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。
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.
作者
无
周宗科
廖刃
唐佩福
曹力
屠重棋
吴新宝
王浩洋
李庭
王光林
沈慧勇
孙天胜
王飞
刘浩
赵劲民
翁习生
杨惠林
姜保国
邱贵兴
裴福兴
无;ZHOU Zongke;LIAO Ren;TANG Peifu;CAO Li;TU Zhongqi;WU Xinbao;WANG Haoyang;LI Ting;WANG Guanglin;SHEN Huiyong;SUN Tiansheng;WANG Fei;LIU Hao;ZHAO Jinmin;WENG Xisheng;YANG Huilin;JIANG Baoguo;QIU Guixing;PEI Fuxing(China Association of Rehabilitation Technology Transformation and Promotion;Chinese Research Hospital Association;China International Exchange and Promotion Association for Medical and Healthcare;Bethune Charitable Foundation;Department of Orthopedics,West China Hospital,Sichuan University,Chengdu 610041;Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041;Department of Orthopedics,Chinese PLA General Hospital,Beijing 100853;Department of Orthopedics,First Affiliat⁃ed Hospital,Xinjiang Medical University,Urumchi 830054;Department of Orthopedics,Beijing Jishuitan Hospital,Bei⁃jing 100035;Department of Orthopedics,the Eighth Affiliated Hospital,Sun Yat-Sen University,Guangzhou 510120;Department of Orthopedics,the Seventh Medical Center of PLA General Hospital,Beijing 100700;Department of Ortho⁃pedics,Third Hospital of Hebei Medical University,Shijiazhuang 050051;Department of Orthopedics,the First Affiliated Hospital of Guangxi Medical University,Nanning 530000;Department of Orthopedics,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730;Department of Orthopedics,the First Affiliated Hospital of Soochow Univer⁃sity,Suzhou 215006,Jiangsu;Department of Orthopedics,Peking University People's Hospital,Beijing 100044,China)
出处
《中华骨与关节外科杂志》
2019年第12期929-938,共10页
Chinese Journal of Bone and Joint Surgery
关键词
骨科手术
疼痛
加速康复
Orthopedic Surgery
Pain
Enhanced Recovery After Surgery
作者简介
共同第一作者:廖刃;共同第一作者:唐佩福;共同第一作者:曹力;共同第一作者:屠重棋;共同第一作者:吴新宝;共同第一作者:王浩洋;共同第一作者:李庭;共同第一作者:王光林;共同第一作者:沈慧勇;共同第一作者:孙天胜;共同第一作者:王飞;共同第一作者:刘浩;共同第一作者:赵劲民;通信作者:翁习生,E-mail:xshweng@medmail.com.cn;通信作者:杨惠林,E-mail:suzhouspine@163.com;通信作者:姜保国,E-mail:jiangbaoguo@vip.sin;通信作者:邱贵兴,E-mail:qguixing@126.com;通信作者:裴福兴,E-mail:peifuxing@vip.163.com。
