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ERAS理念下踝关节骨折诊疗方案优化的专家共识

Expert consensus on optimizing ankle fracture treatment based on ERAS concept

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【作者】 李庭孙志坚柴益民张堃东靖明孙旭周雁赵霞米萌肖鸿鹄王京翟建坡王倩李旭高志强彭贵凌王爱国刘利民胡三保王剑芮云峰吴新宝余斌裴福兴田伟高鹏刘璠姜保国唐佩福王满宜李宁张英泽邱贵兴

【Author】 LI Ting;SUN Zhijian;CHAI Yimin;ZHANG Kun;DONG Jingming;SUN Xu;ZHOU Yan;ZHAO Xia;MI Meng;XIAO Honghao;WANG Jing;ZHAI Jianpo;WANG Qian;LI Xu;GAO Zhiqiang;PENG Guiling;WANG Aiguo;LIU Limin;HU Sanbo;WANG Jian;RUI Yunfeng;WU Xinbao;YU Bin;PEI Fuxing;TIAN Wei;GAO Peng;LIU Fan;JIANG Baoguo;TANG Peifu;WANG Manyi;LI Ning;ZHANG Yingze;QIU Guixing;Orthopaedic Trauma Committee of Bethune Public Welfare Foundation;Orthopaedic Trauma Society of Branch of enhanced recovery after surgery of China International Exchange and Promotive Association for Medical and Health Care;Department of Orthopaedic Trauma, Beijing Jishuitan Hospital;Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital;Department of Orthopaedic Trauma, Xi’an RedCross Hospital;Department of Orthopaedics, Tianjin Hospital;Department of Anesthesiology, Beijing Jishuitan Hospital;Department of Nutriology, Beijing Jishuitan Hospital;Department of Urology Surgery, Beijing Jishuitan Hospital;Department of Endocrinology, Beijing Jishuitan Hospital;Department of Rehabilitation, Beijing Jishuitan Hospital;Department of Orthopaedics, Zhengzhou Orthopaedics Hospital;Department of Orthopaedics, Xuanwu Hospital, Capital Medical University;Department of Orthopaedics, Beijing Anzhen Hospital, Capital Medical University;Department of Orthopaedics, The First Hospital of Fangshan District;Department of Orthopaedics, Zhongda Hospital, Southeast University;Department of Orthopaedic Trauma, Nanfang Hospital, Southern Medical University;Department of Orthopaedics, West China Hospital, Sichuan University;Department of Orthopaedic Spine, Beijing Jishuitan Hospital;Department of Orthopaedics, Peking Union Medical College Hospital,CAMS & PUMC;Department of Orthopaedics, The Affiliated Hospital of Nantong University;Department of Orthopaedic Trauma, Peking University People’s Hospital;Department of Orthopaedics, General Hospital of PLA;Department of Colorectal Disease, Tenth People’s Hospital of Tongji University;Center of Orthopaedic Trauma,The Third Hospital of Hebei Medical University;

【通讯作者】 吴新宝;余斌;裴福兴;田伟;高鹏;刘璠;姜保国;唐佩福;王满宜;李宁;张英泽;邱贵兴;

【机构】 白求恩公益基金会创伤骨科专业委员会中国医疗保健国际交流促进会加速康复外科学分会创伤骨科学组北京积水潭医院创伤骨科上海交通大学附属第六人民医院骨科西安市红十字会医院创伤骨科天津医院骨科北京积水潭医院麻醉科北京积水潭医院营养科北京积水潭医院泌尿外科北京积水潭医院内分泌科北京积水潭医院康复科郑州市骨科医院骨科首都医科大学附属宣武医院骨科首都医科大学附属北京安贞医院骨科北京市房山区第一医院骨科东南大学附属中大医院骨科南方医科大学南方医院创伤骨科四川大学华西医院骨科北京积水潭医院脊柱外科中国医学科学院北京协和医学院北京协和医院骨科南通大学附属医院骨科北京大学人民医院创伤骨科解放军总医院骨科同济大学附属第十人民医院结直肠病专科河北医科大学第三医院创伤急救中心

【摘要】 踝关节骨折是创伤骨科常见骨折之一。通过引入加速康复外科(enhanced recovery after surgery,ERAS)理念,对围手术期处理措施进行全面优化,可以进一步提高患者诊疗效果。为规范ERAS临床路径在踝关节骨折中的应用,基于前期研究经验,以循证医学证据为依据,经过全国专家组反复讨论,编制该专家共识,供全国创伤骨科医师在临床工作中参考。该共识适用于所有进行择期手术治疗的成人新鲜踝关节骨折患者。共识共包含25条推荐意见,就踝关节骨折患者急诊处理、术前准备、术中处理以及术后恢复进行了全面介绍。

【Abstract】 Ankle fracture is one of the most common fractures in traumatic orthopedics. The introduction of Enhanced Recovery After Surgery(ERAS), optimizing perioperative protocols all sidedly, can further improve the quality of diagnosis and treatment. To improve the application of ERAS clinical pathway in ankle fracture treatment, based on preliminary experience and evidence-based medicine, we complied this expert consensus after repetitive discussion. This consensus contained 25 recommendations, including comprehensive introductions of emergency management, preoperative preparation, intraoperative treatment and postoperative recovery. It is applicable to all adult fresh ankle fracture patients undergoing selective operations.

【基金】 首都卫生发展科研专项(首发2018-1-2072)
  • 【文献出处】 中华骨与关节外科杂志 ,Chinese Journal of Bone and Joint Surgery , 编辑部邮箱 ,2019年01期
  • 【分类号】R687.3
  • 【被引频次】55
  • 【下载频次】1390
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