2019 12 v.12 929-938
中国骨科手术加速康复围手术期疼痛管理指南
基金项目(Foundation):
邮箱(Email):
DOI:
中文作者单位:
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;白求恩公益基金会;四川大学华西医院骨科;四川大学华西医院麻醉科;中国人民解放军总医院骨科;新疆医科大学第一附属医院骨科;北京积水潭医院骨科;中山大学附属第八医院骨科;解放军总医院第七医学中心骨科;河北医科大学第三医院骨科;广西医科大学第一附属医院骨科;中国医学科学院北京协和医学院北京协和医院骨科;苏州大学附属第一医院骨科;北京大学人民医院骨科;
摘要(Abstract):
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。
关键词(KeyWords):
骨科手术;;疼痛;;加速康复
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参考文献
[1]Williams AC,Craig KD.Updating the definition of pain.Pain,2016,157(11):2420-2423.
[2]Phillips WJ,Currier BL.Analgesic pharmacology:I.Neurophysiology.J Am Acad Orthop Surg,2004,12(4):213-220.
[3]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.中华骨与关节外科杂志,2016,9(2):91-97.
[4]Wisconsin Medical Society Task Force on Pain Management.Guidelines for the assessment and management of chronic pain.WMJ,2004,103(3):13-42.
[5]Fillingim RB,Loeser JD,Baron R,et al.Assessment of chronic pain:domains,methods,and mechanisms.J Pain,2016,17(9 Suppl):T10-T20.
[6]Treede RD,Jensen TS,Campbell JN,et al.Neuropathic pain:redefinition and a grading system for clinical and research purposes.Neurology,2008,70(18):1630-1635.
[7]Sumitani M,Sakai T,Matsuda Y,et al.Executive summary of the Clinical Guidelines of Pharmacotherapy for Neuropathic Pain:second edition by the Japanese Society of Pain Clinicians.J Anesth,2018,32(3):463-478.
[8]Parvizi J,Miller AG,Gandhi K.Multimodal pain management after total joint arthroplasty.J Bone Joint Surg Am,2011,93(11):1075-1084.
[9]Chou R,Gordon DB,de Leon-Casasola OA,et al.Management of postoperative pain:A clinical practice guideline from the American Pain Society,the American Society of Regional Anesthesia and Pain Medicine,and the American Society of Anesthesiologists'Committee on Regional Anesthesia,Executive Committee,and Administrative Council.JPain,2016,17(2):131-157.
[10]Bourne MH.Analgesics for orthopedic postoperative pain.Am J Orthop(Belle Mead NJ),2004,33(3):128-135.
[11]Halawi MJ,Grant SA,Bolognesi MP.Multimodal analgesia for total joint arthroplasty.Orthopedics 2015,38(7):e616-e625.
[12]Majid N,Lee S,Plummer V.The effectiveness of orthopedic patient education in improving patient outcomes:a systematic review protocol.JBI Database System Rev Implement Rep,2015,13(1):122-133.
[13]Yang L,Du S,Sun Y.Intravenous acetaminophen as an adjunct to multimodal analgesia after total knee and hip arthroplasty:A systematic review and meta-analysis.Int J Surg,2017,47:135-146.
[14]Xu Z,Zhang H,Luo J,et al.Preemptive analgesia by using celecoxib combined with tramadol/APAP alleviates post-operative pain of patients undergoing total knee arthroplasty.Phys Sportsmed,2017,45(3):316-322.
[15]Bian YY,Wang LC,Qian WW,et al.Role of parecoxib sodium in the multimodal analgesia after total knee arthroplasty:A randomized double-blinded controlled trial.Orthop Surg,2018,10(4):321-327.
[16]Lubis AMT,Rawung RBV,Tantri AR.Preemptive analgesia in total knee arthroplasty:Comparing the effects of single dose combining celecoxib with pregabalin and repetition dose combining celecoxib with pregabalin:Double-blind controlled clinical trial.Pain Res Treat,2018,2018:3807217.
[17]沈彬,唐新,杨静,等.围手术期口服塞来昔布对全膝关节置换术后疼痛和功能康复的近期影响和安全性观察.中华外科杂志,2009,47(2):116-119.
[18]Moucha CS,Weiser MC,Levin EJ.Current strategies in anesthesia and analgesia for total knee arthroplasty.J Am Acad Orthop Surg,2016,24(2):60-73.
[19]Rosenberg AG.Anesthesia and analgesia protocols for total knee arthroplasty.Am J Orthop(Belle Mead NJ),2006,35(7Suppl):23-26.
[20]Russo MW,Parks NL,Hamilton WG.Perioperative pain management and anesthesia:A critical component to rapid recovery total joint arthroplasty.Orthop Clin North Am,2017,48(4):401-405.
[21]Erk?l??E,Kesimci E,Sahin D,et al.Does preemptive gabapentin modulate cytokine response in total knee arthroplasty?A placebo controlled study.Adv Clin Exp Med,2018,27(4):487-491.
[22]Peng HM,Wang LC,Wang W,et al.Preemptive analgesia with parecoxib in total hip arthroplasty:A randomized,double-blind,placebo-controlled trial.Pain physician,2018,21(5):483-488.
[23]Janzing HM,Houben BJ,Brandt SE,et al.The gotfried percutaneous compression plate versus the dynamic hip screw in the treatment of pertrochanteric hip fractures:minimal invasive treatment reduces operative time and postoperative pain.J Trauma,2002,52(2):293-298.
[24]邱贵兴,裴福兴,唐佩福,等.骨科常见疼痛管理临床实践指南(2018版).中华骨与关节外科杂志,2019,12(3):161-167.
[25]De Andrade JR,Maslanka M,Reines HD,et al.Ketorolac versus meperidine for pain relief after orthopaedic surgery.Clin Orthop Relat Res,1996,(325):301-312.
[26]Polomano RC,Fillman M,Giordano NA,et al.Multimodal analgesia for acute postoperative and trauma-related pain.Am J Nurs,2017,117(3 Suppl 1):S12-S26.
[27]Le LH,Badgett RG.Noninvasive treatments for acute,subacute,and chronic low back pain.Ann Intern Med,2017,167(11):834.
[28]Cheng T,Zhang G,Zhang X.Review:minimally invasive versus conventional dynamic hip screw fixation in elderly patients with intertrochanteric fractures:a systematic review and meta-analysis.Surg Innov,2011,18(2):99-105.
[29]He GC,Wang HS,Wang QF,et al.Effect of minimally invasive percutaneous plates versus interlocking intramedullary nailing in tibial shaft treatment for fractures in adults:a meta-analysis.Clinics(Sao Paulo),2014,69(4):234-240.
[30]Oyler D,Bernard AC,Van Hoose JD,et al.Minimizing opioid use after acute major trauma.Am J Health Syst Pharm,2018,75(3):105-110.
[31]Portenoy RK.Current pharmacotherapy of chronic pain.Journal of pain and symptom management.J Pain Symptom Manage,2000,19(1 Suppl):S16-S20.
[32]Liu B,Liu R,Wang L.A meta-analysis of the preoperative use of gabapentinoids for the treatment of acute postoperative pain following spinal surgery.Medicine(Baltimore),2017,96(37):e8031.
[33]Maltoni M,Scarpi E,Modonesi C,et al.A validation study of the WHO analgesic ladder:a two-step vs three-step strategy.Support Care Cancer,2005,13(11):888-894.
[34]Weinbroum AA,Bender B,Nirkin A,et al.Dextromethorphan-associated epidural patient-controlled analgesia provides better pain-and analgesics-sparing effects than dextromethorphan-associated intravenous patient-controlled analgesia after bone-malignancy resection:a randomized,placebo-controlled,double-blinded study.Anesth Analg,2004,98(3):714-722.
[35]Liu Z,Xu Y,Liu ZL,et al.Combined application of diclofenac and celecoxib with an opioid yields superior efficacy in metastatic bone cancer pain:a randomized controlled trial.Int J Clin Oncol,2017,22(5):980-985.
[36]Feller L,Khammissa RAG,Bouckaert M,et al.Pain:Persistent postsurgery and bone cancer-related pain.J Int Med Res,2019,47(2):528-543.
[37]Essving P,Axelsson K,Otterborg L,et al.Minimally invasive surgery did not improve outcome compared to conventional surgery following unicompartmental knee arthroplasty using local infiltration analgesia:a randomized controlled trial with40 patients.Acta Orthop,2012,83(6):634-641.
[38]Yang G,Huang W,Xie W,et al.Patellar non-eversion in primary TKA reduces the complication rate.Knee Surg Sports Traumatol Arthrosc,2016,24(3):921-930.
[39]Huang Z,Xie X,Li L,et al.Intravenous and topical tranexamic acid alone are superior to tourniquet use for primary total knee arthroplasty:A prospective,randomized controlled trial.J Bone Joint Surg Am,2017,99(24):2053-2061.
[40]Feng F,Xu Q,Yan F,et al.Comparison of 7 surgical interventions for lumbar disc herniation:A network meta-analysis.Pain Physician,2017,20(6):E863-E871.
[41]Zhang D,Chen L,Wang G.Hip arthroscopy versus open surgical dislocation for femoroacetabular impingement:A systematic review and meta-analysis.Medicine(Baltimore),2016,95(41):e5122.
[42]Jin C,Weng D,Yang W,et al.Minimally invasive percutaneous osteosynthesis versus ORIF for Sanders type II and IIIcalcaneal fractures:a prospective,randomized intervention trial.J Orthop Surg Res,2017,12(1):10.
[43]Zhang Z,Shen B.Effectiveness and weakness of local infiltration analgesia in total knee arthroplasty:a systematic review.J Int Med Res,2018,46(12):4874-4884.
[44]Li Q,Tang X,Tao T,et al.A randomized controlled trial of comparing ultrasound-guided transversus abdominis plane block with local anesthetic infiltration in peritoneal dialysis catheter implantation.Blood Purif,2018,45(1-3):8-14.
[45]Zeng C,Li YS,Wei J,et al.Analgesic effect and safety of single-dose intra-articular magnesium after arthroscopic surgery:a systematic review and meta-analysis.Sci Rep,2016,6:38024.
[46]Zou Z,An MM,Xie Q,et al.Single dose intra-articular morphine for pain control after knee arthroscopy.Cochrane Database Syst Rev,2016,(5):CD008918.
[47]Wang Q,Yue Y,Li D,et al.Efficacy of single-shot adductor canal block combined with posterior capsular infiltration on postoperative pain and functional outcome after total knee arthroplasty:A prospective,double-blind,randomized controlled study.J Arthroplasty,2019,34(8):1650-1655.
[48]陆叶,边焱焱,杜悠,等.踝周神经阻滞用于前足矫形手术镇痛效果的临床研究.中华骨与关节外科杂志,2019,12(9):704-707.
[49]Wang D,Yang Y,Li Q,et al.Adductor canal block versus femoral nerve block for total knee arthroplasty:a meta-analysis of randomized controlled trials.Sci Rep,2017,7:40721.
[50]Terkawi AS,Mavridis D,Sessler DI,et al.Pain management modalities after total knee arthroplasty:A network metaanalysis of 170 randomized controlled trials.Anesthesiology,2017,126(5):923-937.
[51]Luo ZY,Li LL,Wang D,et al.Preoperative sleep quality affects postoperative pain and function after total joint arthroplasty:a prospective cohort study.J Orthop Surg Res,2019,14(1):378.
[52]Diers M,Christmann C,Koeppe C,et al.Mirrored,imagined and executed movements differentially activate sensorimotor cortex in amputees with and without phantom limb pain.Pain,2010,149(2):296-304.
[53]Sahu A,Gupta R,Sagar S,et al.A study of psychiatric comorbidity after traumatic limb amputation:A neglected entity.Ind Psychiatry J,2017,26(2):228-232.
[54]Urits I,Seifert D,Seats A,et al.Treatment strategies and effective management of phantom limb-associated pain.Curr Pain Headache Rep,2019,23(9):64.
[55]De Caridi G,Massara M,Serra R,et al.Spinal cord stimulation therapy for the treatment of concomitant phantom limb pain and critical limb ischemia.Ann Vasc Surg,2016,32:131,e11-14.
[56]Barbin J,Seetha V,Casillas JM,et al.The effects of mirror therapy on pain and motor control of phantom limb in amputees:A systematic review.Ann Phys Rehabil Med,2016,59(4):270-275.
[57]Eldabe S,Burger K,Moser H,et al.Dorsal root ganglion(DRG)stimulation in the treatment of phantom limb pain(PLP).Neuromodulation,2015,18(7):610-616,discussion616-617.
[58]Tedesco D,Gori D,Desai KR,et al.Drug-free interventions to reduce pain or opioid consumption after total knee arthroplasty:A systematic review and meta-analysis.JAMA Surg,2017,152(10):e172872.
[59]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.中华骨与关节外科杂志,2016,9(1):1-9.
[60]Xie J,Ma J,Yao H,et al.Multiple boluses of intravenous tranexamic acid to reduce hidden blood loss after primary total knee arthroplasty without tourniquet:A randomized clinical trial.J Arthroplasty,2016,31(11):2458-2464.
[61]Xu H,Zhang S,Xie J,et al.Multiple doses of perioperative dexamethasone further improve clinical outcomes after total knee arthroplasty:A prospective,randomized,controlled study.J Arthroplasty,2018,33(11):3448-3454.
[62]Li D,Zhao J,Yang Z,et al.Multiple low doses of intravenous corticosteroids to improve early rehabilitation in total knee arthroplasty:A randomized clinical trial.J knee Surg,2019,32(2):171-179.
[63]Wu Y,Lu X,Ma Y,et al.Perioperative multiple low-dose Dexamethasones improves postoperative clinical outcomes after Total knee arthroplasty.BMC Musculoskelet Disord,2018,19(1):428.
[64]Lei Y,Huang Q,Xu B,et al.Multiple low-dose dexamethasone further improves clinical outcomes following total hip arthroplasty.J Arthroplasty,2018,33(5):1426-1431.
[65]J?rgensen CC,Pitter FT,Kehlet H,et al.Safety aspects of preoperative high-dose glucocorticoid in primary total knee replacement.Br J Anaesth,2017,119(2):267-275.
[66]Lunn TH,Andersen L?,Kristensen BB,et al.Effect of highdose preoperative methylprednisolone on recovery after total hip arthroplasty:a randomized,double-blind,placebo-controlled trial.Br J Anaesth,2013,110(1):66-73.
[67]Faraoni D,Van Der Linden P.A systematic review of antifibrinolytics and massive injury.Minerva Anestesiol,2014,80(10):1115-1122.
[68]张少云,谢锦伟,裴福兴.抗纤溶药物对围术期机体炎症反应及免疫功能的影响.中国矫形外科杂志,2019,27(11):1010-1013.
[69]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.
[70]周宗科,黄泽宇,杨惠林,等.中国骨科手术加速康复围手术期氨甲环酸与抗凝血药应用的专家共识.中华骨与关节外科杂志,2019,12(2):81-88.
[2]Phillips WJ,Currier BL.Analgesic pharmacology:I.Neurophysiology.J Am Acad Orthop Surg,2004,12(4):213-220.
[3]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.中华骨与关节外科杂志,2016,9(2):91-97.
[4]Wisconsin Medical Society Task Force on Pain Management.Guidelines for the assessment and management of chronic pain.WMJ,2004,103(3):13-42.
[5]Fillingim RB,Loeser JD,Baron R,et al.Assessment of chronic pain:domains,methods,and mechanisms.J Pain,2016,17(9 Suppl):T10-T20.
[6]Treede RD,Jensen TS,Campbell JN,et al.Neuropathic pain:redefinition and a grading system for clinical and research purposes.Neurology,2008,70(18):1630-1635.
[7]Sumitani M,Sakai T,Matsuda Y,et al.Executive summary of the Clinical Guidelines of Pharmacotherapy for Neuropathic Pain:second edition by the Japanese Society of Pain Clinicians.J Anesth,2018,32(3):463-478.
[8]Parvizi J,Miller AG,Gandhi K.Multimodal pain management after total joint arthroplasty.J Bone Joint Surg Am,2011,93(11):1075-1084.
[9]Chou R,Gordon DB,de Leon-Casasola OA,et al.Management of postoperative pain:A clinical practice guideline from the American Pain Society,the American Society of Regional Anesthesia and Pain Medicine,and the American Society of Anesthesiologists'Committee on Regional Anesthesia,Executive Committee,and Administrative Council.JPain,2016,17(2):131-157.
[10]Bourne MH.Analgesics for orthopedic postoperative pain.Am J Orthop(Belle Mead NJ),2004,33(3):128-135.
[11]Halawi MJ,Grant SA,Bolognesi MP.Multimodal analgesia for total joint arthroplasty.Orthopedics 2015,38(7):e616-e625.
[12]Majid N,Lee S,Plummer V.The effectiveness of orthopedic patient education in improving patient outcomes:a systematic review protocol.JBI Database System Rev Implement Rep,2015,13(1):122-133.
[13]Yang L,Du S,Sun Y.Intravenous acetaminophen as an adjunct to multimodal analgesia after total knee and hip arthroplasty:A systematic review and meta-analysis.Int J Surg,2017,47:135-146.
[14]Xu Z,Zhang H,Luo J,et al.Preemptive analgesia by using celecoxib combined with tramadol/APAP alleviates post-operative pain of patients undergoing total knee arthroplasty.Phys Sportsmed,2017,45(3):316-322.
[15]Bian YY,Wang LC,Qian WW,et al.Role of parecoxib sodium in the multimodal analgesia after total knee arthroplasty:A randomized double-blinded controlled trial.Orthop Surg,2018,10(4):321-327.
[16]Lubis AMT,Rawung RBV,Tantri AR.Preemptive analgesia in total knee arthroplasty:Comparing the effects of single dose combining celecoxib with pregabalin and repetition dose combining celecoxib with pregabalin:Double-blind controlled clinical trial.Pain Res Treat,2018,2018:3807217.
[17]沈彬,唐新,杨静,等.围手术期口服塞来昔布对全膝关节置换术后疼痛和功能康复的近期影响和安全性观察.中华外科杂志,2009,47(2):116-119.
[18]Moucha CS,Weiser MC,Levin EJ.Current strategies in anesthesia and analgesia for total knee arthroplasty.J Am Acad Orthop Surg,2016,24(2):60-73.
[19]Rosenberg AG.Anesthesia and analgesia protocols for total knee arthroplasty.Am J Orthop(Belle Mead NJ),2006,35(7Suppl):23-26.
[20]Russo MW,Parks NL,Hamilton WG.Perioperative pain management and anesthesia:A critical component to rapid recovery total joint arthroplasty.Orthop Clin North Am,2017,48(4):401-405.
[21]Erk?l??E,Kesimci E,Sahin D,et al.Does preemptive gabapentin modulate cytokine response in total knee arthroplasty?A placebo controlled study.Adv Clin Exp Med,2018,27(4):487-491.
[22]Peng HM,Wang LC,Wang W,et al.Preemptive analgesia with parecoxib in total hip arthroplasty:A randomized,double-blind,placebo-controlled trial.Pain physician,2018,21(5):483-488.
[23]Janzing HM,Houben BJ,Brandt SE,et al.The gotfried percutaneous compression plate versus the dynamic hip screw in the treatment of pertrochanteric hip fractures:minimal invasive treatment reduces operative time and postoperative pain.J Trauma,2002,52(2):293-298.
[24]邱贵兴,裴福兴,唐佩福,等.骨科常见疼痛管理临床实践指南(2018版).中华骨与关节外科杂志,2019,12(3):161-167.
[25]De Andrade JR,Maslanka M,Reines HD,et al.Ketorolac versus meperidine for pain relief after orthopaedic surgery.Clin Orthop Relat Res,1996,(325):301-312.
[26]Polomano RC,Fillman M,Giordano NA,et al.Multimodal analgesia for acute postoperative and trauma-related pain.Am J Nurs,2017,117(3 Suppl 1):S12-S26.
[27]Le LH,Badgett RG.Noninvasive treatments for acute,subacute,and chronic low back pain.Ann Intern Med,2017,167(11):834.
[28]Cheng T,Zhang G,Zhang X.Review:minimally invasive versus conventional dynamic hip screw fixation in elderly patients with intertrochanteric fractures:a systematic review and meta-analysis.Surg Innov,2011,18(2):99-105.
[29]He GC,Wang HS,Wang QF,et al.Effect of minimally invasive percutaneous plates versus interlocking intramedullary nailing in tibial shaft treatment for fractures in adults:a meta-analysis.Clinics(Sao Paulo),2014,69(4):234-240.
[30]Oyler D,Bernard AC,Van Hoose JD,et al.Minimizing opioid use after acute major trauma.Am J Health Syst Pharm,2018,75(3):105-110.
[31]Portenoy RK.Current pharmacotherapy of chronic pain.Journal of pain and symptom management.J Pain Symptom Manage,2000,19(1 Suppl):S16-S20.
[32]Liu B,Liu R,Wang L.A meta-analysis of the preoperative use of gabapentinoids for the treatment of acute postoperative pain following spinal surgery.Medicine(Baltimore),2017,96(37):e8031.
[33]Maltoni M,Scarpi E,Modonesi C,et al.A validation study of the WHO analgesic ladder:a two-step vs three-step strategy.Support Care Cancer,2005,13(11):888-894.
[34]Weinbroum AA,Bender B,Nirkin A,et al.Dextromethorphan-associated epidural patient-controlled analgesia provides better pain-and analgesics-sparing effects than dextromethorphan-associated intravenous patient-controlled analgesia after bone-malignancy resection:a randomized,placebo-controlled,double-blinded study.Anesth Analg,2004,98(3):714-722.
[35]Liu Z,Xu Y,Liu ZL,et al.Combined application of diclofenac and celecoxib with an opioid yields superior efficacy in metastatic bone cancer pain:a randomized controlled trial.Int J Clin Oncol,2017,22(5):980-985.
[36]Feller L,Khammissa RAG,Bouckaert M,et al.Pain:Persistent postsurgery and bone cancer-related pain.J Int Med Res,2019,47(2):528-543.
[37]Essving P,Axelsson K,Otterborg L,et al.Minimally invasive surgery did not improve outcome compared to conventional surgery following unicompartmental knee arthroplasty using local infiltration analgesia:a randomized controlled trial with40 patients.Acta Orthop,2012,83(6):634-641.
[38]Yang G,Huang W,Xie W,et al.Patellar non-eversion in primary TKA reduces the complication rate.Knee Surg Sports Traumatol Arthrosc,2016,24(3):921-930.
[39]Huang Z,Xie X,Li L,et al.Intravenous and topical tranexamic acid alone are superior to tourniquet use for primary total knee arthroplasty:A prospective,randomized controlled trial.J Bone Joint Surg Am,2017,99(24):2053-2061.
[40]Feng F,Xu Q,Yan F,et al.Comparison of 7 surgical interventions for lumbar disc herniation:A network meta-analysis.Pain Physician,2017,20(6):E863-E871.
[41]Zhang D,Chen L,Wang G.Hip arthroscopy versus open surgical dislocation for femoroacetabular impingement:A systematic review and meta-analysis.Medicine(Baltimore),2016,95(41):e5122.
[42]Jin C,Weng D,Yang W,et al.Minimally invasive percutaneous osteosynthesis versus ORIF for Sanders type II and IIIcalcaneal fractures:a prospective,randomized intervention trial.J Orthop Surg Res,2017,12(1):10.
[43]Zhang Z,Shen B.Effectiveness and weakness of local infiltration analgesia in total knee arthroplasty:a systematic review.J Int Med Res,2018,46(12):4874-4884.
[44]Li Q,Tang X,Tao T,et al.A randomized controlled trial of comparing ultrasound-guided transversus abdominis plane block with local anesthetic infiltration in peritoneal dialysis catheter implantation.Blood Purif,2018,45(1-3):8-14.
[45]Zeng C,Li YS,Wei J,et al.Analgesic effect and safety of single-dose intra-articular magnesium after arthroscopic surgery:a systematic review and meta-analysis.Sci Rep,2016,6:38024.
[46]Zou Z,An MM,Xie Q,et al.Single dose intra-articular morphine for pain control after knee arthroscopy.Cochrane Database Syst Rev,2016,(5):CD008918.
[47]Wang Q,Yue Y,Li D,et al.Efficacy of single-shot adductor canal block combined with posterior capsular infiltration on postoperative pain and functional outcome after total knee arthroplasty:A prospective,double-blind,randomized controlled study.J Arthroplasty,2019,34(8):1650-1655.
[48]陆叶,边焱焱,杜悠,等.踝周神经阻滞用于前足矫形手术镇痛效果的临床研究.中华骨与关节外科杂志,2019,12(9):704-707.
[49]Wang D,Yang Y,Li Q,et al.Adductor canal block versus femoral nerve block for total knee arthroplasty:a meta-analysis of randomized controlled trials.Sci Rep,2017,7:40721.
[50]Terkawi AS,Mavridis D,Sessler DI,et al.Pain management modalities after total knee arthroplasty:A network metaanalysis of 170 randomized controlled trials.Anesthesiology,2017,126(5):923-937.
[51]Luo ZY,Li LL,Wang D,et al.Preoperative sleep quality affects postoperative pain and function after total joint arthroplasty:a prospective cohort study.J Orthop Surg Res,2019,14(1):378.
[52]Diers M,Christmann C,Koeppe C,et al.Mirrored,imagined and executed movements differentially activate sensorimotor cortex in amputees with and without phantom limb pain.Pain,2010,149(2):296-304.
[53]Sahu A,Gupta R,Sagar S,et al.A study of psychiatric comorbidity after traumatic limb amputation:A neglected entity.Ind Psychiatry J,2017,26(2):228-232.
[54]Urits I,Seifert D,Seats A,et al.Treatment strategies and effective management of phantom limb-associated pain.Curr Pain Headache Rep,2019,23(9):64.
[55]De Caridi G,Massara M,Serra R,et al.Spinal cord stimulation therapy for the treatment of concomitant phantom limb pain and critical limb ischemia.Ann Vasc Surg,2016,32:131,e11-14.
[56]Barbin J,Seetha V,Casillas JM,et al.The effects of mirror therapy on pain and motor control of phantom limb in amputees:A systematic review.Ann Phys Rehabil Med,2016,59(4):270-275.
[57]Eldabe S,Burger K,Moser H,et al.Dorsal root ganglion(DRG)stimulation in the treatment of phantom limb pain(PLP).Neuromodulation,2015,18(7):610-616,discussion616-617.
[58]Tedesco D,Gori D,Desai KR,et al.Drug-free interventions to reduce pain or opioid consumption after total knee arthroplasty:A systematic review and meta-analysis.JAMA Surg,2017,152(10):e172872.
[59]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.中华骨与关节外科杂志,2016,9(1):1-9.
[60]Xie J,Ma J,Yao H,et al.Multiple boluses of intravenous tranexamic acid to reduce hidden blood loss after primary total knee arthroplasty without tourniquet:A randomized clinical trial.J Arthroplasty,2016,31(11):2458-2464.
[61]Xu H,Zhang S,Xie J,et al.Multiple doses of perioperative dexamethasone further improve clinical outcomes after total knee arthroplasty:A prospective,randomized,controlled study.J Arthroplasty,2018,33(11):3448-3454.
[62]Li D,Zhao J,Yang Z,et al.Multiple low doses of intravenous corticosteroids to improve early rehabilitation in total knee arthroplasty:A randomized clinical trial.J knee Surg,2019,32(2):171-179.
[63]Wu Y,Lu X,Ma Y,et al.Perioperative multiple low-dose Dexamethasones improves postoperative clinical outcomes after Total knee arthroplasty.BMC Musculoskelet Disord,2018,19(1):428.
[64]Lei Y,Huang Q,Xu B,et al.Multiple low-dose dexamethasone further improves clinical outcomes following total hip arthroplasty.J Arthroplasty,2018,33(5):1426-1431.
[65]J?rgensen CC,Pitter FT,Kehlet H,et al.Safety aspects of preoperative high-dose glucocorticoid in primary total knee replacement.Br J Anaesth,2017,119(2):267-275.
[66]Lunn TH,Andersen L?,Kristensen BB,et al.Effect of highdose preoperative methylprednisolone on recovery after total hip arthroplasty:a randomized,double-blind,placebo-controlled trial.Br J Anaesth,2013,110(1):66-73.
[67]Faraoni D,Van Der Linden P.A systematic review of antifibrinolytics and massive injury.Minerva Anestesiol,2014,80(10):1115-1122.
[68]张少云,谢锦伟,裴福兴.抗纤溶药物对围术期机体炎症反应及免疫功能的影响.中国矫形外科杂志,2019,27(11):1010-1013.
[69]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.
[70]周宗科,黄泽宇,杨惠林,等.中国骨科手术加速康复围手术期氨甲环酸与抗凝血药应用的专家共识.中华骨与关节外科杂志,2019,12(2):81-88.
基本信息:
DOI：
中图分类号:R473.6
引用信息:
[1]周宗科,廖刃,唐佩福等.中国骨科手术加速康复围手术期疼痛管理指南[J].中华骨与关节外科杂志,2019,12(12):929-938.
基金信息: