市县医院骨科、麻醉科加速康复实施管理专家共识  

Expert consensus on the implementation and management in orthopaedics and anesthesiology for enhanced recovery after surgery in municipal and county hospitals

作　　者：中国康复技术转化及发展促进会 中华医学会麻醉学分会 中国医师协会麻醉学医师分会 中国研究型医院学会 黄泽宇[2] 徐宏伟[3] 朱建栋 陈剑明[5] 钱齐荣 李军[7] 雷光华[8] 金群华[9] 孙天胜 何红晨[11] 袁红斌 兰玉平[13] 李庭 何金汗[15] 余斌[16] 吴新宝 糜菁熠 肖涟波 郭向阳[19] 周宗科[2] 朱涛[3] 马信龙[20] 缪长虹 杨惠林[22] 俞卫峰 裴福兴[2] China Association of Rehabilitation Technology Transformation and Promotion;Chinese Medical Association of Anesthesiology;Chinese Medical Doctor Association of Anesthesiologist;Chinese Research Hospital Association;HUANG Zeyu;XU Hongwei;ZHU Jiandong;CHEN Jianming;QIAN Qirong;LI Jun;LEI Guanghua;JIN Qunhua;SUN Tiansheng;HE Hongchen;YUAN Hongbin;LAN Yuping;LI Ting;HE Jinhan;YU Bin;WU Xinbao;MI Jinyi;XIAO Lianbo;GUO Xiangyang;ZHOU Zongke;ZHU Tao;MA Xinlong;MIAO Changhong;YANG Huilin;YU Weifeng;PEI Fuxing(不详;Department of Orthopaedic Surgery,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,China;Medical Affairs Department,Wuxi Ninth People's Hospital,Wuxi 214062,Jiangsu,China;Department of Orthopaedics,Ningbo No.6 Hospital,Ningbo 315309,Zhejiang,China;Department of Orthopaedics,the Second Affiliated Hospital of Naval Medical University,Shanghai 200003,China;Department of Anesthesiology,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325027,Zhejiang,China;Department of Orthopaedics,Xiangya Hospital of Central South University,Changsha 410008,China;Department of Orthopaedics,General Hospital of Ningxia Medical University,Yinchuan 750003,China;Senior Department of Orthopaedics,the Chinese People's Liberation Army General Hospital,Beijing 100007,China;Rehabilitation Medicine Center,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Anesthesiology,the Second Affiliated Hospital of Naval Medical University,Shanghai 200003,China;Department of Orthopaedics,Panzhihua Central Hospital,Panzhihua 417000,Sichuan,China;Department of Orthopaedics,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China;Department of Clinical Pharmacy,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Orthopaedics,Nanfang Hospital,Southern Medical University,Guangzhou 515399,China;Department of Orthopaedics,Wuxi Ninth People's Hospital,Wuxi 214062,Jiangsu,China;Departme

机构地区：[1]不详 [2]四川大学华西医院骨科,成都610041 [3]四川大学华西医院麻醉科,成都610041 [4]无锡市第九人民医院医务科,江苏无锡214062 [5]宁波市第六医院骨科,浙江宁波315309 [6]海军军医大学第二附属医院骨科,上海200003 [7]温州医科大学附属第二医院麻醉科,浙江温州325027 [8]中南大学湘雅医院骨科,长沙410008 [9]宁夏医科大学总医院骨科,银川750003 [10]中国人民解放军总医院骨科医学部,北京100007 [11]四川大学华西医院康复科,成都610041 [12]海军军医大学第二附属医院麻醉科,上海200003 [13]攀枝花市中心医院骨科,四川攀枝花417000 [14]首都医科大学附属北京积水潭医院骨科,北京100035 [15]四川大学华西医院临床药学部,成都610041 [16]南方医科大学南方医院骨科,广州515399 [17]无锡市第九人民医院骨科,江苏无锡214062 [18]上海光华中西医结合医院骨科,上海200052 [19]北京大学第三医院麻醉科,北京100191 [20]天津市天津医院骨科,天津300210 [21]复旦大学附属中山医院麻醉科,上海200032 [22]苏州大学附属第一医院骨科,江苏苏州215006 [23]上海交通大学医学院附属仁济医院麻醉科,上海200127

出　　处：《中华骨与关节外科杂志》2025年第3期200-211,共12页Chinese Journal of Bone and Joint Surgery

摘　　要：为进一步推进加速康复外科诊疗理念、诊疗模式和骨科、麻醉科加速康复围手术期关键技术在市县医院的应用,本共识第一部分围绕医院加速康复外科管理、科室管理和构建多学科协作诊疗模式及提升医务人员加速康复外科能力的高效管理达成共识推荐;第二部分围绕骨科手术患者围手术期慢性病管理、麻醉管理、血液管理、疼痛管理、营养管理、心理健康管理、精准微创操作技术、康复治疗、感染防治、深静脉血栓预防共十大难题达成共识推荐。市县医院骨科、麻醉科加速康复的推进需构建以骨科、麻醉科为主的多学科合作,并进一步提升上述十大方面的关键技术与优化,提升医疗技术能力,减少并发症,更好地推进骨科、麻醉科加速康复的发展。To further advance the application of the enhanced recovery after surgery(ERAS)concept,diagnostic and treatment model,and the key perioperative technologies of ERAS in orthopaedics and anesthesiology in municipal and county hospitals,this consensus is divided into two parts.The first part focuses on hospital management of ERAS,departmental management,and the efficient management for establishing multidisciplinary collaborative models and enhancing healthcare providers'ERAS competencies,thereby providing consensus recommendations.The second part offers consensus recommendations for addressing ten key challenges in the perioperative management of orthopaedic surgical patients,including chronic disease management,anesthesia management,blood management,pain management,nutritional management,mental health management,precise minimally invasive techniques,rehabilitation treatment,infection prevention,and deep vein thrombosis prophylaxis.The advancement of ERAS in orthopaedics and anesthesiology in municipal and county hospitals requires the establishment of a multidisciplinary collaboration led by orthopaedics and anesthesiology.It is essential to further optimize and enhance the key technologies in the ten areas mentioned above,improve clinical capabilities,reduce complications,and better promote the development of ERAS in orthopaedics and anesthesiology.

关 键 词：骨科加速康复 麻醉科加速康复 专家共识 医疗管理 医疗技术 

分 类 号：R68[医药卫生—骨科学] R614[医药卫生—外科学]