肖涟波16
郭向阳17
雷光华18
朱涛6
张长青19
缪长虹20
杨惠林21
俞卫锋22
裴福兴5
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疼痛、睡眠障碍与焦虑障碍是影响骨科患者满意度及加速康复实施的三大重要因素，三者相互影响、互为因果。将围手术期疼痛、睡眠障碍和焦虑障碍管理一体化已逐步得到骨科、麻醉科、精神科等多学科医师的广泛认可，但距离加速康复外科无痛、舒适的目标仍有一定差距。本共识基于德尔菲法的实践要求，对骨科和麻醉科医师共同关注的疼痛、睡眠和焦虑障碍的术前评估与宣教、术前疼痛的治疗与预防性镇痛等15个临床问题相关的循证医学证据与临床实践进行了系统总结，形成共识推荐，旨在促进以患者为中心的骨科加速康复的实施。
Abstract：Pain, sleep disorders, and anxiety disorders are three major factors that affect the satisfaction of orthopaedic patients and the implementation of enhanced recovery after surgery(ERAS). These factors interact with each other and are mutually causal. The integration of perioperative pain, sleep disorders, and anxiety disorders has gradually gained recognition from multidisciplinary physicians, including those in orthopaedics, anesthesiology, and psychiatry. However, there remains a gap in achieving the ERAS goal of being painless and comfortable. Based on the practical requirements of the Delphi method, this consensus systematically summarizes the evidence-based medicine and clinical practice related to 15 clinical issues, including preoperative assessment and education for pain, sleep disorders, and anxiety disorders, as well as preoperative pain treatment and preventive analgesia, which are of common concern to orthopaedists and anesthesiologists. It forms consensus recommendations with the aim of promoting the implementation of patient-centered ERAS in orthopaedics.
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基本信息:
DOI：
中图分类号:R614
引用信息:
[1]谢锦伟,杨静,黄强等.骨科、麻醉科加速康复围手术期疼痛、睡眠和焦虑障碍管理专家共识[J].中华骨与关节外科杂志,2025,18(03):212-221.
基金信息: