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加速康复外科理念下胫骨平台骨折诊疗方案优化的专家共识 被引量:55

Expert consensus on diagnosis and treatment of tibial plateau fractures in light of Enhanced Recovery After Surgery
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摘要 加速康复外科(enhanced recovery after surgery,ERAS)旨在通过采用一系列有循证医学证据的围手术期优化处理措施,减少手术患者生理和心理的应激,从而使患者从疾患和手术应激状态快速恢复。近年来,ERAS理念在国内外发展迅速,多项研究表明,ERAS理念的实施可以缩短患者的住院时间,降低并发症发生率和再入院率,减少医疗费用。目前,在"白求恩公益基金会创伤骨科专业委员会"的组织下,已有一系列ERAS理念下创伤骨科常见骨折诊疗方案优化的专家共识发表,为指导和规范ERAS理念下骨折的治疗发挥了重要作用。该专家共识为此系列共识之一。胫骨平台骨折是创伤骨科比较常见且治疗困难的骨折之一,通过长期临床实践和研究,国内外医生、学者对于胫骨平台骨折的诊治取得了很多的成果和方法。ERAS理念的引入,可以为胫骨平台骨折的诊治提供更全面的平台,也为诊疗方法的选择和优化提供了更为明确的导向和标准。因此,经全国创伤骨科专家代表讨论,在循证医学基础上,以ERAS理念为指导,特制定本共识。该共识适用于成年人新鲜闭合性胫骨平台骨折(手术距伤后3周内)患者。
作者 毛玉江 刘亚波 李庭 李卫华 孙志坚 周雁 米萌 肖鸿鹄 孙旭 王京 程洋 翟建坡 王宇章 彭贵凌 赵霞 东靖明 李开南 王光林 庄岩 张建政 梁军波 周大鹏 张一 李伟栩 林朋 张培训 王剑 高鹏 无;Mao Yujiang;Liu Yabo;Li Ting;Li Weihua;Sun Zhijian;Zhou Yan;Mi Meng;Xiao Honghao;Sun Xu;Wang Jing;Cheng Yang;Zhai Jianpo;Wang Yuzhang;Peng Guiling;Zhao Xia;Dong Jingming;Li Kainan;Wang Guanglin;Zhuang Yan;Zhang Jianzheng;Liang Junbo;Zhou Dapeng;Zhang Yi;Li Weixu;Lin Peng;Zhang Peixun;Wang Jian;Gao Peng(Bethune·Alliance of Enhanced Recovery After Surgery in Orthopedics;Professional Committee of Trauma Orthopedics,Bethune Charitable Foundation;Professional Committee of Joint Surgery,Bethune Charitable Foundation Society of Enhanced Recovery After Surgery;China International Exchange and Promotion Association for Medical and Health Care;Department of Orthopaedic Trauma,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Anesthesiology,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Respiratory Medicine,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Urology Surgery,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Rehabilitation,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Nutrition,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Orthopaedics,Tianjin Hospital,Tianjin 300211,China;Department of Orthopaedics,Hospital Affiliated to Chengdu University,Chengdu 610081,China;Department of Orthopaedics,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Orthopaedic Trauma,Xi'an Red-Cross Hospital,Xi'an 710054,China;Department of Orthopaedics,The Seventh Medical Center of PLA,Beijing 100700,China;Department of Orthopaedics,Taizhou Hospital of Taizhou Enze Medical Center(Group),Taizhou 317000,Zhejiang,China;Department of Orthopaedics,General Hospital of Shenyang Military Command,Shenyang 110016,China;Department of Orthopaedics,Guizhou Provincial People's Hospital,Guiyang 550002,China;Department of Orthopaedics,The 2nd Affiliated Hospital to Medical College of Zhejiang University,Hangzhou 310009,China;Department of Orthopaedics,China Japan Friendship Hospital,Beijing 100029,China;Department of Orthopaedic Trauma,Peking University People's Hospital,Beijing 100044,China;Department of Orthopaedics,The First People's Hospital of Beijing Fangshan,Beijing 102400,China;Department of Orthopaedics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)
出处 《中华创伤骨科杂志》 CAS CSCD 北大核心 2020年第10期829-840,共12页 Chinese Journal of Orthopaedic Trauma
基金 首都卫生发展科研专项(首发2018-1-2072)。
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