746《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康复专业委员会，中国康复技术转化及促进会骨科加速复专业委员会骨科择期手术加速康复预防手术部位感染专家共识门.中华骨与关节外科杂志，2022,15(10746753.·专家共识·骨科择期手术加速康复预防手术部位感染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】手术部位感柒是骨科择期手术后的严重并发症之一，常给患者带来灾难性的后采。为了规范骨科择期手术手术部位感柒的预防措施，减少手术部位感柒，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、中国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编写专家委员会，以临床问题为导向，遵循循证医学原则，归纳出3个方面的问题：①预防手术部位感染的术前管理措施（术前危险因素评估、潜在感柒灶筛查、术前危险因素控制措施、术前皮肤准备)；②预防手术部位感柒的术中管理措范（手术室与人员管理、预防性应用抗菌药物、手术操作技术)：③预防手术部位感柒的术后管理措苑（术后密切观察手术部位、纠正术后贫血和低蛋白血症、术后血糖监测、术后切口管理、术后合理使用预防性抗菌药物、出院后管理)。按照上述3个方面的问题进行文献检索和归纳，结合2020版《骨科择期手术加速康复预防手术部位感柒指南》及近年回内外最新研究进展，从危险因素评估到术前、术中、术后的防控措施做了全面的总结和规范。经过反复讨论修改后形成本共识，期望其为我国骨科择期手术加速康复预防手术部位感柒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】骨科择期手术：加速康复外科：手术部位感柒：感柒预防【中图分类号】R68【文章编号】2095-9958(2022)10-0746-08【文献标志码】AD0:10.3969.issn.2095-9958.2022.10.05Expert consensus on enhanced recovery management for the prevention of surgical siteinfection after orthopaedic selective surgeryOrthopaedic 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:QIU Guixing,PEI Fuxing[Abstract]Surgical site infection is one of the serious complications after selective orthopaedic surgery,which often brings disastrousconsequences to patients.In order to standardize the measures preventing surgical site infection,thus to reduce it,and improve themedical quality and safety,Orthopaedic Expert Group of ERAS profession Committee of National Health Commission,OrthopaedicERAS profession Committee of Chinese Research Hospital Association,Orthopaedic ERAS profession Committee of China Associationof Rehabilitation Technology Transformation and Promotion,together with experts from other relevant 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:Dpreoperative preventive measures(preoperative risk factor assessment,screening of potential infection foci,preoperative risk factor control measures,preoperative skin preparation);2 intraoperativemanagement measures (management of operating room and personnel,application of prophylactic antibiotics,surgical techniques);3postoperative preventive measures(frequent observation for the operation site,correction of anemia and hypoproteinemia,postoperative blood glucose monitoring,postoperative incision management,rational use of prophylactic antibiotics,post-dischargemanagement).Around these three aspects,literature was searched and induced,and the latest researches of recent years were referenced【通信作者】邱贵兴（中国医学科学院北京协和医学院北京协和医院骨科），E-mail:qguixing@126.com:裴福兴（四川大学华西医院骨科）E-
