| 加速康复外科理念下桡骨远端骨折规范化无痛闭合整复与石膏固定方案优化的专家共识 |
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| 作者姓名： | 无 李庭 米萌 刘洪波 高志强 肖鸿鹄 周雁 安贵生 孙志坚 黄强 孙旭 韩梦琪 王京 李蔷 李嫚 东靖明 陈云丰 方跃 高鹏 吴新宝 蒋协远 余斌 柴益民 张堃 |
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| 作者单位： | 白求恩·骨科加速康复联盟;白求恩公益基金会创伤骨科专业委员会;白求恩公益基金会关节外科专业委员会;中国医疗保健国际交流促进会加速康复外科学分会创伤骨科学组;中国研究型医院学会关节外科学专业委员会肘关节外科研究学组;中国医师协会骨科分会上肢创伤专业委员会;北京积水潭医院创伤骨科;北京积水潭医院麻醉科;北京积水潭医院康复科;北京积水潭医院手麻科;天津市天津医院骨科;上海交通大学附属第六人民医院骨科;.四川大学华西医院骨科;.中国医学科学院北京协和医学院北京协和医院骨科;.南方医科大学南方医院创伤骨科;.西安交通大学医学院附属红会医院创伤骨科 |
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| 基金项目： | 首都卫生发展科研专项基金(首发2018-1-2072)。 |
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| 摘 要： | 桡骨远端骨折是急诊最常见的骨折类型。无论是采取保守治疗或是作为手术前的处理,闭合整复石膏固定都具有重要意义。在加速康复外科(ERAS)理念的指导下,规范的无痛闭合整复及石膏固定可以减少患者应激,进一步优化此流程可以提高治疗效果。经全国创伤骨科专家讨论,以循证医学证据为基础,以ERAS理念为指导,特制定该共识,为医务人员在治疗此类骨折时提供指导。该共识适用于新鲜闭合桡骨远端骨折患者。
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| 关 键 词： | 加速康复外科 桡骨远端骨折 闭合整复 石膏固定 |
Expert consensus on standardized painless closed manipulative reduction and cast immobilization for distal radius fracture based on enhanced recovery after surgery |
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| Authors: | 无 LI Ting MI Meng LIU Hongbo GAO Zhiqiang XIAO Honghao ZHOU Yan AN Guisheng SUN Zhijian HUANG Qiang SUN Xu HAN Mengqi WANG Jing LI Qiang LI Man DONG Jingming CHEN Yunfeng FANG Yue GAO Peng WU Xinbao JIANG Xieyuan YU Bin CHAI Yimin ZHANG |
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| Institution: | (Bethune Alliance of Enhanced Recovery After Surgery in Orthopeadics;Orthopaedic Trauma Committee of Bethune Public Welfare Foundation;Joint Surgery Committee of Bethune Public Welfare Foundation;Orthopaedic Trauma Group of Branch of Enhanced Recovery After Surgery of China International Exchange and Promotive Association for Medical and Health Care;Elbow Joint Surgery Study Group of Joint Surgery Committee of Chinese Research Hospital Association;Upper Limb Trauma Committee of Orthopaedic Society of Chinese Medical Doctor Association;Department of Orthopaedic Trauma,Beijing Jishuitan Hospital,Beijing 100035;Department of Anesthesiology,Beijing Jishuitan Hospital,Beijing 100035;Department of Rehabilitation,Beijing Jishuitan Hospital,Beijing 100035;Operation The atre,Beijing Jishuitan Hospital,Beijing 100035;Department of Orthopaedics,Tianjin Hospital,Tianjin 300211;Depart ment of Orthopaedics,Shanghai Sixth People's Hospital,Shanghai Jiao Tong University,Shanghai 200233;Department of Orthopaedics,West China Hospital,Sichuan University,Chengdu 610041;Department of Orthopaedics,Peking Union Medi cal College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730;Department of Orthopaedic Trauma,Nanfang Hospital,Southern Medical University,Guangzhou 510515;Department of Orthopaedic Trauma,Xi'an Honghui Hospital,Xi'an Jiaotong University School of Medicine,Xi'an 710054,China) |
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| Abstract: | Distal radius fracture is the most common fracture encountered in emergency.Closed manipulative reduction and cast immobilization remain the mainstay and are beneficial for both nonoperative treatment and preoperative management of surgical intervention.Optimizing protocols of the standardized painless closed manipulative reduction and cast immobilization under the guidance of enhanced recovery after surgery(ERAS)may reduce stress exerted on patients and improve clinical outcomes. After discussions by nation-wide experts specialized in traumatic orthopedics in China, with the support of evidencebasedmedicine and ERAS concept, this expert consensus was conducted to guide the treatments for distal radius fractures.The current consensus is applicable to fresh and closed fractures of distal radius. |
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| Keywords: | Enhanced Recovery After Surgery Distal Radius Fracture Closed Manipulative Reduction Cast Immobilization |
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