u7ef4\u62a4\uff1a\u672f\u4e2d\u5c06\u8001\u5e74\u60a3\u8005\u7684\u8840\u538b\u6ce2\u52a8\u5e45\u5ea6\u7ef4\u6301\u57fa\u7ebf\u8840\u538b\u00b110%\uff08\u672f\u524d1 d\u5e73\u9759\u72b6\u6001\u4e0b\u8840\u538b\uff09\u3001PaCO2<\/sub> \u7ef4\u630135~45 mmHg\u3001\u8840\u7ea2\u86cb\u767d\u6d53\u5ea6\uff1e80 g\/L\uff1b\u5982\u679c\u5177\u5907\u6761\u4ef6\uff0c\u5efa\u8bae\u5b9e\u65bd\u8fd1\u7ea2\u5916\u5149\u8c31\u5c40\u90e8\u65e0\u521b\u8111\u6c27\u9971\u548c\u5ea6\u8fde\u7eed\u76d1\u6d4b\u9632\u6b62\u8111\u6c27\u4f9b\u9700\u5931\u8861\uff1b<\/p>\n \uff083\uff09\u6709\u6548\u7684\u6297\u5e94\u6fc0\u53ca\u6297\u708e\u7ba1\u7406[24]<\/sup>\u3002<\/p>\n 3.7 \u672f\u4e2d\u8f93\u6db2\u53ca\u5faa\u73af\u7ba1\u7406<\/p>\n \u63d0\u5021\u4ee5\u76ee\u6807\u5bfc\u5411\u6db2\u4f53\u6cbb\u7597\uff08GDFT\uff09\u8054\u5408\u9884\u9632\u6027\u7f29\u8840\u7ba1\u836f\u7269\u6307\u5bfc\u56f4\u672f\u671f\u6db2\u4f53\u6cbb\u7597\uff0c\u7ef4\u6301\u7b49\u8840\u5bb9\u91cf\uff08\u4f53\u6db2\u96f6\u5e73\u8861\uff09\u3002\u63a8\u8350\u9002\u5f53\u4f7f\u7528\u03b1\u80be\u4e0a\u817a\u7d20\u80fd\u53d7\u4f53\u6fc0\u52a8\u5242\uff0c\u5982\u82ef\u80be\u4e0a\u817a\u7d20\u6216\u4f4e\u5242\u91cf\u53bb\u7532\u80be\u4e0a\u817a\u7d20\u7b49\u7f29\u8840\u7ba1\u836f\u7269\uff0c\u7ef4\u6301\u672f\u4e2d\u8840\u538b\u4e0d\u4f4e\u4e8e\u57fa\u7ebf\u8840\u538b\u768480%\uff0c\u8001\u5e74\u60a3\u8005\u53ca\u5371\u91cd\u60a3\u8005\u4e0d\u4f4e\u4e8e\u57fa\u7ebf\u8840\u538b\u768490%[25]<\/sup>\u3002\u5bf9\u4e8e\u80be\u529f\u80fd\u672a\u89c1\u5f02\u5e38\u7684\u60a3\u8005\uff0c\u672f\u4e2d\u53ef\u7ed9\u4e88\u80f6\u4f53\u6eb6\u6db2\uff0c\u5982130\/0.4\u7f9f\u4e59\u57fa\u6dc0\u7c89\u6eb6\u6db2\u7b49\u3002<\/p>\n \u5371\u91cd\u53ca\u590d\u6742\u624b\u672f\u60a3\u8005\u5efa\u8bae\u5b9e\u65bd\u6709\u521b\u52a8\u8109\u8840\u538b\u76d1\u6d4b\uff0c\u5fc5\u8981\u65f6\u5b9e\u65bd\u529f\u80fd\u6027\u8840\u6d41\u52a8\u529b\u5b66\u76d1\u6d4b\uff1b\u5fc3\u529f\u80fd\u8f83\u5dee\u6216\u8005\u9759\u8109\u5185\u6c14\u6813\u9ad8\u5371\u60a3\u8005\u5efa\u8bae\u5b9e\u65bd\u7ecf\u98df\u9053\u8d85\u58f0\u5fc3\u52a8\u56fe\u76d1\u6d4b\u3002\u5728\u7f3a\u4e4f\u76ee\u6807\u5bfc\u5411\u6db2\u4f53\u76d1\u6d4b\u7684\u6761\u4ef6\u65f6\uff0c\u8179\u8154\u955c\u624b\u672f\u5efa\u8bae\u7ef4\u6301\u6db2\u4f53\u7528\u91cf\u4e3a1~2 mL\/(kg\u00b7h), \u5f00\u8179\u624b\u672f\u4e3a3~5 mL\/(kg\u00b7h)\uff0c\u5e76\u7ed3\u5408\u5c3f\u91cf\u3001\u672f\u4e2d\u51fa\u8840\u91cf\u548c\u8840\u6d41\u52a8\u529b\u5b66\u53c2\u6570\u7b49\u8fdb\u884c\u9002\u5f53\u8c03\u6574\u3002<\/p>\n 3.8 \u672f\u4e2d\u4f53\u6e29\u7ba1\u7406<\/p>\n \u8179\u90e8\u590d\u6742\u624b\u672f\u4e2d\u907f\u514d\u4f4e\u4f53\u6e29\u53ef\u964d\u4f4e\u5916\u79d1\u611f\u67d3\u3001\u5fc3\u810f\u5e76\u53d1\u75c7\u7684\u53d1\u751f\u7387\uff0c\u964d\u4f4e\u51fa\u8840\u548c\u5f02\u4f53\u8840\u8f93\u8840\u9700\u6c42\uff0c\u6539\u5584\u514d\u75ab\u529f\u80fd\uff0c\u7f29\u77ed\u5168\u8eab\u9ebb\u9189\u540e\u82cf\u9192\u65f6\u95f4\u3002\u672f\u4e2d\u5e94\u5e38\u89c4\u76d1\u6d4b\u60a3\u8005\u4f53\u6e29\u76f4\u81f3\u672f\u540e\uff0c\u53ef\u501f\u52a9\u52a0\u6e29\u5e8a\u57ab\u3001\u52a0\u538b\u7a7a\u6c14\u52a0\u70ed\uff08\u6696\u98ce\u673a\uff09\u6216\u5faa\u73af\u6c34\u670d\u52a0\u6e29\u7cfb\u7edf\u3001\u8f93\u8840\u8f93\u6db2\u52a0\u6e29\u88c5\u7f6e\u7b49\uff0c\u7ef4\u6301\u60a3\u8005\u6838\u5fc3\u4f53\u6e29\u4e0d\u4f4e\u4e8e36 \u2103[26]<\/sup>\u3002<\/p>\n 3.9 \u624b\u672f\u65b9\u5f0f\u4e0e\u624b\u672f\u8d28\u91cf<\/p>\n \u6839\u636e\u60a3\u8005\u3001\u80bf\u7624\u5206\u671f\u4ee5\u53ca\u672f\u8005\u7684\u6280\u672f\u7b49\u72b6\u51b5\uff0c\u53ef\u9009\u62e9\u8179\u8154\u955c\u624b\u672f\u3001\u673a\u5668\u4eba\u624b\u672f\u6216\u5f00\u653e\u624b\u672f\u7b49\u3002\u521b\u4f24\u662f\u60a3\u8005\u6700\u4e3b\u8981\u7684\u5e94\u6fc0\u56e0\u7d20\uff0c\u800c\u672f\u540e\u5e76\u53d1\u75c7\u76f4\u63a5\u5f71\u54cd\u5230\u672f\u540e\u5eb7\u590d\u7684\u8fdb\u7a0b\uff0c\u63d0\u5021\u5728\u7cbe\u51c6\u3001\u5fae\u521b\u53ca\u635f\u4f24\u63a7\u5236\u7406\u5ff5\u4e0b\u5b8c\u6210\u624b\u672f\uff0c\u4ee5\u964d\u4f4e\u521b\u4f24\u5e94\u6fc0\u3002\u672f\u8005\u5c24\u5e94\u6ce8\u610f\u4fdd\u969c\u624b\u672f\u8d28\u91cf\u5e76\u901a\u8fc7\u51cf\u5c11\u672f\u4e2d\u51fa\u8840\u3001\u7f29\u77ed\u624b\u672f\u65f6\u95f4\u3001\u907f\u514d\u672f\u540e\u5e76\u53d1\u75c7\u7b49\u73af\u8282\u4fc3\u8fdb\u672f\u540e\u5eb7\u590d\u3002<\/p>\n 3.10 \u56f4\u672f\u671f\u8840\u7cd6\u63a7\u5236<\/p>\n \u975e\u5fc3\u810f\u624b\u672f\u60a3\u8005\u672f\u540e\u5e94\u6fc0\u6027\u9ad8\u7cd6\u8840\u75c7\u53d1\u751f\u7387\u4e3a20%~40%\uff0c\u5fc3\u810f\u624b\u672f\u540e\u5e94\u6fc0\u6027\u9ad8\u7cd6\u8840\u75c7\u53d1\u751f\u7387\u9ad8\u8fbe80%\uff0c\u4e0e\u56f4\u672f\u671f\u75c5\u6b7b\u7387\u3001\u6025\u6027\u80be\u529f\u80fd\u8870\u7aed\u3001\u6025\u6027\u8111\u5352\u4e2d\u3001\u672f\u540e\u4f24\u53e3\u611f\u67d3\u53ca\u4f4f\u9662\u65f6\u95f4\u5ef6\u957f\u7b49\u5177\u6709\u76f8\u5173\u6027\u3002<\/p>\n \u56f4\u672f\u671f\u8840\u7cd6\u7ba1\u7406\u7684\u6838\u5fc3\u8981\u70b9\u5305\u62ec\uff1a<\/p>\n \uff081\uff09\u672f\u524d\u5c06\u7cd6\u5316\u8840\u7ea2\u86cb\u767d\u6c34\u5e73\u63a7\u5236\u57287.0%\u4ee5\u4e0b\uff1b<\/p>\n \uff082\uff09\u672f\u4e2d\u5b9e\u65bd\u6709\u6548\u6297\u5e94\u6fc0\u7ba1\u7406\uff0c\u76d1\u6d4b\u5e76\u8c03\u63a7\u8840\u7cd6\u6d53\u5ea6\u4e0d\u8d85\u8fc78.33 mmol\/L\uff1b<\/p>\n \uff083\uff09\u672f\u540e\u5c3d\u5feb\u6062\u590d\u7ecf\u53e3\u996e\u98df\uff0c\u4e25\u5bc6\u8840\u7cd6\u7ba1\u7406[27]<\/sup>\u3002<\/p>\n 3.11 \u9f3b\u80c3\u7ba1\u7559\u7f6e<\/p>\n \u62e9\u671f\u8179\u90e8\u624b\u672f\u4e0d\u63a8\u8350\u5e38\u89c4\u7559\u7f6e\u9f3b\u80c3\u7ba1\u51cf\u538b\uff0c\u6709\u52a9\u4e8e\u964d\u4f4e\u672f\u540e\u80ba\u4e0d\u5f20\u53ca\u80ba\u708e\u7684\u53d1\u751f\u7387\u3002\u5982\u679c\u5728\u6c14\u7ba1\u63d2\u7ba1\u65f6\u6709\u6c14\u4f53\u8fdb\u5165\u80c3\u4e2d\uff0c\u672f\u4e2d\u53ef\u7559\u7f6e\u9f3b\u80c3\u7ba1\u4ee5\u6392\u51fa\u6c14\u4f53\uff0c\u4f46\u5e94\u5728\u60a3\u8005\u9ebb\u9189\u82cf\u9192\u524d\u62d4\u9664\u3002<\/p>\n 3.12 \u8179\u8154\u5f15\u6d41<\/p>\n \u8179\u90e8\u62e9\u671f\u624b\u672f\u60a3\u8005\u672f\u540e\u9884\u9632\u6027\u8179\u8154\u5f15\u6d41\u5e76\u4e0d\u964d\u4f4e\u543b\u5408\u53e3\u6f0f\u53ca\u5176\u4ed6\u5e76\u53d1\u75c7\u7684\u53d1\u751f\u7387\u6216\u51cf\u8f7b\u5176\u4e25\u91cd\u7a0b\u5ea6\uff0c\u56e0\u6b64\uff0c\u4e0d\u63a8\u8350\u5bf9\u8179\u90e8\u62e9\u671f\u624b\u672f\u5e38\u89c4\u653e\u7f6e\u8179\u8154\u5f15\u6d41\u7ba1\u3002\u800c\u5bf9\u4e8e\u5b58\u5728\u543b\u5408\u53e3\u6f0f\u7684\u5371\u9669\u56e0\u7d20\u5982\u8840\u8fd0\u5dee\u3001\u5f20\u529b\u9ad8\u3001\u611f\u67d3\u3001\u543b\u5408\u4e0d\u6ee1\u610f\u7b49\u60c5\u51b5\u65f6\uff0c\u5efa\u8bae\u7559\u7f6e\u8179\u8154\u5f15\u6d41\u7ba1[28]<\/sup>\u3002\u5bf9\u4e8e\u80f0\u5341\u4e8c\u6307\u80a0\u5207\u9664\u672f\uff0c\u5efa\u8bae\u5e38\u89c4\u653e\u7f6e\u8179\u8154\u5f15\u6d41\u7ba1\uff0c\u6839\u636e\u672f\u540e\u5f15\u6d41\u60c5\u51b5\uff0c\u5224\u65ad\u62d4\u9664\u6307\u5f81\u3002<\/p>\n 3.13 \u5bfc\u5c3f\u7ba1\u7684\u7559\u7f6e<\/p>\n \u5bfc\u5c3f\u7ba1\u4e00\u822c24 h\u540e\u5e94\u4e88\u62d4\u9664\u3002\u884c\u7ecf\u8179\u4f4e\u4f4d\u76f4\u80a0\u524d\u5207\u9664\u672f\u7684\u60a3\u8005\u53ef\u7559\u7f6e\u5bfc\u5c3f\u7ba12 d\u5de6\u53f3\u6216\u884c\u803b\u9aa8\u4e0a\u8180\u80f1\u7a7f\u523a\u5f15\u6d41\u3002<\/p>\n 4. \u56f4\u672f\u671f\u6db2\u4f53\u6cbb\u7597<\/p>\n \u6db2\u4f53\u6cbb\u7597\u662f\u56f4\u672f\u671f\u6cbb\u7597\u7684\u91cd\u8981\u7ec4\u6210\u90e8\u5206\uff0c\u6db2\u4f53\u6cbb\u7597\u80fd\u591f\u5f71\u54cd\u624b\u672f\u60a3\u8005\u7684\u9884\u540e\uff0c\u65e2\u5e94\u907f\u514d\u56e0\u4f4e\u8840\u5bb9\u91cf\u5bfc\u81f4\u7684\u7ec4\u7ec7\u704c\u6ce8\u4e0d\u8db3\u548c\u5668\u5b98\u529f\u80fd\u635f\u5bb3\uff0c\u4e5f\u5e94\u6ce8\u610f\u5bb9\u91cf\u8d1f\u8377\u8fc7\u91cd\u6240\u81f4\u7684\u7ec4\u7ec7\u6c34\u80bf\u3002\u5927\u578b\u3001\u7279\u5927\u578b\u624b\u672f\u53ca\u5371\u91cd\u60a3\u8005\u63d0\u5021GDFT\u7406\u5ff5\uff0c\u6839\u636e\u4e0d\u540c\u7684\u6cbb\u7597\u76ee\u7684\u3001\u75be\u75c5\u72b6\u6001\u53ca\u9636\u6bb5\u4e2a\u4f53\u5316\u5236\u8ba2\u5e76\u5b9e\u65bd\u5408\u7406\u7684\u6db2\u4f53\u6cbb\u7597\u65b9\u6848[29]<\/sup>\u3002<\/p>\n \u6cbb\u7597\u6027\u6db2\u4f53\u7684\u79cd\u7c7b\u5305\u62ec\u6676\u4f53\u6db2\u3001\u80f6\u4f53\u6db2\u53ca\u8840\u5236\u54c1\u7b49\u3002\u6676\u4f53\u6db2\u53ef\u6709\u6548\u8865\u5145\u4eba\u4f53\u751f\u7406\u9700\u8981\u91cf\u53ca\u7535\u89e3\u8d28\uff0c\u4f46\u6269\u5bb9\u6548\u679c\u5dee\uff0c\u7ef4\u6301\u65f6\u95f4\u77ed\uff0c\u5927\u91cf\u8f93\u6ce8\u53ef\u81f4\u7ec4\u7ec7\u95f4\u9699\u6c34\u80bf\u53ca\u80ba\u6c34\u80bf\u7b49\u4e0d\u826f\u53cd\u5e94\u3002\u80f6\u4f53\u6db2\u6269\u5bb9\u6548\u80fd\u5f3a\uff0c\u6548\u679c\u6301\u4e45\uff0c\u6709\u5229\u4e8e\u63a7\u5236\u8f93\u6db2\u91cf\u53ca\u51cf\u8f7b\u7ec4\u7ec7\u6c34\u80bf\uff0c\u4f46\u5b58\u5728\u8fc7\u654f\u3001\u5f71\u54cd\u51dd\u8840\u529f\u80fd\u53ca\u80be\u635f\u4f24\u7b49\u4e0d\u826f\u53cd\u5e94\u3002\u5bf9\u4e8e\u62e9\u671f\u8179\u90e8\u4e2d\u5c0f\u578b\u624b\u672f\uff0c\u5e94\u4ee5\u5e73\u8861\u76d0\u6db2\u4f5c\u4e3a\u57fa\u7840\u6cbb\u7597\u3002<\/p>\n \u5bf9\u4e8e\u8017\u65f6\u957f\u3001\u64cd\u4f5c\u590d\u6742\u3001\u51fa\u8840\u91cf\u591a\u7684\u4e2d\u5927\u578b\u624b\u672f\uff0c\u53ef\u4ee5\u6676\u80f63:1\u7684\u6bd4\u4f8b\u8f93\u6ce8\u80f6\u4f53\u6db2\u3002\u8fd1\u671f\u6587\u732e\u663e\u793a\uff0c\u672f\u4e2d\u5408\u7406\u4f7f\u7528\u4ee5\u918b\u9178\u94a0\u6797\u683c\u6db2\u66ff\u4ee3\u751f\u7406\u76d0\u6c34\u4e3a\u6eb6\u5242\u7684\u7f9f\u4e59\u57fa\u6dc0\u7c89130\/0.4\u7535\u89e3\u8d28\u6ce8\u5c04\u6db2\uff0c\u6709\u52a9\u4e8e\u51cf\u5c11\u672f\u540e\u5e76\u53d1\u75c7\uff0c\u4fc3\u8fdb\u60a3\u8005\u672f\u540e\u5eb7\u590d[30-31]<\/sup>\u3002<\/p>\n 5. ERAS\u7684\u6838\u5fc3\u9879\u76ee\u53ca\u63aa\u65bd\uff1a\u672f\u540e\u90e8\u5206<\/p>\n 5.1 \u672f\u540e\u75bc\u75db\u7ba1\u7406<\/p>\n \u63a8\u8350\u91c7\u7528\u591a\u6a21\u5f0f\u9547\u75db\u65b9\u6848\uff0c\u76ee\u6807\u662f\uff1a<\/p>\n (1)\u6709\u6548\u7684\u52a8\u6001\u75db\u63a7\u5236(VAS\u8bc4\u5206\uff1c3\u5206)\uff1b<\/p>\n (2)\u8f83\u4f4e\u7684\u9547\u75db\u76f8\u5173\u4e0d\u826f\u53cd\u5e94\u53d1\u751f\u7387\uff1b<\/p>\n (3)\u4fc3\u8fdb\u60a3\u8005\u672f\u540e\u65e9\u671f\u80a0\u529f\u80fd\u6062\u590d\uff1b<\/p>\n \uff084\uff09\u6709\u52a9\u4e8e\u672f\u540e\u65e9\u671f\u4e0b\u5730\u6d3b\u52a8\uff0c\u9632\u6b62\u672f\u540e\u8dcc\u5012\u98ce\u9669[32]<\/sup>\u3002<\/p>\n \u5728\u63a7\u5236\u5207\u53e3\u75db\u65b9\u9762\uff0c\u5bf9\u4e8e\u5f00\u8179\u624b\u672f\uff0c\u63a8\u8350\u8fde\u7eed\u4e2d\u80f8\u6bb5\u60a3\u8005\u786c\u819c\u5916\u81ea\u63a7\u9547\u75db\uff08PCEA\uff09\u8054\u5408NSAIDs\u3002NSAIDs\u53ef\u4f7f\u7528\u81f3\u51fa\u9662\u524d\uff0c\u4f46\u5e94\u6839\u636e\u60a3\u8005\u5e74\u9f84\u3001\u672f\u524d\u5e76\u5b58\u75be\u75c5\uff08\u6d88\u5316\u9053\u75be\u75c5\u3001\u5fc3\u8840\u7ba1\u75be\u75c5\u7b49\uff09\u3001\u624b\u672f\u7c7b\u578b\u3001\u672f\u524d\u80be\u529f\u80fd\u7b49\u72b6\u51b5\u8bc4\u4ef7\u6f5c\u5728\u543b\u5408\u53e3\u6f0f\u3001\u6025\u6027\u80be\u635f\u4f24\u7b49\u98ce\u9669\u3002<\/p>\n \u5b9e\u65bdPCEA\u5177\u6709\u4f4e\u8840\u538b\u3001\u786c\u819c\u5916\u8840\u80bf\u3001\u5c3f\u6f74\u7559\u7b49\u5e76\u53d1\u75c7\u98ce\u9669\uff0c\u5e94\u5bc6\u5207\u76d1\u6d4b\u5e76\u4e88\u9884\u9632\u3002\u5c40\u9ebb\u836f\u5207\u53e3\u6d78\u6da6\u9547\u75db\u6216\u8fde\u7eed\u6d78\u6da6\u9547\u75db\u3001\u5916\u5468\u795e\u7ecf\u963b\u6ede\u8054\u5408\u4f4e\u5242\u91cf\u963f\u7247\u7c7b\u836f\u7269\u60a3\u8005\u81ea\u63a7\u9759\u8109\u9547\u75db\uff08PCIA\uff09\u548cNSAIDs\uff0c\u53ef\u4f5c\u4e3a\u8179\u8154\u955c\u624b\u672f\u7684\u9547\u75db\u65b9\u6848\u3002\u5c40\u9ebb\u836f\u7269\u53ef\u9009\u7528\u7f57\u54cc\u5361\u56e0\u3001\u5229\u591a\u5361\u56e0\u548c\u5e03\u6bd4\u5361\u56e0\u7b49\u3002\u4ee5\u6fc0\u52a8\u03bc\u53d7\u4f53\u4e3a\u4e3b\u7684\u963f\u7247\u7c7b\u836f\u7269\u53ef\u81f4\u80a0\u9ebb\u75f9\uff0c\u800c\u4ee5\u6fc0\u52a8\u03ba\u53d7\u4f53\u4e3a\u4e3b\u7684\u963f\u7247\u7c7b\u836f\u7269\u80a0\u9ebb\u75f9\u53ca\u672f\u540e\u6076\u5fc3\u5455\u5410(PONV)\u7b49\u4e0d\u826f\u53cd\u5e94\u8f83\u8f7b\uff0c\u540c\u65f6\u53ef\u6709\u6548\u51cf\u8f7b\u624b\u672f\u5bfc\u81f4\u7684\u5185\u810f\u75db\uff0c\u53ef\u4ee5\u8003\u8651\u4f7f\u7528\u3002<\/p>\n 5.2 PONV\u7684\u9632\u6cbb<\/p>\n \u5973\u6027\u3001\u4f4e\u9f84\uff08\uff1c50\u5c81\uff09\u3001\u6655\u52a8\u75c5\u6216PONV\u75c5\u53f2\u3001\u975e\u5438\u70df\u3001\u624b\u672f\u65b9\u5f0f\uff08\u8179\u8154\u955c\u624b\u672f\u3001\u51cf\u91cd\u624b\u672f\u3001\u80c6\u56ca\u5207\u9664\u672f\uff09\u3001\u5438\u5165\u9ebb\u9189\u3001\u9ebb\u9189\u65f6\u95f4\uff08\uff1e1 h\uff09\u4ee5\u53ca\u672f\u540e\u7ed9\u4e88\u963f\u7247\u7c7b\u836f\u7269\u7b49\u662fPONV\u7684\u5371\u9669\u56e0\u7d20\u3002<\/p>\n \u4f9d\u636ePONV\u9632\u6cbb\u5171\u8bc6\u63a8\u8350\uff0c\u5bf9\u4e8e\u5b58\u5728PONV\u5371\u9669\u56e0\u7d20\u7684\u60a3\u8005\u63d0\u5021\u4f7f\u75282\u79cd\u53ca\u4ee5\u4e0a\u6b62\u5410\u836f\u8054\u5408\u9884\u9632PONV\u3002<\/p>\n 5-HT3\u53d7\u4f53\u62ee\u6297\u5242\u4e3a\u4e00\u7ebf\u7528\u836f\uff0c\u53ef\u590d\u5408\u5c0f\u5242\u91cf\u5730\u585e\u7c73\u677e\uff085~8 mg\uff09\u3002\u4e8c\u7ebf\u7528\u836f\u5305\u62ecNK1\u53d7\u4f53\u62ee\u6297\u5242\u3001\u6297\u591a\u5df4\u80fa\u80fd\u836f\u7269\u3001\u6297\u7ec4\u80fa\u836f\u7269\u548c\u6297\u80c6\u78b1\u80fd\u836f\u7269\u7b49\uff0c\u4e5f\u53ef\u4f9d\u636e\u60a3\u8005\u60c5\u51b5\u91c7\u53d6\u975e\u836f\u7269\u63aa\u65bd\u964d\u4f4ePONV\u7684\u98ce\u9669\uff0c\u5982\u9488\u7078\u3001\u8865\u6db2\u7b49\u3002<\/p>\n \u5f53PONV\u9884\u9632\u65e0\u6548\u65f6\uff0c\u60a3\u8005\u5e94\u63a5\u53d7\u4e0e\u9884\u9632\u4e0d\u540c\u836f\u7406\u5b66\u79cd\u7c7b\u7684\u6b62\u5410\u6cbb\u7597\u3002<\/p>\n \u6b64\u5916\uff0c\u5171\u8bc6\u8fd8\u5efa\u8bae\u9ebb\u9189\u8bf1\u5bfc\u548c\u7ef4\u6301\u4f7f\u7528\u4e19\u6cca\u915a\uff0c\u907f\u514d\u4f7f\u7528\u6325\u53d1\u6027\u9ebb\u9189\u836f\uff0c\u56f4\u672f\u671f\u963f\u7247\u7c7b\u836f\u7269\u7528\u91cf\u6700\u5c0f\u5316\u53ca\u4fdd\u969c\u65e5\u95f4\u624b\u672f\u60a3\u8005\u8db3\u591f\u6db2\u4f53\u91cf\u7b49\uff0c\u4ece\u57fa\u7ebf\u4e0a\u964d\u4f4ePONV\u98ce\u9669[33]<\/sup>\u3002<\/p>\n 5.3 \u672f\u540e\u996e\u98df<\/p>\n \u6709\u7814\u7a76\u663e\u793a\uff0c\u62e9\u671f\u8179\u90e8\u624b\u672f\u540e\u65e9\u671f\u6062\u590d\u7ecf\u53e3\u8fdb\u98df\u3001\u996e\u6c34\u53ef\u4fc3\u8fdb\u80a0\u9053\u529f\u80fd\u6062\u590d\uff0c\u6709\u52a9\u4e8e\u7ef4\u62a4\u80a0\u9ecf\u819c\u5c4f\u969c\uff0c\u9632\u6b62\u83cc\u7fa4\u5931\u8c03\u548c\u79fb\u4f4d\uff0c\u4ece\u800c\u964d\u4f4e\u672f\u540e\u611f\u67d3\u53d1\u751f\u7387\u53ca\u7f29\u77ed\u672f\u540e\u4f4f\u9662\u65f6\u95f4[34]<\/sup>\u3002\u56e0\u6b64\uff0c\u672f\u540e\u60a3\u8005\u5e94\u6839\u636e\u8010\u53d7\u6027\u5c3d\u65e9\u6062\u590d\u6b63\u5e38\u996e\u98df\uff0c\u5f53\u7ecf\u53e3\u6444\u5165\u5c11\u4e8e\u6b63\u5e38\u91cf\u768460%\u65f6\uff0c\u5e94\u6dfb\u52a0\u53e3\u670d\u8425\u517b\u8865\u5145\uff0c\u51fa\u9662\u540e\u53ef\u7ee7\u7eed\u53e3\u670d\u8425\u517b\u8865\u5145\u3002<\/p>\n 5.4 \u672f\u540e\u8d2b\u8840<\/p>\n \u60a3\u8005\u8840\u6db2\u7ba1\u7406\uff08PBM\uff09\u662f\u57fa\u4e8e\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\u56f4\u7ed5\u7ea0\u6b63\u8d2b\u8840\u3001\u4f18\u5316\u6b62\u8840\u4ee5\u53ca\u5c3d\u91cf\u51cf\u5c11\u5931\u8840\u4e3a\u76ee\u7684\u7684\u4e00\u7cfb\u5217\u7ba1\u7406\u63aa\u65bd\u3002PBM\u53ef\u51cf\u5c11\u5f02\u4f53\u8840\u8f93\u6ce8\u3001\u6b7b\u4ea1\u7387\u548c\u533b\u7597\u8d39\u7528\uff0c\u540c\u65f6\u6709\u5229\u4e8e\u7f29\u77ed\u4f4f\u9662\u65f6\u95f4\uff0c\u4fc3\u8fdb\u60a3\u8005\u5eb7\u590d\u3002<\/p>\n \u56e0\u6b64\u5efa\u8bae\uff1a<\/p>\n \uff081\uff09\u6240\u6709\u63a5\u53d7\u5927\u578b\u624b\u672f\u7684\u60a3\u8005\uff08\u51fa\u8840\u91cf\uff1e500 mL\u6216\u624b\u672f\u65f6\u95f4\uff1e3 h\uff09\u3001\u672f\u524d\u8d2b\u8840\u4ee5\u53ca\u672f\u4e2d\u4e2d\u91cd\u5ea6\u51fa\u8840\u60a3\u8005\u672f\u540e\u8fdb\u884c\u8d2b\u8840\u7b5b\u67e5\uff1b<\/p>\n \uff082\uff09\u63a5\u53d7\u5927\u578b\u624b\u672f\u60a3\u8005\u5728\u672f\u540e1~3 d\u590d\u67e5\u8840\u5e38\u89c4\uff0c\u7b5b\u67e5\u662f\u5426\u51fa\u73b0\u672f\u540e\u8d2b\u8840\uff1b<\/p>\n \uff083\uff09\u672f\u4e2d\u5927\u91cf\u5931\u8840\u7684\u60a3\u8005\u6839\u636e\u672f\u540e\u94c1\u6d53\u5ea6\u9759\u8109\u8865\u94c1\u6cbb\u7597\uff1b<\/p>\n \uff084\uff09\u9488\u5bf9\u975e\u80bf\u7624\u60a3\u8005\u5408\u5e76\u672f\u540e\u8d2b\u8840\u3001\u708e\u75c7\u8bf1\u5bfc\u7684\u7ea2\u7ec6\u80de\u751f\u6210\u5ef6\u7f13\u53ca\u51cf\u5c11\u8f93\u8840\u7684\u60a3\u8005\uff0c\u5efa\u8bae\u4fc3\u7ea2\u7ec6\u80de\u751f\u6210\u7d20\u6cbb\u7597\uff1b<\/p>\n \uff085\uff09\u5982\u679c\u4e0a\u8ff0\u8840\u6db2\u7ba1\u7406\u63aa\u65bd\u672a\u80fd\u963b\u6b62\u672f\u540e\u8d2b\u8840\u4e14\u8fdb\u4e00\u6b65\u6076\u5316\uff0c\u9700\u8981\u6309\u7167\u4e25\u683c\u7684\u6307\u6807\u8fdb\u884c\u8f93\u8840\u6cbb\u7597\uff08\u7ef4\u6301\u8840\u7ea2\u86cb\u767d\u6d53\u5ea670~80 g\/L\uff09\uff1b<\/p>\n \uff086\uff09\u5efa\u7acbPBM\u4e13\u5bb6\u5c0f\u7ec4\uff0c\u5bf9\u56f4\u672f\u671f\u60a3\u8005\u8fdb\u884c\u8bc4\u4f30\u4e0e\u8bca\u7597[35]<\/sup>\u3002<\/p>\n 5.5 \u672f\u540e\u65e9\u671f\u4e0b\u5e8a\u6d3b\u52a8<\/p>\n \u65e9\u671f\u4e0b\u5e8a\u6d3b\u52a8\u53ef\u4fc3\u8fdb\u547c\u5438\u3001\u80c3\u80a0\u3001\u808c\u8089\u9aa8\u9abc\u7b49\u591a\u7cfb\u7edf\u529f\u80fd\u6062\u590d\uff0c\u6709\u5229\u4e8e\u9884\u9632\u80ba\u90e8\u611f\u67d3\u3001\u538b\u75ae\u548c\u4e0b\u80a2\u6df1\u9759\u8109\u8840\u6813\u5f62\u6210\u3002\u5b9e\u73b0\u65e9\u671f\u4e0b\u5e8a\u6d3b\u52a8\u5e94\u5efa\u7acb\u5728\u672f\u524d\u5ba3\u6559\u3001\u591a\u6a21\u5f0f\u9547\u75db\u4ee5\u53ca\u65e9\u671f\u62d4\u9664\u9f3b\u80c3\u7ba1\u3001\u5c3f\u7ba1\u548c\u8179\u8154\u5f15\u6d41\u7ba1\u7b49\u5404\u79cd\u5bfc\u7ba1\u7684\u57fa\u7840\u4e4b\u4e0a\u3002\u63a8\u8350\u672f\u540e\u6e05\u9192\u5373\u53ef\u534a\u5367\u4f4d\u6216\u9002\u91cf\u5728\u5e8a\u4e0a\u6d3b\u52a8\uff0c\u65e0\u9700\u53bb\u6795\u5e73\u53676 h\uff1b\u672f\u540e1 d\u5373\u53ef\u5f00\u59cb\u4e0b\u5e8a\u6d3b\u52a8\uff0c\u5efa\u7acb\u6bcf\u65e5\u6d3b\u52a8\u76ee\u6807\uff0c\u9010\u65e5\u589e\u52a0\u6d3b\u52a8\u91cf\u3002<\/p>\n 5.6 \u51fa\u9662\u57fa\u672c\u6807\u51c6<\/p>\n \u5e94\u5236\u5b9a\u4ee5\u4fdd\u969c\u60a3\u8005\u5b89\u5168\u4e3a\u57fa\u7840\u7684\u3001\u53ef\u91cf\u5316\u7684\u3001\u53ef\u64cd\u4f5c\u6027\u7684\u51fa\u9662\u6807\u51c6\uff0c\u5982\u6062\u590d\u534a\u6d41\u8d28\u996e\u98df\u6216\u53e3\u670d\u8425\u517b\u8865\u5145\uff1b\u65e0\u9700\u9759\u8109\u8f93\u6db2\u6cbb\u7597\uff1b\u53e3\u670d\u9547\u75db\u836f\u7269\u53ef\u826f\u597d\u6b62\u75db\uff1b\u4f24\u53e3\u6108\u5408\u4f73\uff0c\u65e0\u611f\u67d3\u8ff9\u8c61\uff1b\u5668\u5b98\u529f\u80fd\u72b6\u6001\u826f\u597d\uff0c\u53ef\u81ea\u7531\u6d3b\u52a8\uff1b\u60a3\u8005\u540c\u610f\u51fa\u9662\u3002<\/p>\n 5.7 \u968f\u8bbf\u53ca\u7ed3\u679c\u8bc4\u4f30<\/p>\n \u5e94\u52a0\u5f3a\u60a3\u8005\u51fa\u9662\u540e\u7684\u968f\u8bbf\uff0c\u5efa\u7acb\u660e\u786e\u7684\u518d\u5165\u9662\u7684\u201c\u7eff\u8272\u901a\u9053\u201d\u3002\u5728\u60a3\u8005\u51fa\u9662\u540e24~48 h\u5185\u5e94\u5e38\u89c4\u8fdb\u884c\u7535\u8bdd\u968f\u8bbf\u53ca\u6307\u5bfc\uff0c\u672f\u540e7~10 d\u5e94\u81f3\u95e8\u8bca\u8fdb\u884c\u56de\u8bbf\uff0c\u8fdb\u884c\u4f24\u53e3\u62c6\u7ebf\u3001\u544a\u77e5\u75c5\u7406\u68c0\u67e5\u7ed3\u679c\u3001\u8ba8\u8bba\u8fdb\u4e00\u6b65\u7684\u6297\u80bf\u7624\u6cbb\u7597\u7b49\u3002\u4e00\u822c\u800c\u8a00\uff0cERAS\u7684\u4e34\u5e8a\u968f\u8bbf\u81f3\u5c11\u5e94\u6301\u7eed\u5230\u672f\u540e30 d\u3002<\/p>\n 6. \u5efa\u7acbERAS\u8bc4\u4f30\u7cfb\u7edf<\/p>\n ERAS\u8bc4\u4f30\u7cfb\u7edf\uff08EIAS\uff09\u662f\u57fa\u4e8e\u7f51\u7edc\u7684\u6570\u636e\u8f93\u5165\u4e0e\u5206\u6790\uff0c\u76d1\u7763\u76f8\u5173\u8def\u5f84\u7684\u6267\u884c\u60c5\u51b5\uff0c\u8bc4\u4ef7\u5176\u5bf9\u4e34\u5e8a\u8f6c\u5f52\u7684\u5f71\u54cd\uff0c\u5efa\u7acb\u53cd\u9988\u673a\u5236\uff0c\u4e0d\u65ad\u8c03\u6574\u4fee\u6b63\uff0c\u6709\u52a9\u4e8e\u8c03\u9ad8ERAS\u8def\u5f84\u7684\u53ef\u884c\u6027\u53ca\u4f9d\u4ece\u6027[36]<\/sup>\u3002<\/p>\n \u4e0a\u8ff0ERAS\u8def\u5f84\u6e90\u4e8e\u4e34\u5e8a\u5b9e\u8df5\uff0c\u5bf9\u65e2\u5f80\u56f4\u672f\u671f\u8bca\u7597\u63aa\u65bd\u8fdb\u884c\u4e86\u5177\u6709\u5faa\u8bc1\u57fa\u7840\u7684\u4f18\u5316\uff0c\u5747\u5177\u6709\u8f83\u9ad8\u7ea7\u522b\u7684\u8bc1\u636e\u652f\u6301\u3002\u4f46\u662f\uff0c\u9274\u4e8e\u4e34\u5e8a\u5b9e\u8df5\u7684\u590d\u6742\u6027\u53ca\u60a3\u8005\u7684\u4e2a\u4f53\u5dee\u5f02\u6027\uff0c\u5b9e\u65bdERAS\u8fc7\u7a0b\u4e2d\u4e0d\u53ef\u4e00\u6982\u800c\u8bba\uff0c\u5e94\u7ed3\u5408\u60a3\u8005\u3001\u8bca\u7597\u8fc7\u7a0b\u3001\u79d1\u5ba4\u53ca\u533b\u9662\u7684\u5b9e\u9645\u60c5\u51b5\uff0c\u4e0d\u53ef\u7b80\u5355\u3001\u673a\u68b0\u5730\u7406\u89e3\u548c\u5b9e\u65bdERAS\u3002\u5f00\u5c55ERAS\u8fc7\u7a0b\u4e2d\u5e94\u6ce8\u91cd\u7f29\u77ed\u60a3\u8005\u4f4f\u9662\u65e5\uff0c\u964d\u4f4e\u533b\u7597\u8d39\u7528\uff0c\u4f46\u66f4\u5e94\u6ce8\u91cd\u63d0\u5347\u60a3\u8005\u529f\u80fd\u6062\u590d\uff0c\u79c9\u627f\u5b89\u5168\u7b2c\u4e00\u3001\u6548\u7387\u7b2c\u4e8c\u7684\u57fa\u672c\u539f\u5219\uff0c\u4f7fERAS\u66f4\u4e3a\u5065\u5eb7\u3001\u6709\u5e8f\u5730\u5f00\u5c55\u3002<\/p>\n \u672c\u6587\u7f16\u8f91\uff1a\u674e\u5a1c<\/p>\n \u4e2d\u56fd\u52a0\u901f\u5eb7\u590d\u5916\u79d1\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\uff082021\uff09\u7f16\u5ba1\u59d4\u5458\u4f1a\u540d\u5355\uff1a<\/p>\n \u603b\u7f16\u5ba1\uff1a<\/p>\n \u8d75\u7389\u6c9b\uff08\u4e2d\u56fd\u533b\u5b66\u79d1\u5b66\u9662 \u5317\u4eac\u534f\u548c\u533b\u5b66\u9662 \u5317\u4eac\u534f\u548c\u533b\u9662\u57fa\u672c\u5916\u79d1\uff09\u3001\u9ec4\u5b87\u5149\uff08\u4e2d\u56fd\u533b\u5b66\u79d1\u5b66\u9662 \u5317\u4eac\u534f\u548c\u533b\u5b66\u9662 \u5317\u4eac\u534f\u548c\u533b\u9662\u9ebb\u9189\u79d1\uff09<\/p>\n \u5ba1\u5b9a\u4e13\u5bb6\uff1a<\/p>\n \u5916\u79d1\u9886\u57df\uff1a\u59dc\u6d2a\u6c60\uff08\u54c8\u5c14\u6ee8\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u5916\u79d1\uff09\u3001\u79e6\u65b0\u88d5\uff08\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u4e2d\u5c71\u533b\u9662\u666e\u901a\u5916\u79d1\uff09\u3001\u7aa6\u79d1\u5cf0\uff08\u897f\u666e\u901a\u5916\u79d1\uff09\u3001\u5f20\u5fe0\u6d9b\uff08\u9996\u90fd\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u5317\u4eac\u53cb\u8c0a\u533b\u9662\u666e\u901a\u5916\u79d1\uff09\u3001\u8521\u79c0\u519b\uff08\u6d59\u6c5f\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u90b5\u9038\u592b\u533b\u9662\u666e\u901a\u5916\u79d1\uff09\u3001\u5b63\u52a0\u5b5a\uff08\u5317\u4eac\u5927\u5b66\u80bf\u7624\u533b\u9662\u80c3\u80a0\u80bf\u7624\u5916\u79d1\uff09\u3001\u7530\u5229\u56fd\uff08\u300a\u4e2d\u56fd\u5b9e\u7528\u5916\u79d1\u6742\u5fd7\u300b\u7f16\u8f91\u90e8\uff09<\/p>\n \u9ebb\u9189\u9886\u57df\uff1a\u718a\u5229\u6cfd\uff08\u540c\u6d4e\u5927\u5b66\u9644\u5c5e\u4e0a\u6d77\u7b2c\u56db\u4eba\u6c11\u533b\u9662\uff09\u3001\u9093\u5c0f\u660e\uff08\u6d77\u519b\u519b\u533b\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\uff08\u4e0a\u6d77\u957f\u6d77\u533b\u9662\uff09\u9ebb\u9189\u5b66\u90e8\uff09\u3001\u7c73\u536b\u4e1c\uff08\u89e3\u653e\u519b\u603b\u533b\u9662\u7b2c\u4e00\u533b\u5b66\u4e2d\u5fc3\u9ebb\u9189\u79d1\uff09\u3001\u4fde\u536b\u950b\uff08\u4e0a\u6d77\u4ea4\u901a\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u4ec1\u6d4e\u533b\u9662\u9ebb\u9189\u79d1\uff09\u3001\u59da\u5c1a\u9f99\uff08\u534e\u4e2d\u79d1\u6280\u5927\u5b66\u540c\u6d4e\u533b\u5b66\u9662\u9644\u5c5e\u534f\u548c\u533b\u9662\u9ebb\u9189\u79d1\uff09\u3001\u859b\u5f20\u7eb2\uff08\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u4e2d\u5c71\u533b\u9662\u9ebb\u9189\u79d1\uff09\u3001\u9a6c\u6b63\u826f\uff08\u5357\u4eac\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u9f13\u697c\u533b\u9662\u9ebb\u9189\u79d1\uff09\u3001\u90ed\u66f2\u7ec3\uff08\u4e2d\u5357\u5927\u5b66\u6e58\u96c5\u533b\u9662\u9ebb\u9189\u79d1\uff09\u3001\u5f6d\u4e91\u6c34\uff08\u300a\u4e2d\u534e\u9ebb\u9189\u5b66\u6742\u5fd7\u300b\u7f16\u8f91\u90e8\uff09<\/p>\n \u6267\u7b14\uff1a\u738b\u5929\u9f99\uff08\u9996\u90fd\u533b\u79d1\u5927\u5b66\u5ba3\u6b66\u533b\u9662\u9ebb\u9189\u79d1\uff09\u3001\u767d\u96ea\u8389\uff08\u6d59\u6c5f\u5927\u5b66\u7b2c\u4e00\u533b\u9662\u809d\u80c6\u5916\u79d1\uff09\u3001\u5434\u56fd\u8c6a\uff08\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u4e2d\u5c71\u533b\u9662\u666e\u901a\u5916\u79d1\uff09\u3001\u6731\u7ef4\u94ed\uff08\u89e3\u653e\u519b\u4e1c\u90e8\u6218\u533a\u603b\u533b\u9662\u666e\u901a\u5916\u79d1\uff09\u3001\u7530\u5b5d\u4e1c\uff08\u5317\u4eac\u5927\u5b66\u7b2c\u4e00\u533b\u9662\u666e\u901a\u5916\u79d1\uff09\u3001\u8bb8\u9759\u6d8c\uff08\u5317\u666e\u901a\u5916\u79d1\uff09\u3001\u6768\u5c39\u9ed8\uff08\u5317\u4eac\u5927\u5b66\u7b2c\u4e00\u533b\u9662\u666e\u901a\u5916\u79d1\uff09\u3001\u8463\u6d77\u9f99\uff08\u897f\u9ebb\u9189\u4e0e\u56f4\u672f\u671f\u533b\u5b66\u79d1\uff09<\/p>\n \u53c2\u8003\u6587\u732e<\/p>\n \uff3b1\uff3d\u4e2d\u534e\u533b\u5b66\u4f1a\u5916\u79d1\u5b66\u5206\u4f1a,\u4e2d\u534e\u533b\u5b66\u4f1a\u9ebb\u9189\u5b66\u5206\u4f1a. \u52a0\u901f\u5eb7\u590d\u5916\u79d1\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\u66a8\u8def\u5f84\u7ba1\u7406\u6307\u5357(2018)\uff3bJ\uff3d. \u4e2d\u534e\u9ebb\u9189\u5b66\u6742\u5fd7\uff0c2018\uff0c38: 8-33.<\/p>\n \uff3b2\uff3dGuyatt GH, Oxman AD, Kunz R, et al. Going from evidence to recommendations\uff3bJ\uff3d. BMJ, 2008, 336: 1049-1051.<\/p>\n \uff3b3\uff3dSun Y, Wang Y, Mao Y, et al. The safety and feasibility of enhanced recovery after surgery in patients undergoing pancreaticoduodenectomy: an updated meta-analysis\uff3bJ\uff3d. Biomed Res Int, 2020, 2020:7401276.<\/p>\n \uff3b4\uff3dInoue Y, Katoh T, Masuda S, et al. Perioperative complications of abdominal surgery in smokers\uff3bJ\uff3d. J Anesth, 2020,34:712-718.<\/p>\n \uff3b5\uff3dKaka AS, Zhao S, Ozer E, et al. Comparison of clinical outcomes following head and neck surgery among patients who contract to abstain from alcohol vs patients who abuse alcohol\uff3bJ\uff3d. JAMA Otolaryngol Head Neck Surg, 2017, 143:1181-1186.<\/p>\n \uff3b6\uff3dRoshanov PS, Walsh M, Devereaux PJ, et al. External validation of the revised cardiac risk index and update of its renal variable to predict 30-day risk of major cardiac complications after non-cardiac surgery: rationale and plan for analyses of the VISION study\uff3bJ\uff3d. BMJ Open, 2017, 7:e013510.<\/p>\n \uff3b7\uff3dCappellini MD, Musallam KM, Taher AT. Iron deficiency anemia revisited\uff3bJ\uff3d. J Intern Med, 2020, 287:153-170. <\/p>\n \uff3b8\uff3dAglio LS, Abd-El-Barr MM, Orhurhu V, et al. Preemptive analgesia for postoperative pain relief in thoracolumbosacral spine operations: a double-blind, placebo-controlled randomized trial\uff3bJ\uff3d. J Neurosurg Spine, 2018,29:647-653.<\/p>\n \uff3b9\uff3dHall DE, Arya S, Schmid KK, et al. Association of a frailty screening initiative with postoperative survival at 30, 180, and 365 days\uff3bJ\uff3d. JAMA Surg, 2017,152:233-240.<\/p>\n \uff3b10\uff3d Ripoll\u00e9s-Melchor J, Carli F, Coca-Mart\u00ednez M, et al. Committed to be fit. The value of preoperative care in the perioperative medicine era\uff3bJ\uff3d. Minerva Anestesiol, 2018,84:615-625.<\/p>\n \uff3b11\uff3dAmerican Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults. Postoperative delirium in older adults: best practice statement from the American Geriatrics Society\uff3bJ\uff3d. J Am Coll Surg, 2015,220:136.e1-148.e1.<\/p>\n \uff3b12\uff3dde la Motte L, Kehlet H, Vogt K, et al. Preoperative methylprednisolone enhances recovery after endovascular aortic repair: a randomized, double-blind, placebo-controlled clinical trial\uff3bJ\uff3d. Ann Surg, 2014,260:540-548.<\/p>\n \uff3b13\uff3dLevett D, Grimmett C. Psychological factors, prehabilitation and surgical outcomes: evidence and future directions\uff3bJ\uff3d. Anaesthesia, 2019,74:36-42.<\/p>\n \uff3b14\uff3dWeimann A, Braga M, Carli F, et al. ESPEN guideline: clinical nutrition in surgery\uff3bJ\uff3d. Clin Nutr, 2017, 36:623-650.<\/p>\n \uff3b15\uff3d Key NS, Khorana AA, Kuderer NK, et al. Venous thromboembolism prophylaxis and treatment in patients with cancer: ASCO clinical practice guideline update\uff3bJ\uff3d. J Clin Oncol, 2020, 38:486-520.<\/p>\n \uff3b16\uff3dFeldheiser A, Aziz O, Baldini G, et al. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice\uff3bJ\uff3d. Acta Anaesthesiol Scand, 2016, 60:289-334.<\/p>\n \uff3b17\uff3d Chan MY, Foo CC, Poon JT, et al. Laparoscopic colorectal resections with and without routine mechanical bowel preparation: a comparative study\uff3bJ\uff3d. Ann Med Surg (Lond),2016, 9:72-76.<\/p>\n \uff3b18\uff3d\u300a\u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u6307\u5bfc\u539f\u5219\u300b\u4fee\u8ba2\u5de5\u4f5c\u7ec4. \u6297\u83cc\u836f\u7269\u4e34\u5e8a\u5e94\u7528\u6307\u5bfc\u539f\u5219\uff3bEB\/OL\uff3d.\uff082015\uff09 \uff3b2021-07-01\uff3d. http:\/\/www.\/ewebeditor\/uploadfile\/2015\/09\/20150928170007470.pdf.<\/p>\n \uff3b19\uff3dWade RG, Burr NE, Mccauley G, et al. The comparative efficacy of chlorhexidine gluconate and povidone-iodine antiseptics for the prevention of infection in clean surgery: a systematic review and network meta-analysis\uff3bJ\uff3d. Ann Surg, 2020. doi:10.1097\/SLA.0000000000004076.<\/p>\n \uff3b20\uff3dLi Y, Wang B, Zhang LL, et al. Dexmedetomidine comb-ined with general anesthesia provides similar intraoperative stress response reduction when compared with a combined general and epidural anesthetic technique\uff3bJ\uff3d. Anesth Analg, 2016,122:1202-1210.<\/p>\n \uff3b21\uff3dYang S, Xiao W, Wang S, et al. Parecoxib shortens the duration of acute postoperative pain after laparoscopic-assisted vaginal hysterectomy\uff3bJ\uff3d. Front Pharmacol, 2019, 10:689.<\/p>\n \uff3b22\uff3dStephensen BD, Reid F, Shaikh S, et al. C-reactive protein trajectory to predict colorectal anastomotic leak: PREDICT Study\uff3bJ\uff3d. Br J Surg, 2020, 107:1832-1837.<\/p>\n \uff3b23\uff3d\u4e2d\u534e\u533b\u5b66\u4f1a\u9ebb\u9189\u5b66\u5206\u4f1a\u8001\u5e74\u4eba\u9ebb\u9189\u5b66\u7ec4, \u56fd\u5bb6\u8001\u5e74\u75be\u75c5\u4e34\u5e8a\u533b\u5b66\u7814\u7a76\u4e2d\u5fc3, \u56fd\u5bb6\u8001\u5e74\u9ebb\u9189\u8054\u76df. \u4e2d\u56fd\u8001\u5e74\u60a3\u8005\u56f4\u624b\u672f\u671f\u9ebb\u9189\u7ba1\u7406\u6307\u5bfc\u610f\u89c1\uff082020\u7248\uff09\uff08\u4e8c\uff09\uff3bJ\uff3d. \u4e2d\u534e\u533b\u5b66\u6742\u5fd7, 2020,100: 2565-2578.<\/p>\n \uff3b24\uff3d\u4e2d\u534e\u533b\u5b66\u4f1a\u9ebb\u9189\u5b66\u5206\u4f1a\u8001\u5e74\u4eba\u9ebb\u9189\u5b66\u7ec4\uff0c\u56fd\u5bb6\u8001\u5e74\u75be\u75c5\u4e34\u5e8a\u533b\u5b66\u7814\u7a76\u4e2d\u5fc3\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u7cbe\u795e\u75c5\u5b66\u5206\u4f1a\uff0c\u7b49. \u4e2d\u56fd\u8001\u5e74\u60a3\u8005\u56f4\u672f\u671f\u8111\u5065\u5eb7\u591a\u5b66\u79d1\u4e13\u5bb6\u5171\u8bc6\uff08\u4e8c\uff09\uff3bJ\uff3d. \u4e2d\u534e\u533b\u5b66\u6742\u5fd7, 2019, 99: 2252-2269.<\/p>\n \uff3b25\uff3dFeng S, Yang S, Xiao W, et al. Effects of perioperative goal-directed fluid therapy combined with the application of alpha-1 adrenergic agonists on postoperative outcomes: a systematic review and meta-analysis\uff3bJ\uff3d. BMC Anesthesiology, 2018, 18:113.<\/p>\n \uff3b26\uff3dSun Z, Honar H, Sessler DI, et al. Intraoperative core temperature patterns, transfusion requirement, and hospital duration in patients warmed with forced air\uff3bJ\uff3d. Anesthesiology, 2015,122:276-285.<\/p>\n \uff3b27\uff3dKang ZQ, Huo JL, Zhai XJ. Effects of perioperative tight glycemic control on postoperative outcomes: a meta-analysis\uff3bJ\uff3d. Endocr Connect, 2018, 7:R316-R327.<\/p>\n \uff3b28\uff3dWeindelmayer J, Mengardo V, Veltri A, et al. Should we still use prophylactic drain in gastrectomy for cancer? A systematic review and meta-analysis\uff3bJ\uff3d. Eur J Surg Oncol, 2020, 46: 1396-1403.<\/p>\n \uff3b29\uff3dNavarro LH, Bloomstone JA, Auler JO Jr, et al. Perioperative fluid therapy: a statement from the international Fluid Optimization Group\uff3bJ\uff3d. Perioper Med (Lond), 2015, 4:3.<\/p>\n \uff3b30\uff3dJoosten A, Delaporte A, Mortier J, et al. Long-term impact of crystalloid versus colloid solutions on renal function and disability-free survival after major abdominal surgery\uff3bJ\uff3d. Anesthesiology, 2019, 130:227-236.<\/p>\n \uff3b31\uff3dJoosten A, Delaporte A, Ickx B, et al. Crystalloid versus colloid for intraoperative goal-directed fluid therapy using a closed-loop sysm: a randomized, double-blinded, controlled trial in major abdominal surgery\uff3bJ\uff3d. Anesthesiology, 2018, 128:55-66.<\/p>\n \uff3b32\uff3dLovich-Sapola J, Smith CE, Brandt CP. Postoperative pain control\uff3bJ\uff3d. Surg Clin N Am, 2015, 95:301-318.<\/p>\n \uff3b33\uff3dGan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting\uff3bJ\uff3d. Anesth Analg, 2020, 131: 411-448.<\/p>\n \uff3b34\uff3dYang R, Tao W, Chen YY. et al. Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic hepatectomy: a meta-analysis\uff3bJ\uff3d. Int J Surg, 2016, 36:274-282.<\/p>\n \uff3b35\uff3dMunoz M, Acheson AG, Bisbe E, et al. An international consensus statement on the management of postoperative anaemia after major surgical procedures\uff3bJ\uff3d. Anaesthesia, 2018,73:1418-1431.<\/p>\n \uff3b36\uff3dNelson G, Bakkum-Gamez J, Kalogera E, et al. Guidelines for perioperative care in gynecologic\/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations-2019 update\uff3bJ\uff3d. Int J Gynecol Cancer, 2019, 29:651-668.<\/p>\n \u6267\u7b14\u7edf\u7b79<\/p>\n \u5317\u4eac\u5927\u5b66\u7b2c\u4e00\u533b\u9662<\/p>\n \u6768\u5c39\u9ed8 \u6559\u6388<\/p>\n \u5317\u4eac\u5927\u5b66\u7b2c\u4e00\u533b\u9662\u5916\u79d1\u4e3b\u4efb\u533b\u5e08\uff0c\u6559\u6388\uff0c\u535a\u58eb\u751f\u5bfc\u5e08\uff0c\u7f8e\u56fd\u5916\u79d1\u5b66\u9662\u4f1a\u5458\uff08FACS\uff09\u3002\u4e2d\u534e\u533b\u5b66\u4f1a\u5916\u79d1\u5b66\u5206\u4f1a\u80f0\u817a\u5b66\u7ec4\u526f\u7ec4\u957f\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u5916\u79d1\u5b66\u5206\u4f1a\u7b2c\u5341\u516b\u5c4a\u59d4\u5458\u4f1a\u59d4\u5458\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u80bf\u7624\u5b66\u5206\u4f1a\u7b2c\u5341\u4e00\u5c4a\u59d4\u5458\u4f1a\u59d4\u5458\uff0c\u5317\u4eac\u533b\u5e08\u5b66\u4f1a\u666e\u901a\u5916\u79d1\u4e13\u5bb6\u59d4\u5458\u4f1a\u526f\u4e3b\u4efb\u59d4\u5458\uff0c\u5317\u4eac\u533b\u5b66\u4f1a\u5916\u79d1\u5b66\u5206\u4f1a\u5e38\u59d4\uff0c\u5317\u4eac\u533b\u5b66\u4f1a\u80bf\u7624\u5b66\u5206\u4f1a\u5e38\u59d4\uff0c\u5317\u4eac\u5927\u5b66\u809d\u764c\u8bca\u7597\u7814\u7a76\u4e2d\u5fc3\u526f\u4e3b\u4efb\uff0c\u300a\u4e2d\u534e\u809d\u80c6\u5916\u79d1\u6742\u5fd7\u300b\u526f\u4e3b\u7f16\uff0c\u300a\u56fd\u9645\u5916\u79d1\u5b66\u6742\u5fd7\u300b\u526f\u4e3b\u7f16\uff0c\u300a\u4e2d\u534e\u5916\u79d1\u6742\u5fd7\u300b\u300a\u4e2d\u534e\u533b\u5b66\u6742\u5fd7\u300b\u300a\u4e2d\u56fd\u5b9e\u7528\u5916\u79d1\u6742\u5fd7\u300b\u300a\u82f1\u56fd\u533b\u5b66\u6742\u5fd7\u4e2d\u6587\u7248\u300b\u300aLangenbeck Archives of Surgery\u300b\u7b49\u6742\u5fd7\u7f16\u59d4\u3002<\/p>\n \u9996\u90fd\u533b\u79d1\u5927\u5b66\u5ba3\u6b66\u533b\u9662<\/p>\n \u738b\u5929\u9f99 \u6559\u6388<\/p>\n \u9996\u90fd\u533b\u79d1\u5927\u5b66\u5ba3\u6b66\u533b\u9662\u9ebb\u9189\u624b\u672f\u79d1\u4e3b\u4efb\uff0c\u4e3b\u4efb\u533b\u5e08\u3001\u6559\u6388\uff0c\u535a\u58eb\u751f\u5bfc\u5e08\u3002\u73b0\u517c\u4efb\u4e2d\u534e\u533b\u5b66\u4f1a\u9ebb\u9189\u5b66\u5206\u4f1a\u526f\u4e3b\u4efb\u59d4\u5458\uff0c\u8001\u5e74\u4eba\u9ebb\u9189\u5b66\u7ec4\u7ec4\u957f\uff0c\u56fd\u5bb6\u5e74\u9ebb\u9189\u8054\u76df\uff08NAGA\uff09\u4e3b\u5e2d\uff0c\u5317\u4eac\u533b\u5b66\u4f1a\u9ebb\u9189\u5b66\u5206\u4f1a\u4e3b\u4efb\u59d4\u5458\u3002\u5728\u63a8\u52a8\u4e2d\u56fd\u8001\u5e74\u4eba\u9ebb\u9189\u53ca\u5feb\u901f\u5916\u79d1\u5eb7\u590d\u4e34\u5e8a\u4e0e\u5b9e\u8df5\u65b9\u9762\u505a\u51fa\u6770\u51fa\u8d21\u732e\u3002<\/p>\n \u901a\u4fe1\u4f5c\u8005<\/p>\n \u5317\u4eac\u534f\u548c\u533b\u9662 \u57fa\u672c\u5916\u79d1<\/p>\n \u8d75\u7389\u6c9b \u9662\u58eb<\/p>\n \u5317\u4eac\u534f\u548c\u533b\u9662\u540d\u8a89\u9662\u957f\uff0c\u4e2d\u56fd\u79d1\u5b66\u9662\u9662\u58eb\uff0c\u5916\u79d1\u5b66\u6559\u6388\uff0c\u535a\u58eb\u751f\u5bfc\u5e08\u3002\u4e2d\u534e\u533b\u5b66\u4f1a\u4f1a\u957f\u3001\u5916\u79d1\u5b66\u5206\u4f1a\u4e3b\u4efb\u59d4\u5458\u3001\u5168\u56fd\u80f0\u817a\u5916\u79d1\u5b66\u7ec4\u7ec4\u957f\uff0c\u56fd\u52a1\u9662\u5b66\u4f4d\u59d4\u5458\u4f1a\u5b66\u79d1\u8bc4\u8bae\u7ec4\u6210\u5458\u3002\u300a\u4e2d\u534e\u5916\u79d1\u6742\u5fd7\u300b\u603b\u7f16\u8f91\u3001\u300a\u534f\u548c\u533b\u5b66\u6742\u5fd7\u300b\u300aANNALS OF SURGERY\uff08\u4e2d\u6587\u7248\uff09\u300b\u4e3b\u7f16\u53ca\u5341\u4f59\u79cd\u5916\u79d1\u6742\u5fd7\u7684\u540d\u8a89\u603b\u7f16\u548c\u526f\u603b\u7f16\uff1b\u56fd\u9645\u5916\u79d1\u5b66\u9662\u3001\u5317\u7f8e\u5916\u79d1\u5b66\u9662\u3001\u82f1\u683c\u5170\u7687\u5bb6\u5916\u79d1\u5b66\u9662\u3001\u9999\u6e2f\u5916\u79d1\u5b66\u9662\u201cHonorary Fellowship\u201d\u548c\u7231\u4e01\u5821\u7687\u5bb6\u5916\u79d1\u5b66\u9662\u201cFellowship Ad Hominem\u201d\uff1b\u56fd\u9645\u809d\u80c6\u80f0\u5916\u79d1\u534f\u4f1a\u526f\u4e3b\u5e2d\uff1b\u7b2c16\u5c4a\u4e9a\u6d32\u5916\u79d1\u5b66\u4f1a\u4e3b\u5e2d\u3002<\/p>\n \u4e3b\u8981\u7814\u7a76\u65b9\u5411\uff1a\u666e\u901a\u5916\u79d1\u5b66\uff0c\u80f0\u817a\u75be\u75c5\u7684\u57fa\u7840\u4e0e\u4e34\u5e8a\u7814\u7a76\u3002<\/p>\n \u5317\u4eac\u534f\u548c\u533b\u9662 \u9ebb\u9189\u79d1<\/p>\n \u9ec4\u5b87\u5149 \u6559\u6388<\/p>\n \u5317\u4eac\u534f\u548c\u533b\u9662\u9ebb\u9189\u79d1\u4e3b\u4efb\u3001\u6559\u6388\u3001\u535a\u58eb\u751f\u5bfc\u5e08\u3002\u4e2d\u534e\u533b\u5b66\u4f1a\u9ebb\u9189\u5b66\u5206\u4f1a\u4e3b\u4efb\u59d4\u5458\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u9ebb\u9189\u5b66\u5206\u4f1aERAS\u5b66\u7ec4\u7ec4\u957f\uff0c\u56fd\u5bb6\u9ebb\u9189\u4e13\u4e1a\u8d28\u63a7\u4e2d\u5fc3\u4e3b\u4efb\uff0c\u4e2d\u56fd\u533b\u5e08\u57f9\u8bad\u5b66\u9662\u9ebb\u9189\u4e13\u4e1a\u59d4\u5458\u4f1a\u4e3b\u4efb\u59d4\u5458\uff0c\u300a\u4e34\u5e8a\u9ebb\u9189\u5b66\u6742\u5fd7\u300b\u603b\u7f16\u8f91\u548c\u300a\u9ebb\u9189\u5b89\u5168\u4e0e\u8d28\u63a7\u300b\u6742\u5fd7\u4e3b\u7f16\uff0c\u300aAnesthesia & Analgesia\u300b\u53ca\u300aEuropean Journal of Anaesthsiology(\u4e2d\u6587\u7248)\u300b\u4e3b\u7f16\uff0c\u300a\u534f\u548c\u533b\u5b66\u6742\u5fd7\u300b\u526f\u4e3b\u7f16\uff0c\u4e16\u754c\u9ebb\u9189\u533b\u5e08\u534f\u4f1a\u8054\u76df\uff08WFSA\uff09\u5e38\u52a1\u7406\u4e8b\uff0c\u7b2c\u516d\u5c4a\u201c\u5168\u56fd\u4f18\u79c0\u79d1\u6280\u5de5\u4f5c\u8005\u201d\uff0c\u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u201c\u7a81\u51fa\u8d21\u732e\u4e2d\u9752\u5e74\u4e13\u5bb6\u201d\uff0c\u7231\u5c14\u5170\u9ebb\u9189\u533b\u5e08\u5b66\u9662\u8363\u8a89\u9662\u58eb\u3002<\/p>\n \u4e3b\u8981\u7814\u7a76\u65b9\u5411\uff1a\u4e34\u5e8a\u9ebb\u9189\u5b66\uff0c\u75bc\u75db\u673a\u5236\u4e0e\u4e34\u5e8a\u7814\u7a76\u3002<\/p>\n \u2192<\/p>\n \u4e2d\u56fd\u52a0\u901f\u5eb7\u590d\u5916\u79d1\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\uff082021\uff09\u7cfb\u5217\u6587\u7ae0<\/p>\n \u4e2d\u56fd\u52a0\u901f\u5eb7\u590d\u5916\u79d1\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\uff082021\uff09\uff08\u4e00\uff09<\/p>\n \u4e2d\u56fd\u52a0\u901f\u5eb7\u590d\u5916\u79d1\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\uff082021\uff09\uff08\u4e8c\uff09<\/p>\n \u4e2d\u56fd\u52a0\u901f\u5eb7\u590d\u5916\u79d1\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\uff082021\uff09\uff08\u4e09\uff09<\/p>\n \u4e2d\u56fd\u52a0\u901f\u5eb7\u590d\u5916\u79d1\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\uff082021\uff09\uff08\u56db\uff09<\/p>\n \u4e2d\u56fd\u52a0\u901f\u5eb7\u590d\u5916\u79d1\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\uff082021\uff09\uff08\u4e94\uff09<\/p>\n \u7f16\u8f91\uff1a\u5218\u6d0b \u8d75\u5a1c<\/p>\n \u5ba1\u6821\uff1a\u674e\u5a1c \u674e\u7389\u4e50 \u8463\u54f2<\/p>\n \u76d1\u5236\uff1a\u5434\u6587\u94ed<\/p>\n","protected":false},"excerpt":{"rendered":" \u4e2d\u534e\u533b\u5b66\u4f1a\u5916\u79d1\u5b66\u5206\u4f1a \u4e2d\u534e\u533b\u5b66\u4f1a\u9ebb\u9189\u5b66\u5206\u4f1a \u6267\u7b14\u603b\u7edf\u7b79\uff1a\u6768\u5c39\u9ed8&nb … \u7ee7\u7eed\u9605\u8bfb