国家卫生和计划生育委员会公益性行业科研专项《关节置换术安全与效果评价》项目组;中华医学会骨科学分会关节外科学组;中国医疗保健国际交流促进会骨科分会关节外科委员会;四川大学华西医院骨科;中国医学科学院北京协和医学院北京协和医院骨科;四川大学华西医院麻醉科;北京朝阳医院骨科;上海市第六人民医院骨科;新疆医科大学第一附属医院骨科;浙江大学附属第二医院骨科;中山大学附属第一医院骨科;上海长征医院骨科;上海交通大学医学院附属第九人民医院骨科;北京大学第三医院骨科;上海长征医院麻醉科;中国医学科学院北京协和医学院北京协和医院麻醉科;西安交通大学医学院第二附属医院骨科;四川大学华西医院精神科;
加速康复外科(enhanced recovery after surgery,ERAS)理念的核心是在围术期应用已证实有效的方法减少手术应激,降低疼痛与并发症的发生率,加快功能康复,提高患者满意度。而疼痛和睡眠障碍是影响患者加速康复的重要原因。基于国家卫生和计划生育委员会(简称"国家卫计委")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,经全国专家组反复讨论,编辑整理完成本共识,供广大骨科医师在临床工作中参考。本共识主要分为两大部分,前一部分为髋、膝关节置换术围术期疼痛的管理,重点包括疼痛的评估,疼痛管理的目的、原则和疼痛管理的常用方法以及疼痛管理流程;后一部分介绍围术期睡眠障碍的分类、原因、临床表现和境遇性失眠、慢性失眠及焦虑型失眠的诊断和处理。
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基本信息:
DOI：
中图分类号:R687.4
引用信息:
[1]沈彬,翁习生,廖刃等.中国髋、膝关节置换术加速康复——围术期疼痛与睡眠管理专家共识[J].中华骨与关节外科杂志,2016,9(02):91-97.
基金信息: