【摘要】 骨科手术围手术期疼痛控制直接影响患者术后康复效果与医疗质量。应用已证实有效的方法降低围手术期疼痛可减少疼痛的相关并发症,加速患者术后康复,提高患者满意度。通过查阅文献,中国康复技术转化及发展促进会、中国研究型医院学会、中国医疗保健国际交流促进会和白求恩公益基金会组织专家,基于国家卫生健康委员会公益性行业科研专项《关节置换术安全性与效果评价》项目组数据库大样本数据分析,遵循循证医学原则,经全国专家反复讨论和通讯修改,针对骨科围手术期疼痛管理形成本指南,供广大骨科医师在临床工作中参考。本指南主要内容包括骨科围手术期疼痛管理的目的、原则、疼痛分类及评估方法,根据不同患者术前、术中、术后的疼痛特点归纳了一系列镇痛措施,并强调了氨甲环酸和糖皮质激素在围手术期抑制炎症反应、减轻疼痛中的作用。更多还原

【Abstract】 The perioperative pain control directly affects the postoperative rehabilitation and medical quality of orthopedic surgery. Application of approved efficient pain management in perioperative period can reduce analgesic related complications, enhance functional rehabilitation, and improve patients’ satisfaction. By reviewing the literatures, based on the database of the project group for the"National Health Commission’s public-benefit project: the safety and effect assessment of joint arthroplasty", the China Association of Rehabilitation Technology Transformation and Promotion, Chinese Research Hospital Association,China International Exchange and Promotion Association for Medical and Healthcare and Bethune Charitable Foundation organized experts to make the guideline following the principles of evidence-based medicine. After repeated discussions and communications as well as revisions, we reached the consensus on the perioperative pain management in patients undergoing orthopedic surgery so as to guide the daily clinical practice for a wide range of orthopedic surgeons. This guideline contained the objectives, principles, classification and evaluation method of perioperative pain and a series of analgesic programs based on the characteristics of pain in different patients before, during and after surgery and emphasized the role of tranexamic acid and glucocorticoids in suppressing inflammatory response and relieving pain during the perioperative period.更多还原