退变性脊柱侧凸手术加速康复外科围手术期管理策略专家共识  

Enhanced recovery after surgery for degenerative scoliosis:consensus on perioperative management strategy

作　　者：白玉树[1] 翟骁[1] 陈自强[1] 魏显招[1] 杨明园[1] 杨操[2] 周许辉[3] 李危石[4] 李利[5] 吴继功 许建中 赵建华 王达义[9] 钱邦平[10] 朱泽章[10] 胡勇[11] 孙武权[12] 房敏[12] 郑召民[13] 王征[14] 李淳德[15] 丁文元[16] 夏磊[17] 沈建雄 仉建国 孙天胜 罗卓荆 海涌[21] 吕国华[22] 郝定均[23] 邱勇[10] 李明[1] BAI Yu-shu;ZHAI Xiao;CHEN Zi-qiang;WEI Xian-zhao;YANG Ming-yuan;YANG Cao;ZHOU Xu-hui;LI Wei-shi;LI Li;WU Ji-gong;XU Jian-zhong;ZHAO Jian-hua;WANG Da-yi;QIAN Bang-ping;ZHU Ze-zhang;HU Yong;SUN Wu-quan;FANG Min;ZHENG Zhao-min;WANG Zheng;LI Chun-de;DING Wen-yuan;XIA Lei;SHEN Jian-xiong;ZHANG Jian-guo;SUN Tian-sheng;LUO Zhuo-jing;HAI Yong;Lü Guo-hua;HAO Ding-jun;QIU Yong;LI Ming(Department of Orthopaedics,Changhai Hospital,Naval Medical University(Second Military Medical University),Shanghai 200433,China;Department of Orthopaedics,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,Hubei,China;Department of Orthopaedics,Changzheng Hospital,Naval Medical University(Second Military Medical University),Shanghai 200003,China;Department of Orthopaedics,Peking University Third Hospital,Beijing 100191,China;Department of Orthopaedics,Fourth Medical Center of PLA General Hospital,Beijing 100048,China;Department of Orthopaedics,Special Medical Center of Strategic Support Force,Beijing 100101,China;Department of Orthopaedics,Southwest Hospital,Army Medical University,Chongqing 400038,China;Department of Spinal Surgery,Army Special Medical Center(Daping Hospital),Chongqing 400042,China;Department of Spinal Surgery,Affiliated Taihe Hospital of Hubei University of Medicine,Shiyan 442008,Hubei,China;Department of Spinal Surgery,Nanjing Drum Tower Hospital,Nanjing University Medical School,Nanjing 210008,Jiangsu,China;Department of Orthopaedics and Traumatology,HKU Li Ka Shing Faculty of Medicine,University of Hong Kong,Hong Kong 999077,China;Department of Tuina,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Department of Spinal Surgery,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,Guangdong,China;Department of Orthopaedics,Chinese PLA General Hospital,Beijing 100853,China;Department of Orthopaedics,Peking University First Hospital,Beijing 100433,China;Department of

机构地区：[1]海军军医大学(第二军医大学)长海医院骨科,上海200433 [2]华中科技大学同济医学院协和医院骨科,武汉430022 [3]海军军医大学(第二军医大学)长征医院骨科,上海200003 [4]北京大学第三医院骨科,北京100191 [5]解放军总医院第四医学中心骨科,北京100048 [6]战略支援部队特色医学中心骨科,北京100101 [7]陆军军医大学重庆西南医院骨科,重庆400038 [8]陆军特色医学中心大坪医院脊柱外科,重庆400042 [9]湖北医药学院附属太和医院脊柱外科,十堰442008 [10]南京大学医学院附属鼓楼医院脊柱外科,南京210008 [11]香港大学李嘉诚医学院矫形与创伤外科学系,香港999077 [12]上海中医药大学附属岳阳中西医结合医院推拿科,上海200437 [13]中山大学第一附属医院脊柱外科,广州510080 [14]解放军总医院骨科,北京100853 [15]北京大学第一医院骨科,北京100433 [16]河北医科大学第三医院脊柱外科,石家庄050051 [17]郑州大学第一附属医院骨科,郑州510370 [18]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 [19]解放军总医院第七医学中心骨科,北京100700 [20]空军军医大学西京医院骨科,西安710032 [21]首都医科大学附属北京朝阳医院骨科,北京100020 [22]中南大学湘雅二医院脊柱外科,长沙410011 [23]西安交通大学附属红会医院脊柱外科,西安710054

出　　处：《第二军医大学学报》2020年第3期233-242,共10页Academic Journal of Second Military Medical University

基　　金：国家自然科学基金(81972035,81701199);重大疑难疾病中西医临床协作试点项目[ZY(2018-2020)-FWTX-2005].

摘　　要：退变性脊柱侧凸常见于老年患者,通常合并高血压病、冠心病、糖尿病和骨质疏松等基础疾病,手术风险高、并发症多。加速康复外科(ERAS)要求综合考量患者的年龄、症状、体征、身体状况和骨质量等因素,以制定个体化的手术方案和围手术期干预措施,这对改善患者预后和康复十分重要。经全国多位脊柱外科专家多次讨论,在循证医学证据支持下,针对退变性脊柱侧凸手术ERAS围手术期管理策略制定本共识意见,供临床工作参考和应用。Degenerative scoliosis is common in the elderly,and is usually accompanied with underlying diseases such as hypertension,coronary heart disease,diabetes,and osteoporosis,resulting in high risk of surgery and many complications.Enhanced recovery after surgery(ERAS)requires the surgical team to draw up individualized surgical plans and perioperative interventions considering comprehensive aspects,including age,symptoms,physical signs,physical condition,and bone quality,so as to improve the prognosis and rehabilitation of patients after surgery.This consensus on the perioperative management procedure of ERAS for degenerative scoliosis has been made by experts of Spinal Surgery Department based on evidence-based medicine,and it can be used for clinical reference and application.

关 键 词：退变性脊柱侧凸 外科学 加速康复外科 围手术期 专家共识 

分 类 号：R682.3[医药卫生—骨科学]