青少年特发性脊柱侧凸后路矫形融合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 fusion surgery for adolescent idiopathic scoliosis

作　　者：蔡思逸[1] 陈峰[1] 王树杰[1] 马璐璐[2] 袁望舒[3] 陈亚萍[1] 徐薇[2] 周非非[4] 孙浩林[5] 张志成 孟浩 杜培 孙维 郭航 毛海青[8] 丁琛[9] 殷国勇[10] 邱贵兴[1] 沈建雄[1] 贺宝荣[11] 刘浩[9] 杨惠林[8] 孙宇[4] 李淳德[5] 孙天胜 CAI Siyi;CHEN Feng;WANG Shujie;MA Lulu;YUAN Wangshu;CHEN Yaping;XU Wei;ZHOUFeifei;SUN Haolin;ZHANG Zhicheng;MENG Hao;DU Pei;SUN Wei;GUO Hang;MAO Haiqing;DING Chen;YIN Guoyong;QIU Guixing;SHEN Jianxiong;HE Baorong;LIU Hao;YANG Huilin;SUN Yu;LI Chunde;SUN Tiansheng(Department of Orthopedics,PekingUnion Medical College Hospital,CAMS&PUMC,Beijing100730;Department of Anesthesiology,PekingUnion Medical College Hospital,CAMS&PUMC,Beijing100730;Department of Rehabilitation and Physical Therapy,PekingUnion Medical College Hospital,CAMS&PUMC,Beijing100730;Department of Orthopedics,Peking University Third Hospital,Beijing100191;Department of Orthopedics,Peking University First Hospital,Beijing100034;Department of Orthopedics,Seventh Medical Center,PLA General Hospital,Beijing100700;Department of Anesthesiology,Seventh Medical Center,PLA General Hospital,Beijing100700;Department of Orthopedics,First Affiliated Hospital,Soochow University,Suzhou215006,Jiangsu;Department of Orthopedics,West ChinaHospital,Sichuan University,Chengdu610041;Department of Orthopaedics,First Affiliated Hospital of Nanjing MedicalUniversity,Nanjing210029;Department of Spine Surgery,Honghui Hospital,Xi'an Jiaotong University,Xi'an710054,China)

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

出　　处：《中华骨与关节外科杂志》2019年第9期652-662,共11页Chinese Journal of Bone and Joint Surgery

摘　　要：后路矫形手术是治疗青少年特发性脊柱侧凸最常用的手术方式之一。如何促进患者加速康复,一直是脊柱外科医师追求的目标。加速康复外科(ERAS)理念下的系列围手术期优化措施有助于提高脊柱外科患者的诊疗效果。为规范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——围术期管理策略专家共识》的基础上,结合青少年特发性脊柱侧凸后路矫形手术的特点,经过全国专家组反复讨论,达成其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 fusion surgery is one of the most widely used surgical procedures for adolescent idiopathic scoliosis.In the light of ERAS concept,spinal surgery can be improved by following subspecialty-and procedure-specific evidence-based protocols perioperatively.In order to standardize the application of enhanced recovery after surgery(ERAS)clinical pathway in different spinal surgical procedures,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 combined with the characteristics of posterior fusion surgery for adolescent idiopathic scoliosis,and hoped this consensus wound give some help to spinal surgeons.

关 键 词：青少年特发性脊柱侧凸 后路融合手术 加速康复外科 

分 类 号：R726.8[医药卫生—儿科]