陆军总医院骨科;中国医学科学院北京协和医学院北京协和医院骨科;北京大学第三医院骨科;北京大学第一医院骨科;中国康复研究中心北京博爱医院骨科;北京医院骨科;中国医科大学附属第一医院骨科;苏州大学附属第一医院骨科;复旦大学附属中山医院骨科;浙江大学医学院附属第二医院骨科;南方医科大学第三附属医院骨科;第四军医大学西京医院骨科;山西大医院骨科;
加速康复外科(enhanced recovery after surgery,ERAS)是基于循证医学证据的一系列围术期优化措施,以减少围术期的生理与心理创伤应激,减少并发症,达到加速康复的目的。但是目前针对脊柱手术尚无一整套ERAS体系协助患者从术前、术中到术后快速康复。通过查阅文献,遵循循证医学原则,经过全国专家组反复讨论,针对脊柱外科手术患者围术期管理达成共识,供广大脊柱外科医师在临床工作中参考应用。本共识主要内容包括:术前宣教、术前评估及管理、抗菌药物使用与皮肤准备、麻醉、手术技术、激素应用、围术期血液管理与输液管理、血栓预防、疼痛管理、术后消化道管理、切口引流管管理、尿管管理、术后康复锻炼和出院后管理。
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基本信息:
DOI:
中图分类号:R687.3
引用信息:
[1]孙天胜,沈建雄,刘忠军等.中国脊柱手术加速康复——围术期管理策略专家共识[J].中华骨与关节外科杂志,2017,10(04):271-279.
基金信息: