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中华移植杂志(电子版)

中华移植杂志(电子版) ›› 2024, Vol. 18 ›› Issue (01) : 55 -59. doi: 10.3877/cma.j.issn.1674-3903.2024.01.011

综述

加速康复外科在肾移植围手术期应用的研究进展
陆婷1, 姜巧玲1, 孙黎1, 王雪静1,†()   
  1. 1. 210003　南京医科大学第一附属医院泌尿外科
  • 收稿日期:2023-09-06 出版日期:2024-02-25
  • 通信作者: 王雪静
  • 基金资助:
    江苏省科教能力提升工程(ZDXK 202219)

Research progress in application of enhanced recovery after surgery concept in perioperative period of kidney transplantation

Ting Lu1, Qiaoling Jiang1, Li Sun1, Xuejing Wang1,†()   

  1. 1. Department of Urology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210003, China
  • Received:2023-09-06 Published:2024-02-25
  • Corresponding author: Xuejing Wang
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陆婷, 姜巧玲, 孙黎, 王雪静. 加速康复外科在肾移植围手术期应用的研究进展[J]. 中华移植杂志(电子版), 2024, 18(01): 55-59.

Ting Lu, Qiaoling Jiang, Li Sun, Xuejing Wang. Research progress in application of enhanced recovery after surgery concept in perioperative period of kidney transplantation[J]. Chinese Journal of Transplantation(Electronic Edition), 2024, 18(01): 55-59.

随着肾移植技术的逐渐成熟，加速康复外科(ERAS)理念在肾移植手术中备受关注。为进一步提高肾移植围手术期管理水平，本文从术前、术中、术后三个阶段就ERAS理念在肾移植围手术期的应用进展进行综述，为其临床推广提供参考。

关键词: 加速康复外科, 肾移植, 围手术期

With the gradual maturity of kidney transplantation technology, the concept of enhanced recovery after surgery (ERAS) has attracted much attention in kidney transplantation surgery. In order to further improve perioperative management of kidney transplantation, this paper quotes the research results of some scholars to review the application progress of ERAS concept in perioperative period of kidney transplantation from the three stages of preoperative, intraoperative and postoperative, so as to provide reference for its application and promotion.

Key words: Enhanced recovery after surgery, Kidney transplantation, Perioperative period
1
Dias BH, Rana AAM, Olakkengil SA, et al. Development and implementation of an enhanced recovery after surgery protocol for renal transplantation[J]. ANZ J Surg, 2019,89(10):1319-1323.
2
Elsabbagh AM, Ghoneim I, Moiz A, et al. Enhanced recovery after surgery pathway in kidney transplantation: the road less traveled[J]. Transplant Direct, 2022,8(7):e1333.
3
国家卫生健康委员会医管中心加速康复外科专家委员会器官移植学组. 中国肾移植围手术期加速康复管理专家共识(2018版)[J/CD]. 中华移植杂志：电子版，2018,12(4):151-156.
4
De Pasquale C, Pistorio ML, Veroux M, et al. Psychological and psychopathological aspects of kidney transplantation: a systematic review[J]. Front Psychiatry, 2020,11:106.
5
Golder HJ, Papalois V. Enhanced recovery after surgery: history, key advancements and developments in transplant surgery[J]. J Clin Med, 2021,10(8):1634.
6
Jaszczuk S, Natarajan S, Papalois V. Anaesthetic approach to enhanced recovery after surgery for kidney transplantation: a narrative review[J]. J Clin Med, 2022,11(12):3435.
7
Chadban SJ, Ahn C, Axelrod DA, et al. KDIGO clinical practice guideline on the evaluation and management of candidates for kidney transplantation[J]. Transplantation, 2020,104(4S1 Suppl 1):S11-S103.
8
Egholm JW, Pedersen B, Møller AM, et al. Perioperative alcohol cessation intervention for postoperative complications[J]. Cochrane Database Syst Rev, 2018,11(11):CD008343.
9
Wischmeyer PE, Carli F, Evans DC, et al. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on nutrition screening and therapy within a surgical enhanced recovery pathway[J]. Anesth Analg, 2018,126(6):1883-1895.
10
Yamagata K, Hoshino J, Sugiyama H, et al. Clinical practice guideline for renal rehabilitation: systematic reviews and recommendations of exercise therapies in patients with kidney diseases[J]. Ren Replace Ther, 2019,5:28.
11
Chronic kidney disease: assessment and management[S]. London: National Institute for Health and Care Excellence (NICE), 2021.
12
Mikhail A, Brown C, Williams JA, et al. Renal association clinical practice guideline on anaemia of chronic kidney disease[J]. BMC Nephrol, 2017,18(1):345.
13
Makaryus R, Miller TE, Gan TJ. Current concepts of fluid management in enhanced recovery pathways[J]. Br J Anaesth. 2018,120(2):376-383.
14
Ackerman RS, Tufts CW, DePinto DG, et al. How sweet is this? A review and evaluation of preoperative carbohydrate loading in the enhanced recovery after surgery model[J]. Nutr Clin Pract, 2020,35(2):246-253.
15
钟晓，兰卫华，王洛夫，等. 机器人肾移植术围手术期疗效分析[J]. 陆军军医大学学报，2022,44(18):1862-1866.
16
谭顺成，崔建春，宋永琳，等. 机器人辅助腹腔镜肾移植术初步经验(附22例报告)[J]. 微创泌尿外科杂志，2021,10(3):157-162.
17
赵鉴明，范阳，陈欣. 机器人辅助腹腔镜同种异体肾移植术的早中期结果[J]. 微创泌尿外科杂志，2021,10(2):80-83.
18
Wang K, Wu M, Xu J, et al. Effects of dexmedetomidine on perioperative stress, inflammation, and immune function: systematic review and meta-analysis[J]. Br J Anaesth. 2019,123(6):777-794.
19
Park JH, Koo BN, Kim MS, et al. Effects of intraoperative dexmedetomidine infusion on renal function in elective living donor kidney transplantation: a randomized controlled trial[J]. Can J Anaesth, 2022,69(4):448-459.
20
贾强，田芬，詹丽英，等. Narcotrend监测下右美托咪定在肾移植手术麻醉中的应用[J]. 武汉大学学报(医学版), 2018,39(3):447-450.
21
李洪，周汝虹，王东，等. 术前超声引导下腰方肌阻滞联合全身麻醉对肾移植患者术后血清应激反应和疼痛相关指标的影响[J]. 现代生物医学进展，2022,22(18):3489-3493.
22
安奕，赵磊，王天龙，等. 超声引导下竖脊肌平面阻滞用于肾移植手术术后镇痛的临床疗效观察[J]. 北京医学，2022,44(7):590-598.
23
王璇，王敏，田蜜，等. 超声引导下竖脊肌阻滞在同种异体肾移植术中的应用[J]. 2022,42(4):905-910.
24
Becerra Á, Valencia L, Villar J, et al. Short-periods of pre-warming in laparoscopic surgery. A non-randomized clinical trial evaluating current clinical practice[J]. J Clin Med, 2021,10(5):1047.
25
Hypothermia: prevention and management in adults having surgery[S]. London: National Institute for Health and Care Excellence (NICE), 2016.
26
Perez Jimenez P, Kim SJ, McCluskey SA. Fluid management for kidney transplantation: is it really about more or less？[J]. Can J Anaesth, 2022,69(1):13-17.
27
Collange O, Tacquard C, Oulehri W, et al. Hemodynamic management during kidney yransplantation: a French survey[J]. Transplant Proc, 2021,53(5):1450-1453.
28
Wagener G, Bezinover D, Wang C, et al. Fluid management during kidney transplantation: a consensus statement of the committee on transplant anesthesia of the American Society of Anesthesiologists[J]. Transplantation, 2021,105(8):1677-1684.
29
Cavaleri M, Veroux M, Palermo F, et al. Perioperative goal-directed therapy during kidney transplantation: an impact evaluation on the major postoperative complications[J]. J Clin Med, 2019,8(1):80.
30
吴钿生，周洪彬，黄焕森. 目标导向液体治疗对肾移植术后早期功能恢复及并发症的影响[J]. 临床麻醉学杂志，2020,36(10):980-983.
31
Romano DN, Smith NK, Vasisko CR, et al. Abdominal organ transplantation: noteworthy literature in 2019[J]. Semin Cardiothorac Vasc Anesth, 2020,24(2):159-174.
32
Amer A, Scuffell C, Dowen F, et al. A national survey on enhanced recovery for renal transplant recipients: current practices and trends in the UK[J]. Ann R Coll Surg Engl, 2023;105(2):166-172.
33
莫珊，李青，罗远国，等. 地佐辛联合右美托咪定在肾移植术后镇痛镇静中的效果及对患者肾功能的影响[J/CD]. 中国医学前沿杂志：电子版，2019,11(1):122-125.
34
孟晓云，张旭，迟佳鑫，等. 加速康复外科在肾移植护理中的应用现状与展望[J/CD]. 实用器官移植电子杂志，2020,8(3):163-166.
35
张桂诚，喻文立. 经皮穴位电刺激对肾移植术后胃肠功能障碍的干预效果评价[J]. 中国中西医结合外科杂志，2020,26(5):864-870.
36
徐小松，唐茂芝，李羿，等. 加速康复外科在肾移植术后静脉补液中的应用[J]. 中华移植杂志：电子版，2019,13(3):224-227.
37
Gomes-Neto AW, Osté MCJ, Sotomayor CG, et al. Mediterranean style diet and kidney function loss in kidney transplant recipients[J]. Clin J Am Soc Nephrol, 2020,15(2):238-246.
38
Tantisattamo E, Kalantar-Zadeh K, Molnar MZ. Nutritional and dietary interventions to prolong renal allograft survival after kidney transplantation[J]. Curr Opin Nephrol Hypertens, 2022,31(1):6-17.
39
Zhu Q, Yang J, Zhang Y, et al. Early mobilization intervention for patient rehabilitation after renal transplantation[J]. Am J Transl Res, 2021,13(6):7300-7305.
40
潘闪光．运动疗法对促进肾移植术后患者快速康复的疗效观察[D]. 安徽医科大学，2021.
41
李果，赵上萍，王妙维，等. 早期康复训练在肾移植受体患者术后应用的效果观察[J]. 华西医学，2021,36(5):578-581.
42
O′Neill S, McGrogan D, Sweeney N, et al. Application of enhanced recovery after surgery in patients undergoing kidney transplant: the Belfast Protocol[J]. Transplant Proc, 2021,53(7):2204-2205.
43
Prionas A, Craddock C, Papalois V. Enhanced recovery after renal transplantation decreases recipients′ urological complications and hospital stay: a systematic review and meta-analysis[J]. J Clin Med, 2021,10(11):2286.
44
杨国莉，刘佳，赵洪圉，等. 肾移植患者服药依从性的行为特征[J]. 中南大学学报(医学版), 2022,47(6):762-770.
45
张融冰，武小强，王小青，等. 基于理性行为理论的家属同步健康教育在肾移植围手术期中的应用[J]. 中华全科医学，2022, 20(11):1909-1912.
46
刘佳，方春华，张红，等. 基于新媒体的肾移植患者健康教育方案的构建[J]. 护理学杂志，2019,34(12):87-90.
47
黄媛媛，傅巧美，刘光香，等. 肾移植患者基于"互联网＋"延续护理的效果观察[J]. 护理学报，2020,27(8):69-72.
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