日间髋关节置换手术临床实践中国专家共识  

Chinese expert consensus on clinical practice of daytime hip arthroplasty

作　　者：国家老年疾病临床医学研究中心(湘雅医院) 中国日间手术合作联盟骨关节专业委员会 中华医学会骨科学分会关节外科学组 中国医师协会骨科医师分会骨关节炎学组 雷光华 王坤正[5,6,7,8] 沈彬[4,9,10,11,12] 高曙光 熊依林 National Clinical Research Center for Geriatric Disorders(Xiangya Hospital);Bone and Joint Specialty Committee of the China Ambulatory Surgery Alliance;Joint Surgery Branch of the Chinese Orthopedic Association;Osteoarthritis Study Group of the Chinese Association of Orthopedic Surgeons;LEI Guanghua;WANG Kunzheng;SHEN Bin

机构地区：[1]不详 [2]中南大学湘雅医院 [3]国家老年疾病临床医学研究中心(湘雅医院) [4]中国医师协会骨科医师分会 [5]西安交通大学医学部关节外科中心 [6]西安交通大学第二附属医院骨科中心 [7]中国西部创新港精准医疗研究院骨与生物材料研究所 [8]中华医学会骨科学分会 [9]四川大学华西医学中心 [10]四川大学华西医院骨科研究所 [11]中国康复医学会修复重建外科专委会 [12]中国康复医学会骨质疏松预防与康复专委会 [13]中南大学湘雅医院骨科

出　　处：《中国修复重建外科杂志》2024年第5期513-520,共8页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：国家重点研发计划项目(2022YFC3601900、2022YFC2505500);国家老年疾病临床医学研究中心(湘雅医院)专项基金资助(2021LNJJ05、2021LNJJ06、2022LNJJ07)。

摘　　要：日间髋关节置换手术是指接受髋关节置换手术患者在1 d(24 h)内完成入院、手术和出院的医疗模式。设置日间髋关节置换手术中心是适应现代医院发展模式的重大转变。全国已有部分大型医院以不同形式和规模开展了日间髋关节置换手术,但尚缺乏统一的制度规范和流程。在此背景下,国家老年疾病临床医学研究中心(湘雅医院)、中国日间手术合作联盟骨关节专业委员会、中华医学会骨科学分会关节外科学组和中国医师协会骨科医师分会骨关节炎学组联合组织国内相关领域专家,借鉴国际日间髋关节置换手术经验,结合国内开展日间手术的临床实践,从日间髋关节置换手术中心的设置、制度、流程以及围术期管理达成共识,旨在为规范化开展日间髋关节置换手术提供参考和指导。Daytime hip arthroplasty refers to a medical procedure where a patient undergoes admission,surgery,and discharge all within a single day(24 hours).The establishment of daytime hip arthroplasty centers signifies a significant paradigm shift in the development model of modern hospitals.While numerous nationally accredited large medical institutions are undertaking daytime hip arthroplasty in various forms and scales,there remains a lack of standardized system processes and criteria.In this context,the National Clinical Research Center for Geriatric Disorders(Xiangya Hospital),Bone and Joint Specialty Committee of the China Ambulatory Surgery Alliance,Joint Surgery Branch of the Chinese Orthopedic Association,and Osteoarthritis Study Group of the Chinese Association of Orthopedic Surgeons have collaboratively organized experts in the relevant field domestically.Leveraging international experiences in daytime hip arthroplasty and integrating them with the clinical practices of well-established medical institutions conducting daytime surgeries in China,they have arrived at consensus recommendations.These recommendations cover the establishment of daytime hip arthroplasty centers,policies,procedures,and perioperative management.The ultimate goal is to provide reference points and guidance for the standardized implementation of daytime hip arthroplasty.

关 键 词：髋关节置换 日间手术 专家共识 

分 类 号：R687.4[医药卫生—骨科学]