骨科加速康复围手术期精神卫生问题及精神障碍的评估与管理专家共识

768《中华骨与关节外科杂志》2022年10月第15卷第10期Chin J Bone Joint Surg,VoL15,No.10,Oct.2022国家卫生健康委加速康复外科专家委员会骨科专家组，中国研究型医院学会骨科加速乘复专业委员会，中国康复技术转化及促进会骨科加速复专业委员会骨科加速康复围手术期精神卫生问题及精神障碍的评估与管理专家共识测).中华骨与关节外科杂志，2022,15(10)：76875.·专家共识·骨科加速康复围手术期精神卫生问题及精神障碍的评估与管理专家共识国家卫生健康委加速康复外科专家委员会骨科专家组，中国研究型医院学会骨科加速康复专业委员会，中国康复技术转化及促进会骨科加速康复专业委员会【摘要】由于急性创伤、慢性骨酪肌肉系皖疼痛等问题，存在躯体和社会功能部分受损的骨科患者合并精种卫生问题及精种障碍的比例较高。精种卫生问题及精种障碍对骨科患者手术效采有直接影响。如何尽早发现精神卫生问题及精种障碍的临床症决，并进行科学的初步检查、评估和处理是骨科加速康复面临的重要临床问题。为了进一步推广骨科加递康复围手术期精种卫生问题及精种障碍的评估与管理工作，提高医疗质量和安全，国家卫生健康委加速康复外科专家委员会骨科专家组、中国研究型医院学会骨科加速康复专业委员会、中回康复技术转化及促进会骨科加速康复专业委员会联合相关学科专家成立骨科加速康复系列共识锅写专家委员会，以临床问题为导向，遵循循证医学原则，归钠出3个方面的问题：①骨科患者合并精神卫生问题及精种障碍的分类与共性表现特征：②骨科患者围手术期精种卫生问題及精神障碍的临床表现、筛查和评估：③骨科患者围手术期精种卫生问题及精神障碍的治疗。按照上述3个方面的问题进行文献检索和归钠，通过线上结合线下会议反复讨论和修改后形成本共识，期望其为我国骨科加速康复围手术期精种卫生问题及精种障碍的评估与管理的多学科协作起到积极的推动作用，最终达到加速患者康复的目的。【关键词】骨科手术：精种卫生问题：精种障碍：加速康复外科【中图分类号】R68【文章编号】2095-9958(2022)10-0768-08【文献标志码】AD0:10.3969/.issn.2095-9958.2022.10.08Expert consensus on the assessment and management of perioperative mental healthproblems and mental disorders in orthopaedics in enhanced recovery after surgeryprogramOrthopaedic Expert Group of ERAS profession Committee of National Health Commission,Orthopaedic ERAS profession Committeeof Chinese Research Hospital Association,Orthopaedic ERAS profession Committee of China Association of RehabilitationTechnology Transformation and PromotionCorresponding Author:TANG Xiangdong,QIU Guixing,PEI Fuxing[Abstract]Due to acute trauma and chronic musculoskeletal pain,the proportion of mental health problems and mental disorders inorthopaedic patients with partially impaired physical and social functions is high.Mental health problems and mental disorders have adirect impact on the effect of orthopaedic surgery.It is important in clinical practice to detect mental health problems and clinicalsymptoms of mental disorders as early as possible and carry out scientific preliminary examination,evaluation and treatment in enhancedrecovery after surgery(ERAS)program in orthopaedics.In orderto promote theassessment and managementofperioperative mental healthproblems and mental disorders inorthopaedics,Orthopaedic Expert Groupof ERAS profession CommitteeofNational Health Commission,Orthopaedic ERAS profession Committee of Chinese Research Hospital Association,Orthopaedic ERAS profession Committee of ChinaAssociation of Rehabilitation Technology Transformation and Promotion,together with experts from related disciplines,established acollaborative expert committee for this consensus writing.Focusing on the clinical problems and following evidence-based medicineprinciples,the experts summarized the following three aspects:D characteristics of mental health problems and mental disorders inorthopaedic patients;2clinical manifestations andassessment of perioperative mental health problems and mental disorders in orthopaedicpatients;3treatment of mental health problems and mental disorders in patients undergoing orthopaedic surgery during perioperativeperiod