《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,VoL.15,No.10,Oct.2022739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」骨科加速康复围手术期疼痛管理专家共测门.中华骨与关节外科杂志，2022,15(10：739745.·专家共识·骨科加速康复围手术期疼痛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】疼痛是第五大生命体征，也是骨科患者圆手术期最重要的主诉之一，更是影响骨科患者术后功能康复的核心问题。如何对骨科手术患者进行有效的疼痛评估与管理是推动骨科加速康复的关键措施。为了规范骨科加速康复围手术期疼痛管理，减少围手术期疼痛相关并发症，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多学科专家成立骨科加速康复系列共识躺写专家委员会，以临床问题为导向，遵循循证医学原则，归纳出7个方面的问题：①疼痛的分类：②国手术期疼痛管理的目的与原则：③入院前疼痛评估与管理：④术前疼痛管理：⑤术中疼痛管理：⑥麻醉恢复室疼痛管理：⑦术后疼痛管理。按照上述7个方面的问题进行文献检索与归纳，结合2019版《中国骨科手术加速康复围手术期疼痛管理指南》及近3年国内外最新研究进展，更加强调围手术期减少创伤性及爽症性疼痛、医学人文关怀和疼痛的流程管理。经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疼痛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；加速康复外科；围手术期；疼痛评估；疼痛管理【中图分类号】R68【文章编号】2095-9958(2022)10-0739-07【文献标志码】AD0t10.3969/i.issn.2095-9958.2022.10.04Expert consensus on perioperative pain management in orthopaedics in enhancedrecovery after surgery programOrthopaedic 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:LIU Bin,QIU Guixing,PEI Fuxing[Abstract]Pain is the fifth vital sign,one of most important chief complaints of orthopaedic patients,and also a key issue for thepostoperative functional rehabilitation.Effective assessment and management of pain for patients undergoing orthopaedic surgery is akey measure to accelerate the implementation of the pilot work ofenhanced recovery after surgery.In order to standardize perioperativepain management,reduce perioperative pain related complications,and improve medical qual ity and safety,Orthopaedic Expert Group ofERAS profession Committee of National Health Commission,Orthopaedic ERAS profession Committee of Chinese Research HospitalAssociation,Orthopaedic ERAS profession Committee of China Association of Rehabilitation Technology Transformation andPromotion,together with experts from related disciplines,established a collaborative expert committee for this consensus writing.Focusing on the clinical problems and following evidence-based medicine principles,the experts summarized the following sevenaspects:Dclassification of pain;2the purpose and principle of perioperative pain management;3evaluation and management of painbefore admission;perioperative pain management;5intraoperative pain management,pain management in the post-anesthesiacare unit,postoperative pain management.Around these seven aspects,literature was searched and induced,and the latest researchesof recent three years were referenced as well as the 2019 edition of Guideline on perioperative pain management for the enhancedrecovery after orthopaedic surgery in China.Through repeated discussions online and offline together and revisions,this consensus wasdeveloped
