| 加速康复外科理念下肱骨近端骨折诊疗规范的专家共识 |
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| 引用本文： | 黄强,张玉富,李庭,孙志坚,米萌,周雁王岩,肖鸿鹄,孙旭,王京,王倩,翟建坡,李蔷,东靖明,周方,王蕾,付中国,向明,李开南,王光林,庄岩,张建政,刘黎军,彭贵凌,高鹏,郭险峰,张堃,柴益民,吴新宝,裴福兴,余斌,无. 加速康复外科理念下肱骨近端骨折诊疗规范的专家共识[J]. 中华创伤骨科杂志, 2020, 0(3): 187-196 |
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| 作者姓名： | 黄强 张玉富 李庭 孙志坚 米萌 周雁王岩 肖鸿鹄 孙旭 王京 王倩 翟建坡 李蔷 东靖明 周方 王蕾 付中国 向明 李开南 王光林 庄岩 张建政 刘黎军 彭贵凌 高鹏 郭险峰 张堃 柴益民 吴新宝 裴福兴 余斌 无 |
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| 作者单位： | 北京积水潭医院创伤骨科;北京积水潭医院麻醉科;北京积水潭医院内分泌科;北京积水潭医院泌尿外科;北京积水潭医院康复科;天津市天津医院骨科;北京大学第三医院骨科;上海交通大学医学院附属瑞金医院骨科;北京大学人民医院创伤骨科;四川省骨科医院;成都大学附属医院骨科;四川大学华西医院骨科;西安交通大学医学院附属红会医院创伤骨科;解放军总医院第七医学中心骨科;深圳市第二人民医院创伤骨科;中国医学科学院北京协和医院骨科;上海交通大学附属第六人民医院骨科;南方医科大学南方医院骨科;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加速康复外科专业委员会骨外科学组;中国康复技术转化及发展促进会骨外科学与康复技术转化委员会 |
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| 基金项目： | 首都卫生发展科研专项(首发2018-1-2072);北京市卫生和计划生育委员会北京市卫生与健康科技成果和适宜技术推广项目(2018-TG-23)。 |
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| 摘 要： | 肱骨近端骨折是创伤骨科最常见的骨折之一,国外文献报道其发生率占全身骨折的4%~5%,国内文献报道约占2.5%。大多数肱骨近端骨折是老年人低能量骨质疏松性骨折,主要由平地摔倒所致,男女比为2~3∶1。随着人口结构的老龄化,其发病率呈快速上升趋势,在近30年移位骨折占所有肱骨近端骨折的比例上升了50%。饮食中低钙摄入、骨质疏松等均会增加肱骨近端骨折的风险,其他危险因素还包括亚健康状态、髋部骨折家族史、糖尿病、视力减退及神经肌肉功能减退等。
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| 关 键 词： | 肱骨近端骨折 神经肌肉功能 视力减退 骨质疏松性骨折 髋部骨折 移位骨折 诊疗规范 创伤骨科 |
Expert consensus on diagnosis and treatment of proximal humeral fracture in light of enhanced recovery after surgery |
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| Affiliation: | (Department of Orthopaedic Trauma,Beijing Jishuitan Hospital,Beijing,100035,China;Department of Anesthesiology,Beijing Jishuitan Hospital,Beijing,100035,China;Department of Erulocrinology,Beijing Jishuitan Hospital,Beijing,100035,China;Department of Urology Surgery,Beijing Jishuitan Hospital,Beijing,100035,China;Department of Rehabilitation,Beijing Jishuitan Hospital,Beijing,100035,China;Department of Orthopaedics,Tianjin Hospital,Tianjin,300211,China;Department of Orthopaedics,Peking University Third Hospital,Beijing,100089,China;Department of Orthopaedics,Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai,200025,China;Department of Orthopaedic Trauma,Peking University People's Hospital,Beijing,100044,China;Department of Orthopaedics,Sichuan Orthopeadic Hospital,Chengdu,610041,China;Department of Orthopaedics,Affiliated Hospital of Chengdu University,Chengdu,610081,China;Department of Orthopaedics,West China Hospital of Sichuan University,Chengdu,610041,China;Department of Orthopaedic Trauma,Xi'an Red-Cross Hospital,Xi'an,710054,China;Department of Orthopaedics,The Seventh Medical Center of PLA,Beijing 100700,China;Department of Orthopaedic Trauma,The Second People's Hospital of Shenzhen,Shenzhen 518035,China;Department of Orthopaedics,Peking Union Medical College Hospital,Cliinese Academy of Medical Sciences,Beijing 100730,China;Departmenl of Orthopaedics,Shanghai Jiaotong University Affiliated Sixth People's Hospital,Shanghai 200233,China;Bethune Alliance of Enhanced Recovery After Surgery in Orthopeadics;Professional Committee of Orthopaedic Trauma,Bethune Public Welfare Foundation;Professional Committee of Joint Surgery,Bethune Public Welfare Foundation;Orthopaedic Trauma Group,Society of Enhanced Recovery After Surgery,China international Exchange and Promolive Association for Medical and Health Care;Orthopaedic Group,Professional Committee of Enhanced Recovery After Surgery,Chinese Research Hospital Association;Committee of Orthopaedics and Rehabilitation Technology Transformation,Chinese) |
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