中国防痨杂志2023年3月第45卷第3期Chin I Antitubere,Mrch2023,Vol.45,No.3·225.·指南·规范·共识·加速康复外科理念在脊柱结核外科中应用的专家共识中国防痨协会骨结核专业分会《中国防痨杂志》编辑委员会【摘要】脊柱结核是最常见的骨结核，实施加速康复外科(enhanced recovery after surgery,ERAS)管理模式可以缩短脊柱结核患者的住院时间，降低并发症发生率和再入院率，减少医疗费用。目前，ERAS理念被越来越多的脊柱结核外科医师所接受，但还未形成统一的专家共识，严重限制了其在脊柱结核外科中的应用。因此，中国防痨协会骨结核专业分会联合《中国防痨杂志》编辑委员会，在脊柱结核疾病自身特点的基础上，结合既往ERAS模式在脊柱结核诊疗应用中的研究成果，组织专家撰写了《加速康复外科理念在脊柱结核外科中应用的专家共识》，以期进一步规范及指导ERAS理念在脊柱结核外科中的应用，推动脊柱结核外科的进一步发展。【关键词】结核，骨关节：脊柱疾病：加速康复外科；总结性报告（主题）【中图分类号】R52;R529.2;R68Expert consensus on the application of the concept of enhanced recovery after surgery in spinal tuberculosis surgeryThe Group of Osteoarticular Tuberculosis of Chinese Antituberculosis Association.Editorial Board of Chinese JournalofAntituberulosisCorresponding author:Oin Shibing.Email:ginsb@sina.com Lei Guohua,Email:leiguohua666666@yeah.net[Abstract]Spinal tuberculsis is the most common bone tuberculosis.Implementation of enhanced recoveryafter surgery (ERAS)management can shorten hospitalization,reduce incidence of complications and readmissionsrate,and reduce medical costs of patients with spinal tuberculosis.Currently,ERAS had been accepted by more andmore spinal tuberculosis surgeons.However,there is no expert consensus has been formed,which severely limitsthe application of ERAS in spinal tuberculosis surgery.Therefore,the Group of Osteoarticular Tuberculosis ofChinese Antituberculosis Association.in conjunction with the Editorial Board of Chinese Journal of Antituberculosis.organized experts to write the Expert consensus on the application of the ancept of enhanced recovery after surgery inspinal tuberculosis surgery on the basis of the characteristics of spinal tuberculsis disease and the previous researchresults of ERAS mode in the diagnosis and treatment of spinal tuberculosis,with a view to further standardize andguide the application of ERAS concept in spinal tuberculosis surgery,and promote the further development of spinaltuberculosis surgery.[Key words]Tuberculosis,osteoarticular;Spinal diseases;Enhanced recovery after surgery;Summaryreport (subject)[Fund program]Beijing Science and Technology Plan Project (D141107005214002)加速康复外科(enhanced recovery after surgery,优化措施，阻断或减轻机体的应激反应，促进患者术ERAS)概念由丹麦外科医生Kehlet于l997年首次后快速康复，达到缩短住院时间、降低术后并发症发提出，是指采用一系列有循证医学证据的围手术期生率及降低再入院风险和死亡风险的目的四。实施ERAS管理模式可以缩短脊柱结核患者的住院时间，降低并发症发生率和再入院率，减少医疗费用。▣▣开放科学（贵源服务）标识码(OD)的开放科ERAS管理模式的实施需要外科医师、麻醉医师、内学计划以二维码为入口，提供丰富的线上扩展科医师、康复医师、护士及营养师等多个科室成员共功能，包括作者对论文背景的语音介绍、该研究的附加就明、与读者的交互问答、拓展学术图等，同配合完成2习，其核心是强调以患者为中心的诊疗读者“扫一扫”此二雏码即可获得上迷增值肤务，理念。ERAS相关路径的实施有助于提高外科患者doi:10.19982/1issm.1000-6621.20220493基金项目：北京市科技计划课题(D141107005214002)围手术期的安全性及满意度，缩短术后住院时间，有通信作者：秦世炳，Email:qinsb@sina.com:雷国华，Email:助于降低术后并发症的发生率[)。leiguohua666666@yeah.net目前，ERAS理念被越来越多的脊柱结核外科
