2016 01 v.9 1-9
中国髋、膝关节置换术加速康复——围术期管理策略专家共识
基金项目(Foundation):
邮箱(Email):
DOI:
中文作者单位:
国家卫生计生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;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;北京朝阳医院骨科;上海市第六人民医院骨科;浙江大学第二附属医院骨科;新疆医科大学第一附属医院骨科;上海交通大学医学院附属第九人民医院骨科;中山大学附属第一医院骨科;上海长征医院骨科;第三军医大学西南医院骨科;第四军医大学西京医院骨科;南方医科大学南方医院骨科;重庆医科大学第一附属医院骨科;南京军区总医院骨科;四川大学华西医院麻醉科;四川大学华西医院精神科;西安交通大学医学院第二附属医院骨科;
摘要(Abstract):
加速康复外科(enhanced recovery after surgery,ERAS)是采用有循证医学证据证明有效的围术期处理措施,降低手术创伤的应激反应、减少并发症、提高手术安全性和患者满意度,从而达到加速康复的目的。ERAS在髋、膝关节置换术(total hip/knee arthroplasty,THA/TKA)中的重点在于提高手术操作技术和优化围术期管理,包括减少创伤和出血、优化疼痛与睡眠管理、预防感染、预防静脉血栓栓塞症(venous thromboembolism,VTE),以及优化引流管、尿管和止血带的应用等。通过查阅文献,基于国家卫生计生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,经过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应用。本共识主要内容包括:患者教育、营养支持、麻醉管理、微创操作理念、围术期血液管理、预防感染、预防VTE、优化镇痛方案、睡眠管理、优化止血带应用、伤口管理、优化尿管应用、预防术后恶心呕吐(postoperative nausea and vomiting,PONV)、功能锻炼、出院后管理和随访管理。
关键词(KeyWords):
加速康复;;全髋关节置换术;;全膝关节置换术;;围术期管理
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参考文献
[1]Rahman L,Oussedik S.Patient preparation for total knee arthroplasty:reducing blood loss,thromboprophylaxis and reducing infection risk//Total Knee Arthroplasty.Germany:Springer,2015:57-67.
[2]Chiung-Jui Su D,Yuan KS,Weng SF,et al.Can early rehabilitation after total hip arthroplasty reduce its major complications and medical xxpenses?Report from a nationally representative cohort.Biomed Res Int,2015,2015:641958.
[3]Van Egmond JC,Verburg H,Mathijssen NM.The first 6weeks of recovery after total knee arthroplasty with fast track:A diary study of 30 patients.Acta orthop,2015,86(6):708-713.
[4]D'Lima DD,Colwell CWJr,Morris BA,et al.The effect of preoperative exercise on total knee replacement outcomes.Clin Orthop Relat Res,1996,(326):174-182.
[5]Mc Donald S,Page MJ,Beringer K,et al.Preoperative education for hip or knee replacement.Cochrane Database Syst Rev,2014,5:Cd003526.
[6]Jordan RW,Smith NA,Chahal GS,et al.Enhanced education and physiotherapy before knee replacement;is it worth it?A systematic review.Physiotherapy,2014,100(4):305-312.
[7]Ibrahim MS,Khan MA,Nizam I,et al.Peri-operative interventions producing better functional outcomes and enhanced recovery following total hip and knee arthroplasty:an evidence-based review.BMC Med,2013,11:37.
[8]Inacio MC,Kritz-Silverstein D,Raman R,et al.The impact of pre-operative weight loss on incidence of surgical site infection and readmission rates after total joint arthroplasty.J Arthroplasty,2014,29(3):458-464.
[9]Berend KR,Lombardi AV Jr,Mallory TH.Rapid recovery protocol for peri-operative care of total hip and total knee arthroplasty patients.Surg Technol Int,2004,13:239-247.
[10]Moon MS,Kim SS,Lee SY,et al.Preoperative nutritional status of the surgical patients in Jeju.Clin Orthop Surg,2014,6(3):350-357.
[11]Schwarzkopf R,Russell TA,Shea M,et al.Correlation between nutritional status and Staphylococcus colonization in hip and knee replacement patients.Bull NYU Hosp Jt Dis,2011,69(4):308-311.
[12]Alfargieny R,Bodalal Z,Bendardaf R,et al.Nutritional status as a predictive marker for surgical site infection in total joint arthroplasty.Avicenna J Med,2015,5(4):117-122.
[13]Smith MD,Mc Call J,Plank L,et al.Preoperative carbohydrate treatment for enhancing recovery after elective surgery.Cochrane Database Syst Rev,2014,8:Cd009161.
[14]Aronsson A,Al-Ani NA,Brismar K,et al.A carbohydraterich drink shortly before surgery affected IGF-I bioavailability after a total hip replacement.A double-blind placebo controlled study on 29 patients.Aging Clin Exp Res,2009,21(2):97-101.
[15]Boldt J.Fluid management of patients undergoing abdominal surgery--more questions than answers.Eur J Anaesthesiol,2006,23(8):631-640.
[16]曾建伟,沈彬,杨静,等.微创切口与传统切口对全膝关节置换术后切口外侧皮肤感觉障碍影响的对比研究.中华解剖与临床杂志,2015,20(1):1-6.
[17]Huang Z,Shen B,Ma J,et al.Mini-midvastus versus medial parapatellar approach in TKA:muscle damage and inflammation markers.Orthopedics,2012,35(7):e1038-1045.
[18]Spahn DR.Anemia and patient blood management in hip and knee surgery:a systematic review of the literature.Anesthesiology,2010,113(2):482-495.
[19]Musallam KM,Tamim HM,Richards T,et al.Preoperative anaemia and postoperative outcomes in non-cardiac surgery:a retrospective cohort study.Lancet,2011,378(9800):1396-1407.
[20]Beattie WS,Karkouti K,Wijeysundera DN,et al.Risk associated with preoperative anemia in noncardiac surgery:a singlecenter cohort study.Anesthesiology,2009,110(3):574-581.
[21]Rojas Hernandez CM,Oo TH.Advances in mechanisms,diagnosis,and treatment of pernicious anemia.Discov Med,2015,19(104):159-168.
[22]Alsaleh K,Alotaibi GS,Almodaimegh HS,et al.The use of preoperative erythropoiesis-stimulating agents(ESAs)in patients who underwent knee or hip arthroplasty:a meta-analysis of randomized clinical trials.J Arthroplasty,2013,28(9):1463-1472.
[23]Yang Y,Li H,Li B,et al.Efficacy and safety of iron supplementation for the elderly patients undergoing hip or knee surgery:a meta-analysis of randomized controlled trials.J Surg Res,2011,171(2):e201-207.
[24]周宗科,翁习生,向兵,等.中国髋、膝关节置换术加速康复——围术期贫血诊治专家共识.中华骨与关节外科杂志,2016,9(1):10-15.
[25]Ma J,Huang Z,Shen B,et al.Blood management of staged bilateral total knee arthroplasty in a single hospitalization period.J Orthop Surg Res,2014,9:116.
[26]Yun SH,Kim JH,Kim HJ.Comparison of the hemodynamic effects of nitroprusside and remifentanil for controlled hypotension during endoscopic sinus surgery.J Anesth,2015,29(1):35-39.
[27]周宗科,裴福兴,杨静,等.预存自体输血在全髋关节置换手术中的应用.中国矫形外科杂志,2002,10(10):947-949.
[28]Hoylaerts M,Lijnen HR,Collen D.Studies on the mechanism of the antifibrinolytic action of tranexamic acid.Biochim Biophys Acta,1981,673(1):75-85.
[29]Xie J,Ma J,Yue C,et al.Combined use of intravenous and topical tranexamic acid following cementless total hip arthroplasty:a randomised clinical trial.Hip Int,2016,26(1):36-42.
[30]Huang Z,Ma J,Shen B,et al.Combination of intravenous and topical application of tranexamic acid in primary total knee arthroplasty:a prospective randomized controlled trial.J Arthroplasty,2014,29(12):2342-2346.
[31]岳辰,周宗科,裴福兴,等.中国髋、膝关节置换术围术期抗纤溶药序贯抗凝血药应用方案的专家共识.中华骨与关节外科杂志,2015,8(4):281-285.
[32]Sehat KR,Evans R,Newman JH.How much blood is really lost in total knee arthroplasty?.Correct blood loss management should take hidden loss into account.Knee,2000,7(3):151-155.
[33]World Health Organization.Iron deficiency anaemia assessment,prevention and control:a guide for programme managers.2001.
[34]Lin DM,Lin ES,Tran MH.Efficacy and safety of erythropoietin and intravenous iron in perioperative blood management:a systematic review.Transfus Med Rev,2013,27(4):221-234.
[35]中华医学会麻醉学分会.围术期输血的专家共识.临床麻醉学杂志,2009,25(3):189-191.
[36]Namba RS,Inacio MC,Paxton EW.Risk factors associated with deep surgical site infections after primary total knee arthroplasty:an analysis of 56,216 knees.J Bone Joint Surg Am,2013,95(9):775-782.
[37]Chen J,Cui Y,Li X,et al.Risk factors for deep infection after total knee arthroplasty:a meta-analysis.Arch Orthop Trauma Surg,2013,133(5):675-687.
[38]Lindeque B,Hartman Z,Noshchenko A,et al.Infection after primary total hip arthroplasty.Orthopedics,2014,37(4):257-265.
[39]中华医学会骨科学分会.中国骨科大手术静脉血栓栓塞症预防指南.中华骨科杂志,2009,29(6):602-604.
[40]Januel JM,Chen G,Ruffieux C,et al.Symptomatic in-hospital deep vein thrombosis and pulmonary embolism following hip and knee arthroplasty among patients receiving recommended prophylaxis:a systematic review.JAMA,2012,307(3):294-303.
[41]王浩洋,康鹏德,裴福兴,等.氨甲环酸减少全髋关节置换术围手术期失血的有效性及安全性研究.中国骨与关节杂志,2015,(8):649-654.
[42]Lewis GN,Rice DA,Mc Nair PJ,et al.Predictors of persistent pain after total knee arthroplasty:a systematic review and meta-analysis.Br J Anaesth,2015,114(4):551-561.
[43]康鹏德,王浩洋,沈彬,等.加入局部浸润镇痛的多模式镇痛在全膝关节置换中的应用.中华骨科杂志,2013,33(3):246-251.
[44]谭振,康鹏德,裴福兴,等.多模式镇痛下收肌管与股神经阻滞在全膝关节置换术后初期镇痛及早期康复中的作用.中华骨科杂志,2015,35(9):914-920.
[45]Bourne MH.Analgesics for orthopedic postoperative pain.Am J Orthop(Belle Mead NJ),2004,33(3):128-135.
[46]Richman JM,Liu SS,Courpas G,et al.Does continuous peripheral nerve block provide superior pain control to opioids?A meta-analysis.Anesth Analg,2006,102(1):248-257.
[47]Fowler SJ,Symons J,Sabato S,et al.Epidural analgesia compared with peripheral nerve blockade after major knee surgery:a systematic review and meta-analysis of randomized trials.Br J Anaesth,2008,100(2):154-164.
[48]Li D,Yang Z,Xie X,et al.Adductor canal block provides better performance after total knee arthroplasty compared with femoral nerve block:a systematic review and meta-analysis.Int Orthop,2015 Oct 10.[Epub ahead of print].
[49]Busch CA,Shore BJ,Bhandari R,et al.Efficacy of periarticular multimodal drug injection in total knee arthroplasty.A randomized trial.J Bone Joint Surg Am,2006,88(5):959-963.
[50]Mullaji A,Kanna R,Shetty GM,et al.Efficacy of periarticular injection of bupivacaine,fentanyl,and methylprednisolone in total knee arthroplasty:a prospective,randomized trial.J Arthroplasty,2010,25(6):851-857.
[51]Chan EY,Blyth FM,Nairn L,et al.Acute postoperative pain following hospital discharge after total knee arthroplasty.Osteoarthritis Cartilage,2013,21(9):1257-1263.
[52]Su EP,Perna M,Boettner F,et al.A prospective,multi-center,randomised trial to evaluate the efficacy of a cryopneumatic device on total knee arthroplasty recovery.J Bone Joint Surg Br,2012,94(11 Suppl A):153-156.
[53]Buvanendran A,Kroin JS,Tuman KJ,et al.Effects of perioperative administration of a selective cyclooxygenase 2 inhibitor on pain management and recovery of function after knee replacement:a randomized controlled trial.JAMA,2003,290(18):2411-2418.
[54]Song MH,Kim BH,Ahn SJ,et al.Peri-articular injections of local anaesthesia can replace patient-controlled analgesia after total knee arthroplasty:a randomised controlled study.IntOrthop,2016,40(2):295-299.
[55]Louie GH,Tektonidou MG,Caban-Martinez AJ,et al.Sleep disturbances in adults with arthritis:prevalence,mediators,and subgroups at greatest risk.Data from the 2007 National Health Interview Survey.Arthritis Care Res(Hoboken),2011,63(2):247-260.
[56]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.中华骨与关节外科杂志,http://www.cnki.net/kcms/detail/10.1316.R.20160308.1252.002.html
[57]Alcelik I,Pollock RD,Sukeik M,et al.A comparison of outcomes with and without a tourniquet in total knee arthroplasty:a systematic review and meta-analysis of randomized controlled trials.J Arthroplasty,2012,27(3):331-340.
[58]Huang ZY,Pei FX,Ma J,et al.Comparison of three different tourniquet application strategies for minimally invasive total knee arthroplasty:a prospective non-randomized clinical trial.Arch Orthop Trauma Surg,2014,134(4):561-570.
[59]Zhang W,Li N,Chen S,et al.The effects of a tourniquet used in total knee arthroplasty:a meta-analysis.J Orthop Surg Res,2014,9(1):13.
[60]Zeng WN,Zhou K,Zhou ZK,et al.Comparison between drainage and non-drainage after total hip arthroplasty in Chinese subjects.Orthop Surg,2014,6(1):28-32.
[61]Quinn M,Bowe A,Galvin R,et al.The use of postoperative suction drainage in total knee arthroplasty:a systematic review.Int Orthop,2015,39(4):653-658.
[62]Huang Z,Ma J,Pei F,et al.Meta-analysis of temporary versus no clamping in TKA.Orthopedics,2013,36(7):543-550.
[63]Zhang QD,Guo WS,Zhang Q,et al.Comparison between closed suction drainage and nondrainage in total knee arthroplasty:a meta-analysis.J Arthroplasty,2011,26(8):1265-1272.
[64]Dumville JC,Mc Farlane E,Edwards P,et al.Preoperative skin antiseptics for preventing surgical wound infections after clean surgery.Cochrane Database Syst Rev,2015,4:Cd003949.
[65]Parvizi J,Diaz-Ledezma C.Total knee replacement with the use of a tourniquet:more pros than cons.Bone Joint J,2013,95-b(11 Suppl A):133-134.
[66]Griesdale DE,Neufeld J,Dhillon D,et al.Risk factors for urinary retention after hip or knee replacement:a cohort study.Can J Anaesth,2011,58(12):1097-1104.
[67]Huang Z,Ma J1,Shen B,et al.General anesthesia:to catheterize or not?A prospective randomized controlled study of patients undergoing total knee arthroplasty.J Arthroplasty,2015,30(3):502-506.
[68]Karason S,Olafsson TA.Avoiding bladder catheterisation in total knee arthroplasty:patient selection criteria and lowdose spinal anaesthesia.Acta Anaesthesiol Scand,2013,57(5):639-645.
[69]Wald HL,Ma A,Bratzler DW,et al.Indwelling urinary catheter use in the postoperative period:analysis of the national surgical infection prevention project data.Arch Surg,2008,143(6):551-557.
[70]Fujii Y.Current review of ramosetron in the prevention of postoperative nausea and vomiting.Curr Drug Saf,2011,6(2):122-127.
[71]Harsten A,Hjartarson H,Toksvig-Larsen S.Total hip arthroplasty and perioperative oral carbohydrate treatment:a randomised,double-blind,controlled trial.Eur J Anaesthesiol,2012,29(6):271-274.
[72]Di Iorio TM,Sharkey PF,Hewitt AM,et al.Antiemesis after total joint arthroplasty:does a single preoperative dose of aprepitant reduce nausea and vomiting?Clin Orthop Relat Res,2010,468(9):2405-2409.
[73]Ittichaikulthol W,Prachanpanich N,Kositchaiwat C,et al.The post-operative analgesic efficacy of celecoxib compared with placebo and parecoxib after total hip or knee arthroplasty.J Med Assoc Thai,2010,93(8):937-942.
[74]Miyagawa Y,Ejiri M,Kuzuya T,et al.Methylprednisolone reduces postoperative nausea in total knee and hip arthroplasty.J Clin Pharm Ther,2010,35(6):679-684.
[75]Gill SD,Mc Burney H.Does exercise reduce pain and improve physical function before hip or knee replacement surgery?A systematic review and meta-analysis of randomized controlled trials.Arch Phys Med Rehabil,2013,94(1):164-176.
[76]Shan L,Shan B,Suzuki A,et al.Intermediate and long-term quality of life after total knee replacement:a systematic review and meta-analysis.J Bone Joint Surg Am,2015,97(2):156-168.
[77]Kester BS,Merkow RP,Ju MH,et al.Effect of post-discharge venous thromboembolism on hospital quality comparisons following hip and knee arthroplasty.J Bone Joint Surg Am,2014,96(17):1476-1484.
[78]Winther SB,Foss OA,Wik TS,et al.1-year follow-up of 920hip and knee arthroplasty patients after implementing fasttrack.Acta Orthop,2015,86(1):78-85.
[79]Tousignant M,Boissy P,Moffet H,et al.Patients'satisfaction of healthcare services and perception with in-home telerehabilitation and physiotherapists'satisfaction toward technology for post-knee arthroplasty:an embedded study in a randomized trial.Telemed J E Health,2011,17(5):376-382.
[2]Chiung-Jui Su D,Yuan KS,Weng SF,et al.Can early rehabilitation after total hip arthroplasty reduce its major complications and medical xxpenses?Report from a nationally representative cohort.Biomed Res Int,2015,2015:641958.
[3]Van Egmond JC,Verburg H,Mathijssen NM.The first 6weeks of recovery after total knee arthroplasty with fast track:A diary study of 30 patients.Acta orthop,2015,86(6):708-713.
[4]D'Lima DD,Colwell CWJr,Morris BA,et al.The effect of preoperative exercise on total knee replacement outcomes.Clin Orthop Relat Res,1996,(326):174-182.
[5]Mc Donald S,Page MJ,Beringer K,et al.Preoperative education for hip or knee replacement.Cochrane Database Syst Rev,2014,5:Cd003526.
[6]Jordan RW,Smith NA,Chahal GS,et al.Enhanced education and physiotherapy before knee replacement;is it worth it?A systematic review.Physiotherapy,2014,100(4):305-312.
[7]Ibrahim MS,Khan MA,Nizam I,et al.Peri-operative interventions producing better functional outcomes and enhanced recovery following total hip and knee arthroplasty:an evidence-based review.BMC Med,2013,11:37.
[8]Inacio MC,Kritz-Silverstein D,Raman R,et al.The impact of pre-operative weight loss on incidence of surgical site infection and readmission rates after total joint arthroplasty.J Arthroplasty,2014,29(3):458-464.
[9]Berend KR,Lombardi AV Jr,Mallory TH.Rapid recovery protocol for peri-operative care of total hip and total knee arthroplasty patients.Surg Technol Int,2004,13:239-247.
[10]Moon MS,Kim SS,Lee SY,et al.Preoperative nutritional status of the surgical patients in Jeju.Clin Orthop Surg,2014,6(3):350-357.
[11]Schwarzkopf R,Russell TA,Shea M,et al.Correlation between nutritional status and Staphylococcus colonization in hip and knee replacement patients.Bull NYU Hosp Jt Dis,2011,69(4):308-311.
[12]Alfargieny R,Bodalal Z,Bendardaf R,et al.Nutritional status as a predictive marker for surgical site infection in total joint arthroplasty.Avicenna J Med,2015,5(4):117-122.
[13]Smith MD,Mc Call J,Plank L,et al.Preoperative carbohydrate treatment for enhancing recovery after elective surgery.Cochrane Database Syst Rev,2014,8:Cd009161.
[14]Aronsson A,Al-Ani NA,Brismar K,et al.A carbohydraterich drink shortly before surgery affected IGF-I bioavailability after a total hip replacement.A double-blind placebo controlled study on 29 patients.Aging Clin Exp Res,2009,21(2):97-101.
[15]Boldt J.Fluid management of patients undergoing abdominal surgery--more questions than answers.Eur J Anaesthesiol,2006,23(8):631-640.
[16]曾建伟,沈彬,杨静,等.微创切口与传统切口对全膝关节置换术后切口外侧皮肤感觉障碍影响的对比研究.中华解剖与临床杂志,2015,20(1):1-6.
[17]Huang Z,Shen B,Ma J,et al.Mini-midvastus versus medial parapatellar approach in TKA:muscle damage and inflammation markers.Orthopedics,2012,35(7):e1038-1045.
[18]Spahn DR.Anemia and patient blood management in hip and knee surgery:a systematic review of the literature.Anesthesiology,2010,113(2):482-495.
[19]Musallam KM,Tamim HM,Richards T,et al.Preoperative anaemia and postoperative outcomes in non-cardiac surgery:a retrospective cohort study.Lancet,2011,378(9800):1396-1407.
[20]Beattie WS,Karkouti K,Wijeysundera DN,et al.Risk associated with preoperative anemia in noncardiac surgery:a singlecenter cohort study.Anesthesiology,2009,110(3):574-581.
[21]Rojas Hernandez CM,Oo TH.Advances in mechanisms,diagnosis,and treatment of pernicious anemia.Discov Med,2015,19(104):159-168.
[22]Alsaleh K,Alotaibi GS,Almodaimegh HS,et al.The use of preoperative erythropoiesis-stimulating agents(ESAs)in patients who underwent knee or hip arthroplasty:a meta-analysis of randomized clinical trials.J Arthroplasty,2013,28(9):1463-1472.
[23]Yang Y,Li H,Li B,et al.Efficacy and safety of iron supplementation for the elderly patients undergoing hip or knee surgery:a meta-analysis of randomized controlled trials.J Surg Res,2011,171(2):e201-207.
[24]周宗科,翁习生,向兵,等.中国髋、膝关节置换术加速康复——围术期贫血诊治专家共识.中华骨与关节外科杂志,2016,9(1):10-15.
[25]Ma J,Huang Z,Shen B,et al.Blood management of staged bilateral total knee arthroplasty in a single hospitalization period.J Orthop Surg Res,2014,9:116.
[26]Yun SH,Kim JH,Kim HJ.Comparison of the hemodynamic effects of nitroprusside and remifentanil for controlled hypotension during endoscopic sinus surgery.J Anesth,2015,29(1):35-39.
[27]周宗科,裴福兴,杨静,等.预存自体输血在全髋关节置换手术中的应用.中国矫形外科杂志,2002,10(10):947-949.
[28]Hoylaerts M,Lijnen HR,Collen D.Studies on the mechanism of the antifibrinolytic action of tranexamic acid.Biochim Biophys Acta,1981,673(1):75-85.
[29]Xie J,Ma J,Yue C,et al.Combined use of intravenous and topical tranexamic acid following cementless total hip arthroplasty:a randomised clinical trial.Hip Int,2016,26(1):36-42.
[30]Huang Z,Ma J,Shen B,et al.Combination of intravenous and topical application of tranexamic acid in primary total knee arthroplasty:a prospective randomized controlled trial.J Arthroplasty,2014,29(12):2342-2346.
[31]岳辰,周宗科,裴福兴,等.中国髋、膝关节置换术围术期抗纤溶药序贯抗凝血药应用方案的专家共识.中华骨与关节外科杂志,2015,8(4):281-285.
[32]Sehat KR,Evans R,Newman JH.How much blood is really lost in total knee arthroplasty?.Correct blood loss management should take hidden loss into account.Knee,2000,7(3):151-155.
[33]World Health Organization.Iron deficiency anaemia assessment,prevention and control:a guide for programme managers.2001.
[34]Lin DM,Lin ES,Tran MH.Efficacy and safety of erythropoietin and intravenous iron in perioperative blood management:a systematic review.Transfus Med Rev,2013,27(4):221-234.
[35]中华医学会麻醉学分会.围术期输血的专家共识.临床麻醉学杂志,2009,25(3):189-191.
[36]Namba RS,Inacio MC,Paxton EW.Risk factors associated with deep surgical site infections after primary total knee arthroplasty:an analysis of 56,216 knees.J Bone Joint Surg Am,2013,95(9):775-782.
[37]Chen J,Cui Y,Li X,et al.Risk factors for deep infection after total knee arthroplasty:a meta-analysis.Arch Orthop Trauma Surg,2013,133(5):675-687.
[38]Lindeque B,Hartman Z,Noshchenko A,et al.Infection after primary total hip arthroplasty.Orthopedics,2014,37(4):257-265.
[39]中华医学会骨科学分会.中国骨科大手术静脉血栓栓塞症预防指南.中华骨科杂志,2009,29(6):602-604.
[40]Januel JM,Chen G,Ruffieux C,et al.Symptomatic in-hospital deep vein thrombosis and pulmonary embolism following hip and knee arthroplasty among patients receiving recommended prophylaxis:a systematic review.JAMA,2012,307(3):294-303.
[41]王浩洋,康鹏德,裴福兴,等.氨甲环酸减少全髋关节置换术围手术期失血的有效性及安全性研究.中国骨与关节杂志,2015,(8):649-654.
[42]Lewis GN,Rice DA,Mc Nair PJ,et al.Predictors of persistent pain after total knee arthroplasty:a systematic review and meta-analysis.Br J Anaesth,2015,114(4):551-561.
[43]康鹏德,王浩洋,沈彬,等.加入局部浸润镇痛的多模式镇痛在全膝关节置换中的应用.中华骨科杂志,2013,33(3):246-251.
[44]谭振,康鹏德,裴福兴,等.多模式镇痛下收肌管与股神经阻滞在全膝关节置换术后初期镇痛及早期康复中的作用.中华骨科杂志,2015,35(9):914-920.
[45]Bourne MH.Analgesics for orthopedic postoperative pain.Am J Orthop(Belle Mead NJ),2004,33(3):128-135.
[46]Richman JM,Liu SS,Courpas G,et al.Does continuous peripheral nerve block provide superior pain control to opioids?A meta-analysis.Anesth Analg,2006,102(1):248-257.
[47]Fowler SJ,Symons J,Sabato S,et al.Epidural analgesia compared with peripheral nerve blockade after major knee surgery:a systematic review and meta-analysis of randomized trials.Br J Anaesth,2008,100(2):154-164.
[48]Li D,Yang Z,Xie X,et al.Adductor canal block provides better performance after total knee arthroplasty compared with femoral nerve block:a systematic review and meta-analysis.Int Orthop,2015 Oct 10.[Epub ahead of print].
[49]Busch CA,Shore BJ,Bhandari R,et al.Efficacy of periarticular multimodal drug injection in total knee arthroplasty.A randomized trial.J Bone Joint Surg Am,2006,88(5):959-963.
[50]Mullaji A,Kanna R,Shetty GM,et al.Efficacy of periarticular injection of bupivacaine,fentanyl,and methylprednisolone in total knee arthroplasty:a prospective,randomized trial.J Arthroplasty,2010,25(6):851-857.
[51]Chan EY,Blyth FM,Nairn L,et al.Acute postoperative pain following hospital discharge after total knee arthroplasty.Osteoarthritis Cartilage,2013,21(9):1257-1263.
[52]Su EP,Perna M,Boettner F,et al.A prospective,multi-center,randomised trial to evaluate the efficacy of a cryopneumatic device on total knee arthroplasty recovery.J Bone Joint Surg Br,2012,94(11 Suppl A):153-156.
[53]Buvanendran A,Kroin JS,Tuman KJ,et al.Effects of perioperative administration of a selective cyclooxygenase 2 inhibitor on pain management and recovery of function after knee replacement:a randomized controlled trial.JAMA,2003,290(18):2411-2418.
[54]Song MH,Kim BH,Ahn SJ,et al.Peri-articular injections of local anaesthesia can replace patient-controlled analgesia after total knee arthroplasty:a randomised controlled study.IntOrthop,2016,40(2):295-299.
[55]Louie GH,Tektonidou MG,Caban-Martinez AJ,et al.Sleep disturbances in adults with arthritis:prevalence,mediators,and subgroups at greatest risk.Data from the 2007 National Health Interview Survey.Arthritis Care Res(Hoboken),2011,63(2):247-260.
[56]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.中华骨与关节外科杂志,http://www.cnki.net/kcms/detail/10.1316.R.20160308.1252.002.html
[57]Alcelik I,Pollock RD,Sukeik M,et al.A comparison of outcomes with and without a tourniquet in total knee arthroplasty:a systematic review and meta-analysis of randomized controlled trials.J Arthroplasty,2012,27(3):331-340.
[58]Huang ZY,Pei FX,Ma J,et al.Comparison of three different tourniquet application strategies for minimally invasive total knee arthroplasty:a prospective non-randomized clinical trial.Arch Orthop Trauma Surg,2014,134(4):561-570.
[59]Zhang W,Li N,Chen S,et al.The effects of a tourniquet used in total knee arthroplasty:a meta-analysis.J Orthop Surg Res,2014,9(1):13.
[60]Zeng WN,Zhou K,Zhou ZK,et al.Comparison between drainage and non-drainage after total hip arthroplasty in Chinese subjects.Orthop Surg,2014,6(1):28-32.
[61]Quinn M,Bowe A,Galvin R,et al.The use of postoperative suction drainage in total knee arthroplasty:a systematic review.Int Orthop,2015,39(4):653-658.
[62]Huang Z,Ma J,Pei F,et al.Meta-analysis of temporary versus no clamping in TKA.Orthopedics,2013,36(7):543-550.
[63]Zhang QD,Guo WS,Zhang Q,et al.Comparison between closed suction drainage and nondrainage in total knee arthroplasty:a meta-analysis.J Arthroplasty,2011,26(8):1265-1272.
[64]Dumville JC,Mc Farlane E,Edwards P,et al.Preoperative skin antiseptics for preventing surgical wound infections after clean surgery.Cochrane Database Syst Rev,2015,4:Cd003949.
[65]Parvizi J,Diaz-Ledezma C.Total knee replacement with the use of a tourniquet:more pros than cons.Bone Joint J,2013,95-b(11 Suppl A):133-134.
[66]Griesdale DE,Neufeld J,Dhillon D,et al.Risk factors for urinary retention after hip or knee replacement:a cohort study.Can J Anaesth,2011,58(12):1097-1104.
[67]Huang Z,Ma J1,Shen B,et al.General anesthesia:to catheterize or not?A prospective randomized controlled study of patients undergoing total knee arthroplasty.J Arthroplasty,2015,30(3):502-506.
[68]Karason S,Olafsson TA.Avoiding bladder catheterisation in total knee arthroplasty:patient selection criteria and lowdose spinal anaesthesia.Acta Anaesthesiol Scand,2013,57(5):639-645.
[69]Wald HL,Ma A,Bratzler DW,et al.Indwelling urinary catheter use in the postoperative period:analysis of the national surgical infection prevention project data.Arch Surg,2008,143(6):551-557.
[70]Fujii Y.Current review of ramosetron in the prevention of postoperative nausea and vomiting.Curr Drug Saf,2011,6(2):122-127.
[71]Harsten A,Hjartarson H,Toksvig-Larsen S.Total hip arthroplasty and perioperative oral carbohydrate treatment:a randomised,double-blind,controlled trial.Eur J Anaesthesiol,2012,29(6):271-274.
[72]Di Iorio TM,Sharkey PF,Hewitt AM,et al.Antiemesis after total joint arthroplasty:does a single preoperative dose of aprepitant reduce nausea and vomiting?Clin Orthop Relat Res,2010,468(9):2405-2409.
[73]Ittichaikulthol W,Prachanpanich N,Kositchaiwat C,et al.The post-operative analgesic efficacy of celecoxib compared with placebo and parecoxib after total hip or knee arthroplasty.J Med Assoc Thai,2010,93(8):937-942.
[74]Miyagawa Y,Ejiri M,Kuzuya T,et al.Methylprednisolone reduces postoperative nausea in total knee and hip arthroplasty.J Clin Pharm Ther,2010,35(6):679-684.
[75]Gill SD,Mc Burney H.Does exercise reduce pain and improve physical function before hip or knee replacement surgery?A systematic review and meta-analysis of randomized controlled trials.Arch Phys Med Rehabil,2013,94(1):164-176.
[76]Shan L,Shan B,Suzuki A,et al.Intermediate and long-term quality of life after total knee replacement:a systematic review and meta-analysis.J Bone Joint Surg Am,2015,97(2):156-168.
[77]Kester BS,Merkow RP,Ju MH,et al.Effect of post-discharge venous thromboembolism on hospital quality comparisons following hip and knee arthroplasty.J Bone Joint Surg Am,2014,96(17):1476-1484.
[78]Winther SB,Foss OA,Wik TS,et al.1-year follow-up of 920hip and knee arthroplasty patients after implementing fasttrack.Acta Orthop,2015,86(1):78-85.
[79]Tousignant M,Boissy P,Moffet H,et al.Patients'satisfaction of healthcare services and perception with in-home telerehabilitation and physiotherapists'satisfaction toward technology for post-knee arthroplasty:an embedded study in a randomized trial.Telemed J E Health,2011,17(5):376-382.
基本信息:
DOI：
中图分类号:R687.4
引用信息:
[1]周宗科,翁习生,曲铁兵等.中国髋、膝关节置换术加速康复——围术期管理策略专家共识[J].中华骨与关节外科杂志,2016,9(01):1-9.
基金信息: