加速康复外科理念下吸入疗法在围术期气道管理中的应用与效果

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通信作者：,Email:huaqinli1118@163.com

基金项目：2024年广州新华学院高等教育教学改革项目(2024J060);2024年大学生创新创业训练计划项目(S202413902028)DOI:10.19522/j.cnki.1671-5098.2025.07.001

Application and effectiveness of inhalation therapy in perioperative airway management under the guidance of the enhanced recovery after surgery concept

ChenJinyan,LinYuzi,LiHuaqin

CollegeofHealthy,GuangzhouXinhuaUniversity,Guangzhou5lo52o,China Correspondingauthor:LiHuaqin,Email:huaqinlil1l8@l63.com

【Abstract】 ObjectiveTo evaluate the current statusand effctiveness of inhalation therapy applied by surgeons in Guangzhou for perioperative airway management under the Enhanced Recovery After Surgery (ERAS) guidelies.MethodsFrom March18th to March 25th,2024,a cross-sectional survey was conducted using the Questionnaire Starplatformand aconvenience sampling method among 193 surgeons from12medicalinstitutions in Guangzhou that had formalladopted ERAS guidelines toassess the application of inhalation therapy within the ERAS framework and its impact on perioperative airway management.ResultsUnderstanding of the ERAS concept varied among doctors based onage,title,hospital types,and clinical department.Clinical teaching and handson training were identified as the primary learning methods for ERAS.Surgeons prioritized patient-specific factors, surgical methods，and associated riskswhen managing the airway during theperioperative period.Common management strategies included blood gasanalysis,optimized anesthesia techniques,and theuse of nebulization/ inhalation devices.Nebulized drug delivery is widely used both preoperatively and postoperatively，with common ERAS medications including fluticasone propionate,salbutamol sulfate,aminophyline,and beclomethasone propionate.The applicationof ERAS in perioperative airway management can reduce surgical risk,allviate postoperative painandcomplications,promotefunctionalrecovery,shortenhospital stay,andreduce medicalcosts.Theef-fect of inhalationtherapy( P

application of inhalation therapy.

【Key words】Enhanced recovery after surgery; Inhalation therapy；Perioperative; Airway management Fund program: The 2O24 Higher Education Teaching Reform Project of Guangzhou Xinhua University

(2024J060);The 2024 College Student'sInnoration and Entrepreneurship TrainingProgram Project

(S202413902028) DOI:10.19522/j.cnki.1671-5098.2025.07.001

近年来,加速康复外科(enhancedrecoveryaftersurgery，ERAS)理念显著改善了围术期管理，已广泛应用于骨科[]、胸外科[2]、神经外科[]、泌尿外科[4]、产科[5]和肝胆外科等领域。（剩余13332字）