Contemporary Nursing
Contemporary Nursing. 2026; 7: (7) ; 10.12208/j.cn.20260367 .
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1新疆维吾尔自治区第六人民医院（自治区传染病医院）骨科 新疆乌鲁木齐
2新疆维吾尔自治区第六人民医院（自治区传染病医院）综合内科 新疆乌鲁木齐
*通讯作者： 海玉琴,单位：新疆维吾尔自治区第六人民医院（自治区传染病医院）综合内科 新疆乌鲁木齐; ；
加速康复外科（Enhanced Recovery After Surgery, ERAS）理念以循证医学为基础，通过多学科协作优化骨科患者围术期管理，降低并发症并促进康复。本文综述了ERAS在骨科患者围术期应用的最新进展，涵盖术前、术中和术后三个阶段的关键措施。研究表明，ERAS可有效降低骨科患者术后并发症发生率、缩短住院时间并提高患者满意度。然而，我国ERAS的推广仍面临资源不足、多学科协作机制不完善及患者依从性差异等挑战。未来需进一步标准化路径、强化培训并优化患者教育，以全面提升ERAS的应用效果。
Based on evidence-based medicine, the concept of Enhanced Recovery After Surgery (ERAS) optimizes the perioperative management of orthopedic patients through multidisciplinary collaboration, reduces complications and promotes rehabilitation. This paper reviews the latest progress in the application of ERAS in the perioperative period of orthopedic patients, covering the key measures in the three stages of preoperative, intraoperative and postoperative periods. Studies have shown that ERAS can effectively reduce the incidence of postoperative complications in orthopedic patients, shorten hospital stay and improve patient satisfaction. However, the promotion of ERAS in China still faces challenges such as insufficient medical resources, imperfect multidisciplinary collaboration mechanisms and differences in patient compliance. In the future, it is necessary to further standardize clinical pathways, strengthen professional training and optimize patient education, so as to comprehensively improve the application effect of ERAS.
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