《中华骨与关节外科杂志》2023年3月第16卷第3期Chin J Bone Joint Surg,VoL.16,No.3,Mar.2023197·述评·《膝关节单髁置换术围手术期管理专家共识》解读张启栋',曹光磊2,何川3,张民4,张轶超5,尹宗生6【摘要】膝单髁置换术(UKA)近年来在回内发展迅速,同时加速康复外科理念在关节外科领城不断深化,微好围手术期管理是保证手术成功、获得快速康复的关键环节。为减轻患者围手术期的创伤和应激反应,优化围手术期管理模式,提高UKA的疗效并促进其标准化、规范化,中国研究型医院学会关节外科学专业委员会膝关节部分置换研究学组在2020年制定推出《膝关节单髁置换术围手术期管理专家共识》,本文对其中重点内容和热点问题进行解读,与同道交流。【关键词】膝单保置换术;围手术期管理;共识;解读【中图分类号】R684.3【文章编号】2095-9958(2023)03-0197-09【文献标志码】AD0:10.3969i.issn.2095-9958.2023.03.02Interpretation of Expert consensus on perioperative management ofunicompartmentalknee arthroplastyZHANG Qidong',CAO Guanglei,HE Chuan,ZHANG Min',ZHANG Yichao,YIN Zongsheng1.Department of Orthopaedics,China-Japan Friendship Hospital,Beijing 100029;2.Department of Orthopaedics,Xuanwu Hospital,Capital Medical University,Beijing 100053;3.Department of Orthopaedics,Ruijin Hospital,Shanghai Jiao Tong University School ofMedicine,Shanghai 200025;4.Department of Orthopaedics,The Second Affiliated Hospital of Shanxi Medical University,Taiyuan030001;5.Department of Orthopaedics,Beijing Tongren Hospital,Beijing 100176;6.Center of Joint Surgery,The First AffiliatedHospital of Anhui Medical University,Hefei 230022,ChinaCorresponding Author:YIN Zongsheng[Abstract]Unicompartmental knee arthroplasty (UKA)has developed quickly in China recently.And the concept of enhancedrecovery after surgery (ERAS)has been widely applied in the field of joint replacement.A good perioperative management wouldpromote the recovery of UKA.In order to reduce the trauma and stress responses during the perioperative period,optimize themanagement mode and improve result of UKA,the Partial Knee Arthroplasty Group of Chinese Research Hospital Association putforward the Expert consensus on perioperative management of unicompartmental kee arthroplasty in 2020.The key contents and hotissues in this consensus were interpreted in this paper.[Key words]Unicompartmental Knee Arthroplasty;Perioperative Management;Consensus;Interpretation围手术期是指从决定手术治疗起,到与手术有knee arthroplasty,UKA)的疗效并促进其标准化、规关的治疗基本结束为止的一段时间。近年来,围手范化,中国研究型医院学会关节外科学专业委员会术期管理在外科各专业领域中越来越受到重视。为膝关节部分置换研究学组在2020年制定推出《膝关减轻患者围手术期创伤和应激反应,优化围手术期节单髁置换术围手术期管理专家共识》四。本文对其管理模式,提高膝单髁置换术(unicompartmental中重点内容和热点问题进行解读,与同道交流。【基金项目】国家自然科学基金面上项目(81972130.82072494):首都卫生发展科研专项基金(首发2020-2-4067):中日友好医院“菁英计划”人才培育工程(ZRY2021-GG08):中日友好医院高水平医院临床科研业务费转向成果转化类项目(2022-NHLHCRF-YGJE05)【作者单位】1.中日友好医院骨科.北京100029:2.首都医科大学附属宜武医院骨科,北京100053:3.上海交通大学医学院附属瑞金医院骨科.上海200025:4.山西医科大学第二医院骨科.太原030001:5.首都医科大学附属北京同仁医院骨科.北京100730:6.安徽医科大学第一附属医院关节外科中心,合肥230022【通信作者】尹宗生,E-mail:yinzongsheng@sina.com【引用格式】张启栋,曹光磊,何川,等.《膝关节单髁置换术围手术期管理专家共识》解读).中华骨与关节外科杂志,2023,16(3:197-205.(C)1994-2023 China Academic Journal Electronic Publishing House.All rights reserved.http://www.cnki.net