颈椎后路手术加速康复外科实施流程专家共识  

Expert consensus on the implementation of enhanced recovery after surgery in posterior cervical spine surgery

作　　者：周非非[1] 韩彬[2] 刘楠[3] 苑垒[1] 田晶 李莉[5] 蔡思逸[6] 陈峰[6] 孙浩林[7] 张志成 郭航 毛海青[10] 丁琛[11] 殷国勇[12] 孙宇[1] 贺宝荣[13] 刘浩[11] 杨惠林[10] 李淳德[7] 沈建雄[6] 孙天胜 邱贵兴[6] ZHOU Feifei;HAN Bin;LIU Nan;YUAN Lei;TIAN Jing;LI Li;CAI Siyi;CHEN Feng;SUN Haolin;ZHANG Zhicheng;GUO Hang;MAO Haiqing;DING Chen;YIN Guoyong;SUN Yu;HE Baorong;LIU Hao;YANG Huilin;LI Chunde;SHEN Jianxiong;SUN Tiansheng;QIU Guixing(Department of Orthopedics, Peking University Third Hospital, Beijing 100191;Department of Orthopedics, First Affiliated Hospital of Soochow University, Suzhou 215006,Jiangsu;Department of Orthopedics, West China Hospital, Sichuan University, Chengdu 610041;Department of Orthopaedics, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029;Department of Spine Surgery,Honghui Hospital, Xi'an Jiaotong University, Xi'an 710054, China;Department of Anesthesiology, Peking University Third Hospital, Beijing 100191;Department of Rehabilitation Medicine, Peking University Third Hospital, Beijing 100191;Department of Operating Room, Peking University Third Hospital, Beijing 100191;Department of Nutrition, Peking University Third Hospital, Beijing 100191;Department of Orthopedics,Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730;Department of Orthopedics, Peking University FirstHospital, Beijing 100034;Department of Orthopedics, Seventh Medical Center, PLA General Hospital, Beijing 100700;Department of Anesthesiology, Seventh Medical Center, PLA General Hospital, Beijing 100700)

机构地区：[1]北京大学第三医院骨科,北京100191 [10]苏州大学附属第一医院骨科,江苏苏州215006 [11]四川大学华西医院骨科,成都610041 [12]南京医科大学第一附属医院骨科,南京210029 [13]西安交通大学附属红会医院脊柱外科,西安710054 [2]北京大学第三医院麻醉科,北京100191 [3]北京大学第三医院康复医学科,北京100191 [4]北京大学第三医院手术室,北京100191 [5]北京大学第三医院营养科,北京100191 [6]中国医学科学院北京协和医学院北京协和医院骨科,北京100730 [7]北京大学第一医院骨科,北京100034 [8]中国人民解放军总医院第七医学中心骨科,北京100700 [9]中国人民解放军总医院第七医学中心麻醉科,北京100700

出　　处：《中华骨与关节外科杂志》2019年第7期498-508,共11页Chinese Journal of Bone and Joint Surgery

摘　　要：颈椎后路手术是治疗多节段颈椎退行性脊髓病和(或)神经根病最常用的手术方式之一。通过引入加速康复外科(ERAS)理念,优化围手术期处理措施,可进一步提高脊柱外科患者的诊疗效果。为了规范ERAS临床路径在脊柱外科不同术式中的应用,在《脊柱外科加速康复——围手术期管理策略专家共识》的基础上,结合颈椎后路手术自身特点,经过全国专家组反复讨论,达成颈椎后路手术ERAS实施流程专家共识,供脊柱外科医师在临床工作中参考。Posterior cervical spine surgery is one of the most common surgical procedures for the treatment of multilevel cervical myelopathy and/or radiculopathy. By introducing the concept of Enhanced Recovery After Surgery (ERAS) and optimizing perioperative management, the diagnosis and treatment of patients undergoing spinal surgery can be further improved. In order to standardize the application of ERAS clinical pathway in different surgical procedures of spine surgery, by means of expert group discussion, based on the reference of "Expert consensus in enhanced recovery after spine surgery in China: perioperative management", we compiled this consensus on the application of ERAS in posterior cervical spine surgery and hoped to give some help to spine surgeons.

关 键 词：颈椎 后路 加速康复外科 

分 类 号：R687.3[医药卫生—骨科学]